Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
LOSARTAN POTASSIUM
IMEKS PHARMA SDN. BHD.
LOSARTAN POTASSIUM
30Tablet Tablets; 100Tablet Tablets; 500Tablet Tablets; 50Tablet Tablets
T.O. CHEMICALS (1979) LTD.
CONTENTS Each tablet contains Losartan Potassium 50.0mg DESCRIPTION White oval biconvex film coated tablet with half score and letter C, L on one side and figure 50 on the other side. PHARMACODYNAMICS Angiotensin II is a potent vasoconstrictor, the primary vasoactive hormone of the renin-angiotensin system and an important component in the pathophysiology of hypertension. Angiotensin II also stimulates aldosterone secretion by the adrenal cortex and smooth muscle cell proliferation. Losartan and its active carboxylic acid metabolite are specific angiotensin II receptor (type AT 1 ) antagonist. AT 1 receptor can be found in many tissues in the body (e.g. vascular smooth muscle, adrenal gland, kidneys and heart). Losartan inhibits systolic and diastolic pressor responses to angiotensin II infusions by binding selectively to the AT 1 receptor, resulting in blockage of vasoconstriction and the release of aldosterone. The removal of angiotensin II negative feedback on renin secretion during treatment with losartan gave rise to plasma renin activity and this leads to increase angiotensin II in plasma. Even with these increases, the antihypertensive activity and suppression of plasma aldosterone concentration are maintained, indicating an effective angiotensin-II receptor blockade. Losartan does not block or bind to other hormone receptors or ion channels which are important in cardiovascular regulation. Generally, losartan has been shown to block responses to angiotensin I and angiotensin II without affecting responses to bradykinin. It also does not inhibit Angiotensin-converting enzyme (ACE or kininase II), the enzyme that degrades bradykinin. In non-diabetic hypertensive patients with proteinuria, the administration of losartan significantly reduces proteinuria, fractional excretion of albumin and IgG, besides maintains glomerular filtration rate and reduces filtration fraction in these patients. Losartan also caused a transient increase in urinary uric acid excretion (usually < 24 micromol) which was persistent in Baca dokumen lengkap