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Generic Losartan Information
Introduction
Losartan (active ingredient: Losartan Potassium) belongs to the angiotensin II receptor blocker (ARB) class of antihypertensive agents. It is approved for treatment of high blood pressure and for protection of the kidneys in patients with type 2 diabetes‑associated nephropathy. In Hong Kong, Losartan is listed in the Pharmacy and Poisons Ordinance and is available through licensed dispensaries and accredited online channels. The drug was originally developed by the pharmaceutical company Merck under the brand name Cozaar; generic formulations contain the same active compound, Losartan Potassium, and are prescribed for the same indications.
What is Losartan?
Losartan is the generic version of Cozaar, the original branded product produced by Merck, containing the same active compound Losartan Potassium. It is classified as an angiotensin II‑type 1 (AT₁) receptor antagonist, a subgroup of drugs that control vascular tone by blocking the effects of angiotensin II. Our online pharmacy provides this generic alternative as a cost‑effective treatment option, offering the same therapeutic benefit at a price that approaches the manufacturer’s production cost.
How Losartan Works
Angiotensin II is a potent vasoconstrictor that binds to AT₁ receptors on smooth‑muscle cells of arterioles, producing the following cascade:
- Receptor activation → ↑ intracellular calcium → smooth‑muscle contraction → increased peripheral resistance.
- Renal effects → increased sodium reabsorption and aldosterone release, further raising blood pressure.
Losartan selectively blocks AT₁ receptors, preventing angiotensin II from exerting these actions. The result is:
- Vasodilation – arteriolar tone relaxes, reducing systemic vascular resistance.
- Reduced sodium & water retention – the kidneys excrete more sodium, lowering plasma volume.
Pharmacokinetic data from the U.S. FDA show that oral Losartan is well absorbed (≈ > 95 % bioavailability) with peak plasma concentrations 1–2 hours after dosing. It is metabolised in the liver to an active carboxy‑metabolite (EXP‑3174) that contributes ≈ 70 % of the antihypertensive effect. The elimination half‑life of Losartan is 2 hours, while the metabolite’s half‑life is 6–9 hours, allowing once‑daily dosing in most patients. Clearance is primarily renal (≈ 33 %) and hepatic, so dosage adjustment may be needed in severe renal or hepatic impairment.
Conditions Treated with Losartan
| Approved Indication | Clinical relevance in Hong Kong | Rationale for use |
|---|---|---|
| Hypertension (essential) | Prevalence of adult hypertension in Hong Kong is ~ 25 % (Hong Kong Census, 2022). | By lowering systemic vascular resistance, Losartan reduces systolic and diastolic pressure, diminishing the risk of stroke, myocardial infarction and heart failure. |
| Diabetic nephropathy (type 2) | Diabetes is a leading cause of chronic kidney disease in the region; > 10 % of adults have type 2 diabetes. | Losartan’s blockade of the renin‑angiotensin system (RAS) decreases intraglomerular pressure and proteinuria, slowing progression to end‑stage renal disease. |
| Left‑ventricular hypertrophy (LVH) (off‑label) | Hypertensive heart disease remains a major cause of hospital admissions. | Reducing after‑load diminishes myocardial wall stress, helping regression of LVH over months. |
| Stroke risk reduction (clinical adjunct) | Population studies link hypertension with ≥ 30 % of intracerebral hemorrhages. | Consistent blood‑pressure control with Losartan lowers the incidence of both ischemic and hemorrhagic strokes. |
The drug’s efficacy is supported by the large LOyA and ELITE‑SYMBOLI trials, which demonstrated ≥ 10 % reductions in major cardiovascular events compared with placebo, and by pooled meta‑analyses of ARBs that confirm a class effect on morbidity and mortality.
Suitable Candidates for Losartan Treatment
Losartan is appropriate for adult patients (≥ 18 years) who:
- Have stage 1–2 essential hypertension (average BP ≥ 140/90 mm Hg) where lifestyle modification alone is insufficient.
- Exhibit micro‑albuminuria or macro‑proteinuria associated with type 2 diabetes, regardless of blood‑pressure level, as renal protection is guideline‑recommended.
- Present with a documented intolerance to angiotensin‑converting‑enzyme (ACE) inhibitors (e.g., cough, angio‑oedema).
Patients in whom Losartan is not recommended include:
- Pregnant or lactating women (teratogenic risk; contraindicated in the third trimester).
- Individuals with severe hepatic impairment (Child‑Pugh C) or hypersensitivity to any ARB component.
- Patients with known hypersensitivity to the active or inactive ingredients, or with a history of non‑cardiogenic, irreversible renal artery stenosis.
Clinical decision‑making should also consider comorbidities such as hyperkalaemia, electrolyte imbalance, or concurrent use of potassium‑sparing diuretics, which may amplify potassium retention.
Risks, Side Effects, and Interactions
Common
- Dry cough – less frequent than with ACE inhibitors but reported in up to 2 % of users.
- Dizziness or light‑headedness – especially after the first dose or when standing up quickly.
- Upper‑respiratory tract infection – nasopharyngitis and sinusitis occur at a rate of 3–5 %.
Rare
- Hyperkalaemia – incidence ≤ 1 %; risk rises with concomitant potassium‑sparing agents or renal dysfunction.
- Peripheral edema – swelling of the ankles or feet, reported in < 1 % of patients.
- Elevated liver enzymes – transaminase elevations are uncommon but may signal hepatic stress.
Serious
- Angio‑oedema of the face, lips, tongue or throat – rare (< .1 %) but can be life‑threatening; immediate medical attention required.
- Acute renal failure – especially in patients with bilateral renal artery stenosis or volume depletion.
- Severe hypersensitivity reactions – Stevens‑Johnson syndrome or toxic epidermal necrolysis have been reported in isolated case reports.
Clinically Relevant Interactions
- Potassium‑sparing diuretics (e.g., spironolactone, amiloride) – additive hyperkalaemia.
- Non‑steroidal anti‑inflammatory drugs (NSAIDs) – may blunt antihypertensive effect and increase risk of renal impairment.
- Lithium – Losartan can raise lithium concentrations, leading to toxicity.
- CYP2C9 inhibitors (e.g., fluconazole, amiodarone) – may reduce conversion to the active metabolite, decreasing efficacy.
Patients should inform their health‑care provider of all concomitant medicines, herbal supplements, and over‑the‑counter products.
Practical Use: Dosing, Missed Dose, Overdose
Standard dosing for adults with hypertension starts at 50 mg once daily; the dose may be titrated up to 100 mg based on BP response and tolerance. For diabetic nephropathy, the usual regimen is 100 mg once daily, unless renal function dictates reduction. Doses are taken with or without food; a consistent routine improves blood‑pressure stability.
Missed dose – If a dose is forgotten more than 12 hours after the scheduled time, patients should take the missed tablet only when they remember and then continue the regular dosing schedule. Doubling the dose to compensate is discouraged because it may precipitate hypotension or renal adverse events.
Overdose – The toxic dose in adults is not well defined, but overdose can cause symptomatic hypotension, renal failure, and hyperkalaemia. Management includes:
- Supportive care – maintain supine position, monitor vital signs, and treat hypotension with intravenous fluids or vasopressors as needed.
- Activated charcoal – may be considered if ingestion was recent (≤ 2 hours).
- Observation – ECG monitoring for arrhythmias, especially in patients with baseline kidney disease or electrolyte disturbance.
Patients with severe hepatic impairment, pregnancy, or known hypersensitivity should be counseled to seek emergency care promptly after suspected overdose.
Buying Losartan from Our Online Pharmacy
Losartan can be purchased safely from our online pharmacy in Hong Kong. Our service offers:
- Affordable pricing – generic Losartan Potassium is supplied at near‑manufacturer cost, translating into lower out‑of‑pocket expenses for patients.
- Verified quality – all batches are sourced from internationally licensed manufacturers that meet ISO‑9001 and Good Manufacturing Practice (GMP) standards; authentic, tablet‑level consistency is guaranteed.
- Guaranteed delivery – discreet packaging, express parcel service (delivery within 7 working days) or regular airmail (≈ 3 weeks) for less urgent orders, with a tracking number provided for each shipment.
- Pharmacy‑broker model – we work with overseas licensed pharmacies and verified suppliers, enabling a privacy‑first approach that respects patient confidentiality while complying with Hong Kong import regulations.
This channel is especially valuable for patients who have limited access to local pharmacies, face insurance coverage gaps, or who seek a reliable, low‑cost alternative to brand‑name products.
FAQ
-
Is Losartan available in both brand‑name and generic forms in Hong Kong?
Yes. The original branded product, Cozaar, is marketed by Merck, while numerous generic manufacturers supply Losartan Potassium tablets that are therapeutically equivalent and typically priced lower. -
Does Losartan require refrigeration?
No. Losartan tablets are stable at room temperature (20‑25 °C) and should be stored in a dry place away from direct sunlight and moisture. -
What does the Losartan tablet look like?
Generic Losartan tablets are usually round, film‑coated, and marked with the generic name and dosage strength (e.g., “50 mg”). Inactive ingredients commonly include lactose, magnesium stearate, and hydroxypropyl methylcellulose. -
Can I travel internationally with Losartan tablets?
Yes. When travelling, keep the medication in its original packaging, carry a copy of the prescription or a pharmacy‑dispensing record, and store it in a cool, dry compartment of your luggage (e.g., a sealed bag). -
Are there special warnings for Asian populations?
Some studies suggest a higher prevalence of angiotensin‑receptor‑gene polymorphisms among East‑Asian individuals, which may modestly affect drug metabolism. However, clinical guidelines in Hong Kong recommend the same dosing regimen as for other ethnic groups, with routine monitoring of renal function and electrolytes. -
How does Hong Kong’s personal import policy affect Losartan?
The Customs and Excise Department permits the personal import of a three‑month supply of medication for personal use, provided the product is declared, accompanied by a medical certificate, and not subject to a prohibition. Our online pharmacy includes the required documentation to facilitate compliant import. -
Is there a difference between US and Asian formulations of Losartan?
Minor variations exist in excipients (e.g., use of corn‑starch vs. lactose) and tablet hardness, which could affect dissolution rate. All formulations sold in Hong Kong must meet the same Pharmacopoeial specifications for content uniformity and dissolution. -
What are the storage considerations for Losartan in humid climates?
Hong Kong’s high humidity can degrade tablet integrity over prolonged exposure. Storing Losartan in a sealed, moisture‑proof container (e.g., a zip‑lock bag) and placing it in a climate‑controlled cabinet helps maintain potency. -
Can Losartan affect laboratory drug‑testing results?
Losartan does not typically produce false‑positive results in standard toxicology screens, but it may appear as a detectable compound in high‑performance liquid chromatography (HPLC) assays used for forensic purposes. -
Has Losartan been evaluated in major clinical trials?
Yes. The pivotal LOSARTAN (ELITE‑SYMBOLI) and LOyA studies, enrolling > 10,000 patients across multiple continents, demonstrated significant reductions in stroke, myocardial infarction, and renal outcomes compared with placebo, establishing the drug’s cardiovascular and renal protective profile.
Glossary
- Angiotensin II Receptor Blocker (ARB)
- A class of drugs that inhibit the binding of angiotensin II to the AT₁ receptor, resulting in vasodilation and decreased blood pressure.
- Pharmacokinetics
- The study of how a drug is absorbed, distributed, metabolised, and excreted in the body, influencing dose frequency and safety.
- Proteinuria
- The presence of excess protein in the urine, a marker of kidney damage often observed in diabetic nephropathy.
- Hyperkalaemia
- An abnormally high concentration of potassium in the bloodstream, potentially leading to cardiac arrhythmias.
Disclaimer
The information provided about Losartan is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Losartan for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Information about ordering Generic Losartan in online pharmacy asia
Please note that this medicine is a generic version of Losartan.One can buy Generic Losartan online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to losartan potassium and fully familiar with medication Losartan;
- No paper instructions about side effect warnings or usage directions are sent with Generic Losartan medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.