What are the possible side effects of Losartankalium/hydrochlorthiazid Teva?
Get emergency medical help if you have any signs of an allergic reaction to Losartankalium/hydrochlorthiazid Teva: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
In rare cases, Losartankalium/hydrochlorthiazid Teva can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Call your doctor right away if you have unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual tiredness, and dark colored urine.
Call your doctor at once if you have:
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eye pain, vision problems;
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a light-headed feeling, like you might pass out;
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swelling, rapid weight gain, little or no urinating;
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drowsiness, confusion, mood changes, increased thirst, loss of appetite, nausea and vomiting;
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fast or pounding heartbeats;
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pale skin, easy bruising or bleeding;
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jaundice (yellowing of the skin or eyes); or
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high potassium (slow heart rate, weak pulse, muscle weakness, tingly feeling).
Common Losartankalium/hydrochlorthiazid Teva side effects may include:
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stomach pain;
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back pain;
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dizziness, tired feeling;
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skin rash;
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runny or stuffy nose, sore throat; or
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dry cough.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Side effects of Losartankalium/hydrochlorthiazid Teva in details
Clinical Trials Experience
Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.
Losartan (Losartankalium/hydrochlorthiazid Teva) potassium-Hydrochlorothiazide (Losartankalium/hydrochlorthiazid Teva) has been evaluated for safety in 858 patients treated for essential hypertension and 3889 patients treated for hypertension and left ventricular hypertrophy. Most adverse reactions have been mild and transient in nature and have not required discontinuation of therapy. In controlled clinical trials, discontinuation of therapy due to clinical adverse events was required in only 2.8% and 2.3% of patients treated with the combination and placebo, respectively.
In these double-blind controlled clinical trials, adverse reactions occurring in greater than 2% of subjects treated with Losartan (Losartankalium/hydrochlorthiazid Teva)-Hydrochlorothiazide (Losartankalium/hydrochlorthiazid Teva) and at a greater rate than placebo were: back pain (2.1% vs 0.6%), dizziness (5.7% vs 2.9%), and upper respiratory infection (6.1% vs 4.6%).
The following additional adverse reactions have been reported in clinical trials with Losartankalium/hydrochlorthiazid Teva and/or the individual components:
Blood and the lymphatic system disorders: Anemia, aplastic anemia, hemolytic anemia, leukopenia, agranulocytosis.
Metabolism and nutrition disorders: Anorexia, hyperglycemia, hyperuricemia, electrolyte imbalance including hyponatremia and hypokalemia.
Psychiatric disorders: Insomnia, restlessness.
Nervous system disorders: Dysgeusia, headache, migraine, paraesthesias.
Eye disorders: Xanthopsia, transient blurred vision.
Cardiac disorders: Palpitation, tachycardia.
Vascular disorders: Dose-related orthostatic effects, necrotizing angiitis (vasculitis, cutaneous vasculitis).
Respiratory, thoracic and mediastinal disorders: Nasal congestion, pharyngitis, sinus disorder, respiratory distress (including pneumonitis and pulmonary edema).
Gastrointestinal disorders: Dyspepsia, abdominal pain, gastric irritation, cramping, diarrhea, constipation, nausea, vomiting, pancreatitis, sialoadenitis.
Hepato-biliary disorders: Jaundice (intrahepatic cholestatic jaundice).
Skin and subcutaneous tissue disorders: Rash, pruritus, purpura, toxic epidermal necrolysis, urticaria, photosensitivity, cutaneous lupus erythematosus.
Musculoskeletal and connective tissue disorders: Muscle cramps, muscle spasm, myalgia, arthralgia.
Renal and urinary disorders: Glycosuria, renal dysfunction, interstitial nephritis, renal failure.
Reproductive system and breast disorders: Erectile dysfunction/impotence.
General disorders and administration site conditions: Chest pain, edema/swelling, malaise, fever, weakness.
Investigations: Liver function abnormalities.
Cough
Persistent dry cough has been associated with ACE-inhibitor use and in practice can be a cause of discontinuation of ACE-inhibitor therapy. Two prospective, parallel-group, double-blind, randomized, controlled trials were conducted to assess the effects of Losartan (Losartankalium/hydrochlorthiazid Teva) on the incidence of cough in hypertensive patients who had experienced cough while receiving ACE-inhibitor therapy. Patients who had typical ACE-inhibitor cough when challenged with lisinopril, whose cough disappeared on placebo, were randomized to Losartan (Losartankalium/hydrochlorthiazid Teva) 50 mg, lisinopril 20 mg, or either placebo (one study, n=97) or 25 mg Hydrochlorothiazide (Losartankalium/hydrochlorthiazid Teva) (n=135). The double-blind treatment period lasted up to 8 weeks. The incidence of cough is shown in Table 1 below.
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| Study 1* | HCTZ | Losartan (Losartankalium/hydrochlorthiazid Teva) | Lisinopril |
| Cough | 25% | 17% | 69% |
| Study 2† | Placebo | Losartan (Losartankalium/hydrochlorthiazid Teva) | Lisinopril |
| Cough | 35% | 29% | 62% |
These studies demonstrate that the incidence of cough associated with Losartan (Losartankalium/hydrochlorthiazid Teva) therapy, in a population that all had cough associated with ACE-inhibitor therapy, is similar to that associated with Hydrochlorothiazide (Losartankalium/hydrochlorthiazid Teva) or placebo therapy.
Cases of cough, including positive re-challenges, have been reported with the use of Losartan (Losartankalium/hydrochlorthiazid Teva) in postmarketing experience.
Postmarketing Experience
The following adverse reactions have been identified during post-approval use of Losartankalium/hydrochlorthiazid Teva. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to estimate their frequency reliably or to establish a causal relationship to drug exposure.
Digestive: Hepatitis has been reported rarely in patients treated with Losartan (Losartankalium/hydrochlorthiazid Teva).
Hematologic: Thrombocytopenia.
Hypersensitivity: Angioedema, including swelling of the larynx and glottis, causing airway obstruction and/or swelling of the face, lips, pharynx, and/or tongue has been reported rarely in patients treated with Losartan (Losartankalium/hydrochlorthiazid Teva); some of these patients previously experienced angioedema with other drugs including ACE inhibitors. Vasculitis, including Henoch-Schönlein purpura, has been reported with Losartan (Losartankalium/hydrochlorthiazid Teva). Anaphylactic reactions have been reported.
Musculoskeletal: rhabdomyolysis
Skin: Erythroderma
What is the most important information I should know about Losartankalium/hydrochlorthiazid Teva?
- Losartankalium/hydrochlorthiazid Teva may cause drowsiness, dizziness, or light-headedness. These effects may be worse if you take it with alcohol or certain medicines. Use Losartankalium/hydrochlorthiazid Teva with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Losartankalium/hydrochlorthiazid Teva may cause dizziness, light-headedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
- Report any light-headedness or fainting to your doctor immediately. Your risk of light-headedness or fainting may be increased if you experience diarrhea, vomiting, excessive sweating, if you do not drink enough fluids, or if you are on a low-salt (sodium) diet.
- It may take 2 to 4 weeks to get the full benefit from Losartankalium/hydrochlorthiazid Teva. Do not stop using Losartankalium/hydrochlorthiazid Teva or change your dose of Losartankalium/hydrochlorthiazid Teva without checking with your doctor.
- Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
- Losartankalium/hydrochlorthiazid Teva contains a sulfonamide called Hydrochlorothiazide (Losartankalium/hydrochlorthiazid Teva), which can cause certain eye problems (myopia, angle-closure glaucoma). Your risk may be increased if you are allergic to sulfonamide medicines (eg, sulfamethoxazole) or penicillin antibiotics (eg, amoxicillin). Untreated angle-closure glaucoma can lead to permanent vision loss. If these eye problems occur, symptoms usually occur within hours to weeks of starting Losartankalium/hydrochlorthiazid Teva. Contact your doctor right away if you experience symptoms such as vision changes (eg, decreased vision clearness) or eye pain.
- Losartankalium/hydrochlorthiazid Teva may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Losartankalium/hydrochlorthiazid Teva. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
- Tell your doctor or dentist that you take Losartankalium/hydrochlorthiazid Teva before you receive any medical or dental care, emergency care, or surgery.
- If you have high blood pressure, do not use nonprescription products that contain stimulants. These products may include diet pills or cold medicines. Contact your doctor if you have any questions or concerns.
- Your doctor may have also prescribed a potassium supplement for you. If so, follow the dosing carefully. Do not start taking additional potassium on your own or change your diet to include more potassium without first checking with your doctor.
- Check with your doctor before you use a salt substitute or a product that has potassium in it.
- Diabetes patients - Losartankalium/hydrochlorthiazid Teva may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
- Losartankalium/hydrochlorthiazid Teva may raise your blood sugar. High blood sugar may make you feel confused, drowsy, or thirsty. It can also make you flush, breathe faster, or have a fruit-like breath odor. If these symptoms occur, tell your doctor right away.
- Losartankalium/hydrochlorthiazid Teva may not be effective in reducing the risk of stroke in black patients who have high blood pressure and a certain heart problem (enlarged ventricle).
- Losartankalium/hydrochlorthiazid Teva may interfere with certain lab tests, including parathyroid function tests. Be sure your doctor and lab personnel know you are taking Losartankalium/hydrochlorthiazid Teva.
- Lab tests, including kidney function, blood pressure, and blood electrolytes, may be performed while you use Losartankalium/hydrochlorthiazid Teva. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
- Use Losartankalium/hydrochlorthiazid Teva with caution in the ELDERLY; they may be more sensitive to its effects.
- Losartankalium/hydrochlorthiazid Teva should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: Losartankalium/hydrochlorthiazid Teva may cause birth defects or fetal death if you take it while you are pregnant. If you think you may be pregnant, contact your doctor right away. Losartankalium/hydrochlorthiazid Teva is found in breast milk. Do not breast-feed while taking Losartankalium/hydrochlorthiazid Teva.
Losartankalium/hydrochlorthiazid Teva contraindications
Hypersensitivity to Losartan (Losartankalium/hydrochlorthiazid Teva), sulphonamide-derived substances (as Hydrochlorothiazide (Losartankalium/hydrochlorthiazid Teva)) or to any of the excipients of Losartankalium/hydrochlorthiazid Teva.
Therapy resistant hypokalemia or hypercalcemia; severe hepatic impairment; cholestasis and biliary obstructive disorders; refractory hyponatremia; symptomatic hyperuricemia/gout; 2nd and 3rd trimester of pregnancy; lactation; severe renal impairment (ie, creatinine clearance <30 mL/min); anuria.
Excipient: Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take Losartankalium/hydrochlorthiazid Teva.
Use in lactation: It is not known whether Losartan (Losartankalium/hydrochlorthiazid Teva) is excreted in human milk. However, Losartan (Losartankalium/hydrochlorthiazid Teva) is excreted in the milk of lactating rats. Because no information is available regarding the use of Losartan (Losartankalium/hydrochlorthiazid Teva) during breastfeeding, Losartan (Losartankalium/hydrochlorthiazid Teva) is not recommended and alternative treatments with better established safety profiles during breastfeeding are preferable, especially while nursing a newborn or preterm infant.
Thiazides pass into human milk and may inhibit lactation. Because of the potential for adverse effects on the nursing infant, Losartan (Losartankalium/hydrochlorthiazid Teva)/HCTZ is contraindicated during breastfeeding.
References
- DailyMed. "AMLODIPINE BESYLATE; HYDROCHLOROTHIAZIDE; OLMESARTAN MEDOXOMIL: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
- DailyMed. "LOSARTAN POTASSIUM: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
- DTP/NCI. "losartan: The NCI Development Therapeutics Program (DTP) provides services and resources to the academic and private-sector research communities worldwide to facilitate the discovery and development of new cancer therapeutic agents.". https://dtp.cancer.gov/dtpstandard/s... (accessed September 17, 2018).
Reviews
The results of a survey conducted on ndrugs.com for Losartankalium/hydrochlorthiazid Teva are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Losartankalium/hydrochlorthiazid Teva. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.User reports
Consumer reported side effects
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Information checked by Dr. Sachin Kumar, MD Pharmacology
