Losartan (K)
Losartan (K) belongs to a new classs of nonpeptide angiotensin II receptor antagonist. Losartan (K) is potent and specific competitive antagonist of angiotensin AT1 receptors. itthe first orally active angiotensin II receptor antagonist. The blood pressure lowering efficacy of losartan is similar to that of of the angiotensin converting enzyme inhibitors (ACE) eg. Enalapril, but treatment with losartan is associated with a lower incidence of adverse effects.
Primary Characteristics
Losartan (K) is also known as Losartan.
It is of Synthetic origin and belongs to Imidazole.
It is classified in Antihypertensive Agents pharmacological group.
Molecular Weight: 461 · pKa: 4.1 · Solubility in Water: Freely soluble · Solubility in Alcohol: Slightly soluble · Non-proprietary name: Losartan (K).

Pharmacokinetics
Absorption: Losartan (K) has an oral bioavailability is 27.5%, pre-systemic (first-pass) metabolism accounts for 33%.
Distribution: Losartan (K) has a volume of distribution is 34 litre. plasma protein binding is 99%.
Elimination: it is metabolised via Hepatic (extensively), plasma half-life is 1.5-2.5 hr, renal excretion is 35%, also excreted in bile.
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Indications
Losartan (K) is primarily indicated in conditions like Congestive heart failure, Diabetic nephropathy in type 2 diabetes mellitus, Hypertension, Myocardial infarction, Primary ovarian cancer.
Losartan (K) is also indicated for secondary conditions like Hypertension with left ventricular hypertrophy, Hypertension, including patients with left ventricular dystrophy.
Contraindications
Losartan (K) is contraindicated in conditions like Hyperaldoesteronism, Renal artery stenosis, Hypersensitivity, Pregnancy.
Dosage
Losartan (K)'s dosage details are as follows:
| Dose | Single Dose | Frequency | Route | Instructions |
|---|---|---|---|---|
| Adult Dosage | ||||
| 75 mg | 75 mg | Every 24h | PO | Initial dose may be reduced to 25 mg in salt depleted patients and patients with moderate to severe renal impairment. |
| Paediatric Dosage (20kg) | ||||
| 0 – 0 | — | — | Not recommended for this age group | |
| Neonatal Dosage (3kg) | ||||
| 0 – 0 | — | — | Not recommended in this age group | |
Drug Interactions
Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Side Effects
Losartan (K) in overdosage may give rise to further complications which include Hypotension , Hypotension , Rhabdomyolysis .
The signs and symptoms that are produced after acute overdosage of Losartan (K) are Bradycardia, Hypotension, Tachycardia .
Losartan (K) is known to cause more or less tolerable side effects which are usually transient. These include Abdominal pain, Angioedema, Backache , Diarrhea, Dizziness, Dry cough, Dyspepsia , Fatigue, Headache, Hypotension , Muscle pain, Myalgia, Nausea, Rash, Urticaria.
Warnings / Precautions
Interference in Pathology
Losartan (K) may interfere in the diagnosis of Rise in the Plasma Renin Activity, Increased Serum Potassium Level.
Available Brands
Storage Conditions
Drug Classification
- 1.12.3.4 — Angiotensin II receptor anatgonists
Manufacturers
Manufacturers of Losartan (K) in Pakistan: