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Losartan Tablets (Generic for Cozaar®) for Hypertension
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What Losartan Is and How It Works
Losartan is an angiotensin II receptor blocker (ARB) used to lower blood pressure and protect the kidneys in type 2 diabetes with protein in the urine. It is taken by mouth once daily, most often as losartan 50 mg or 100 mg tablets. YouDrugstore is a licensed Canadian pharmacy in Manitoba, and prescriptions are reviewed by licensed pharmacists before dispensing. We also partner with vetted international pharmacies to supply authentic brand medicines and a wide range of options at fair prices.
By blocking angiotensin II at the AT1 receptor, losartan relaxes blood vessels and reduces aldosterone effects. This lowers vascular resistance and helps the heart work with less strain. It is approved for hypertension in adults and for reducing the risk of stroke in certain hypertensive patients with left ventricular hypertrophy. It is also used to slow kidney disease in adults with type 2 diabetes and hypertension who have proteinuria.
Losartan is available as film‑coated tablets in multiple strengths. The most common dosing schedule is once daily, with or without food. Dose adjustments depend on response, kidney function, liver function, and concurrent medications. A healthcare professional sets the plan and monitors labs.
Dosage and Usage
- Hypertension (adults): Typical starting dose is 50 mg once daily. Dose may increase to 100 mg once daily based on blood pressure response.
- Volume depletion or liver impairment: Consider 25 mg once daily as a starting dose.
- Diabetic nephropathy (adults): Often start at 50 mg once daily and increase to 100 mg once daily if tolerated.
- Administration: Take at the same time each day. With or without food is acceptable. Swallow tablets whole with water.
- Missed dose: If a dose is missed, take it when remembered unless it is close to the next dose. Do not double up.
- Monitoring: Blood pressure, kidney function (creatinine, eGFR), and potassium should be checked regularly.
- Storage: Store your tablets at 15–30°C. Keep them dry, away from light, and in the original container.
- Travel: Carry your medication in your hand luggage. Keep the pharmacy label attached. Bring enough tablets for your trip plus extras.
Benefits and Savings
Losartan lowers blood pressure, which reduces the risk of heart attack, stroke, and cardiovascular complications. It can slow progression of diabetic kidney disease and reduce protein in the urine. Unlike ACE inhibitors, losartan has a lower risk of persistent dry cough. It is generally well tolerated.
Ordering from YouDrugstore gives access to Canadian pricing and pharmacist review. Many patients see 60–80% savings compared with typical US prices, especially on multi‑month supplies. We also carry OTC products, so you can add health items to your order for convenience.
Side Effects and Safety
- Common: Dizziness, fatigue, nasal congestion, back pain, cough (less common than with ACE inhibitors), diarrhea.
- Laboratory changes: Increases in potassium, changes in kidney function tests (creatinine, eGFR).
- Low blood pressure: Lightheadedness can occur, especially after the first doses or dose increases.
- Serious: Angioedema (rare but urgent), severe hyperkalemia, significant decline in kidney function.
- Drug interactions: Potassium supplements or salt substitutes, potassium‑sparing diuretics, NSAIDs, high‑dose diuretics, ACE inhibitors, aliskiren, lithium.
- Pregnancy and breastfeeding: Contraindicated in pregnancy due to fetal harm. Discuss alternatives if planning pregnancy or if pregnancy occurs.
- Renal artery stenosis: ARBs may reduce kidney function in bilateral disease or solitary kidney.
Seek urgent care for swelling of the face or throat, severe dizziness, fainting, chest pain, or signs of high potassium (muscle weakness, abnormal heartbeat).
Onset Time
Blood pressure reductions usually begin within one week. The full effect may take three to six weeks at a stable dose. Kidney protection benefits develop over time with continued treatment and blood pressure control.
Compare With Alternatives
ACE inhibitors such as lisinopril are often first‑line in hypertension and diabetic kidney disease. They work by blocking conversion of angiotensin I to II. Cough and, rarely, angioedema may limit use. Losartan offers similar blood pressure control without the typical ACE‑related cough risk.
Other ARBs include valsartan and irbesartan. Choice depends on response, co‑morbidities, and cost. A fixed‑dose option combining losartan with hydrochlorothiazide is available as Hyzaar® Ds, which can simplify a two‑drug regimen when a diuretic is needed. For people with type 2 diabetes and kidney or cardiovascular disease, an SGLT2 inhibitor such as Forxiga® may be added based on guidelines and prescriber advice.
Combination Therapy
Many patients need two or more medications to reach blood pressure targets. Losartan pairs well with thiazide diuretics, calcium channel blockers, or, when indicated, beta blockers. Fixed‑dose combinations can improve adherence. Therapy choices should consider kidney function, potassium levels, age, and co‑existing conditions.
Patient Suitability and Cost-Saving Tips
Losartan may suit adults with hypertension, diabetic kidney disease with proteinuria, or certain patients at risk of stroke with left ventricular hypertrophy. It is not advised in pregnancy, in people with a history of angioedema from ARBs, or in those with severe hyperkalemia without close monitoring. Caution is needed in advanced kidney disease and in bilateral renal artery stenosis.
To lower costs, consider a 90‑day supply if appropriate. Per‑month costs often drop with larger fills, and we offer bulk promotions on select items from time to time. Compare strengths to see if one tablet daily fits your plan. Turn on reorder reminders in your account so you never run short. For education on your condition, see our pages on High Blood Pressure and Diabetic Kidney Disease.
Authoritative Sources
Review official details from these sources: the Health Canada Drug Product Database, the FDA prescribing information for losartan potassium tablets, and the manufacturer information for Cozaar on Merck’s product page.
You can order at YouDrugstore with support from our friendly customer‑service team during posted hours. Our pharmacists are available to address medication questions. We ship to the US with prompt, express service, and use cold‑chain shipping when products require it.
This content does not replace medical advice. Always follow your prescriber’s instructions and the patient leaflet. Prescription products require a valid prescription. Information here is based on official labeling and clinical guidance at the time of writing.
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What is losartan used for?
Losartan is an angiotensin II receptor blocker prescribed to lower blood pressure. It also helps protect the kidneys in adults with type 2 diabetes, hypertension, and protein in the urine. Some patients with hypertension and left ventricular hypertrophy take it to reduce stroke risk. A healthcare professional determines suitability and dose.
What is the usual losartan dosage?
Many adults start at losartan 50 mg once daily. The dose may rise to 100 mg once daily based on response and tolerance. People with low blood volume or liver impairment may start at 25 mg daily. Dose and monitoring depend on medical history, other medicines, kidney function, and potassium levels.
How long does losartan take to work?
Blood pressure often improves within a week. The full effect is seen after three to six weeks at a steady dose. Kidney benefits build over time with long‑term control of blood pressure and protein in the urine. Your prescriber may adjust the dose if readings are not at target after an adequate trial.
Can losartan be taken with hydrochlorothiazide?
Yes, many patients use losartan with a thiazide diuretic when one medicine is not enough. Fixed‑dose combinations exist to simplify dosing. The choice depends on blood pressure goals, kidney function, and electrolytes. Regular checks of potassium, sodium, and creatinine are standard when combining therapies.
What side effects should I watch for?
Dizziness, fatigue, nasal congestion, and diarrhea can occur. Potassium may rise, and kidney function can shift, especially after dose changes. Seek help for severe lightheadedness, swelling of the face or throat, or signs of high potassium such as weakness or abnormal heartbeat. Report persistent or bothersome effects to your prescriber.
Is losartan safe in pregnancy or while breastfeeding?
Losartan is contraindicated in pregnancy due to risk of injury and death to the developing fetus. People who become pregnant should contact their prescriber promptly to discuss alternatives. Safety while breastfeeding is uncertain. The decision to use or avoid therapy should be made with a healthcare professional.
Are there interactions with NSAIDs, potassium, or salt substitutes?
NSAIDs can reduce the blood pressure effect and may worsen kidney function, especially in older adults or dehydrated patients. Potassium supplements and salt substitutes raise potassium levels and may cause hyperkalemia. Always review all prescription, OTC, and herbal products with a pharmacist or prescriber before use.