Osart H Uses

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What is Osart H?

Osart H is used alone or together with other medicines to treat high blood pressure (hypertension). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. Lowering blood pressure may reduce the risk of strokes and heart attacks.

Osart H is an angiotensin II receptor blocker (ARB). It works by blocking a substance in the body that causes blood vessels to tighten. As a result, Osart H relaxes the blood vessels. A lower blood pressure will increase the supply of the blood and oxygen to the heart.

Osart H is also used to decrease the risk of stroke in patients with high blood pressure and enlargement of the heart. It is also used to treat kidney problems in patients with type 2 diabetes and a history of hypertension.

Osart H is available only with your doctor's prescription.

Osart H indications

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Osart H is used to treat high blood pressure (hypertension). High blood pressure adds to the work load of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled.

Osart H works by blocking the action of a substance in the body that causes blood vessels to tighten. As a result, Osart H relaxes blood vessels. This lowers blood pressure.

Osart H is also used to decrease the risk of stroke in patients with high blood pressure and a condition called left ventricular hypertrophy (LVH). LVH is an enlargement of the left pumping chamber of the heart and can cause problems with the way the heart pumps blood.

Osart H is also used to treat a condition called diabetic nephropathy. Diabetic nephropathy is a complication of type 2 diabetes which causes the kidneys to not work properly.

How should I use Osart H?

Use Osart H as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Osart H.

Uses of Osart H in details

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Use: Labeled Indications

Hypertension: Management of hypertension in adults and children ≥6 years of age

Proteinuric chronic kidney disease, diabetic: Treatment of diabetic nephropathy with an elevated serum creatinine and proteinuria (urinary albumin to creatinine ratio ≥300 mg/g) in patients with type 2 diabetes and a history of hypertension

Off Label Uses

Heart failure with reduced ejection fraction

Data from a randomized, double-blind, dose comparison study in patients with New York Heart Association (NYHA) class II to IV heart failure support the use of Osart H at higher doses to reduce the rate of death or admission for heart failure in patients with heart failure.

Proteinuric chronic kidney disease, nondiabetic

Based on the 2012 Kidney Disease Improving Global Outcomes guidelines, the use of an ACE inhibitor or an ARB is recommended in patients with proteinuric CKD to prevent progression of CKD.

ST-elevation myocardial infarction

Based on the 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infraction, an ARB is recommended and effective in patients who have indications for but are intolerant of ACE inhibitors.

Osart H description

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Osart H, the first of a new class of agents for the treatment of hypertension, is an angiotensin II receptor (type AT1) antagonist. Osart H also provides a reduction in the combined risk of cardiovascular death, stroke, and myocardial infarction in hypertensive patients with left ventricular hypertrophy and renal protection for type 2 diabetic patients with proteinuria.

Osart H, a non-peptide molecule, is chemically described as 2-butyl-4-chloro-1-[[2'-(1H-tetrazol-5-yl)[1,1'-biphenyl]-4-yl]methyl]-1H-imidazole-5-methanol monopotassium salt.

Its empirical formula is C22H22ClKN6O.

Osart H is a white to off-white free-flowing crystalline powder with a molecular weight of 461.01. It is freely soluble in water, soluble in alcohols, and slightly soluble in common organic solvents, such as acetonitrile and methyl ethyl ketone.

Oxidation of the 5-hydroxymethyl group on the imidazole ring results in the active metabolite of Osart H.

Osart H dosage

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Hypertension: The usual starting and maintenance dose is 50 mg once daily for most patients. The maximal antihypertensive effect is attained 3-6 weeks after initiation of therapy. Some patients may receive an additional benefit by increasing the dose to 100 mg once daily.

For patients with intravascular volume-depletion (e.g., those treated with high-dose diuretics), a starting dose of 25 mg once daily should be considered.

No initial dosage adjustment is necessary for elderly patients or for patients with renal impairment, including patients on dialysis. A lower dose should be considered for patients with a history of hepatic impairment.

Reduction in the Risk of Cardiovascular Morbidity and Mortality in Hypertensive Patients with Left Ventricular Hypertrophy: The usual starting dose is 50 mg of Osart H once daily. A low dose of hydrochlorothiazide should be added and/or the dose of Osart H should be increased to 100 mg once daily based on blood pressure response.

Renal Protection in Type 2 Diabetic Patients with Proteinuria: The usual starting dose is 50 mg once daily. The dose may be increased to 100 mg once daily based on blood pressure response. Osart H may be administered with other antihypertensive agents (e.g., diuretics, calcium channel blockers, alpha- or beta-blockers, and centrally acting agents) as well as with insulin and other commonly used hypoglycemic agents (e.g., sulfonylureas, glitazones and glucosidase inhibitors).

Administration: Osart H may be administered with or without food.

Osart H may be administered with other antihypertensive agents.

Osart H interactions

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What other drugs will affect Osart H?

Using Osart H with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Lithium

Using Osart H with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Aceclofenac

Acemetacin

Alclofenac

Apazone

Benoxaprofen

Bromfenac

Bufexamac

Carprofen

Celecoxib

Clometacin

Clonixin

Dexketoprofen

Diclofenac

Diflunisal

Dipyrone

Droxicam

Etodolac

Etofenamate

Felbinac

Fenbufen

Fenoprofen

Fentiazac

Floctafenine

Fluconazole

Flufenamic Acid

Flurbiprofen

Ibuprofen

Indomethacin

Indoprofen

Isoxicam

Ketoprofen

Ketorolac

Lornoxicam

Meclofenamate

Mefenamic Acid

Meloxicam

Nabumetone

Naproxen

Niflumic Acid

Nimesulide

Oxaprozin

Oxyphenbutazone

Phenylbutazone

Pirazolac

Piroxicam

Pirprofen

Propyphenazone

Proquazone

Rifampin

Rofecoxib

Sulindac

Suprofen

Tenidap

Tenoxicam

Tiaprofenic Acid

Tolmetin

Valdecoxib

Zomepirac

Osart H side effects

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What are the possible side effects of Osart H?

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Rare

Hoarseness

swelling of face, mouth, hands, or feet

trouble in swallowing or breathing (sudden)

Incidence not known

Abdominal pain

black, tarry stools

bleeding gums

blood in urine or stools

coma

confusion

convulsions

decreased urine output

difficult breathing

fast or irregular breathing

headache

increased thirst

irregular heartbeat

large, flat, bluish patches on the skin

muscle pain or cramps

nausea or vomiting

painful knees and ankles

pinpoint red spots on skin

unusual bleeding or bruising

unusual tiredness or weakness

upper right abdominal pain

weakness or heaviness of legs

yellow eyes and skin

Check with your doctor as soon as possible if any of the following side effects occur:

Less common

Cough, fever or sore throat

dizziness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Headache

Less common

Back pain

diarrhea

fatigue

nasal congestion

Rare

Cough, dry

leg pain

muscle cramps or pain

sinus problems

trouble in sleeping

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Osart H contraindications

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What is the most important information I should know about Osart H?

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For Osart H, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to Osart H or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Active ingredient matches for Osart H:

Losartan Potassium

Hydrochlorothiazide/Losartan


Unit description / dosage (Manufacturer)Price, USD
Osart H 50+12.5 Tablet$ 0.06
OSART H 50MG/12.5MG TABLET 1 strip / 10 tablets each (Claris Lifesciences Ltd)$ 0.63
Osart H 50 mg/12.5 mg Tablet (Claris Lifesciences Ltd)$ 0.06

List of Osart H substitutes (brand and generic names):

Osart-H Losartan K 50mg, Hydrochlorothiazide 12.5mg TAB / 10 (Invision)$ 0.63
Oslo K 25 mg Tablet (G.M.H. Laboratories)$ 0.03
Pharex Losartan Potassium + Hydrochlorothiazide FC tab 100's (Medley Pharma)$ 31.11
Potasar-H 50mg/12.5mg Tablet (Radisun Lifesciences)$ 0.07
PREZAR H 50 MG/12.5 MG TABLET 1 strip / 10 tablets each (Medichem Pharmceuticals Ltd)$ 0.78
Provizar Plus FC tab 30's (Shin Poong)
Pyzacar 25/50 25 mg x 2 Blister x 15 Tablet
Pyzacar 25/50 50 mg x 2 Blister x 15 Tablet

References

  1. 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).
  2. 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).
  3. PubChem. "losartan". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).

Reviews

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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