Losartan and Hydrochlorothiazide are combined together in this medicine. This medicine helps to keep your blood pressure under control.
Losartan helps your blood pressure to go down by relaxing the blood vessels. Hydrochlorothiazide removes excess water and salts from the body by passing them into the urine. This reduces the amount of water in the body and helps to reduce blood pressure.
Take Losartan + Hydrochlorothiazide exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
You may take this medicine with or without food. Try to take it at the same time each day.
Losartan + Hydrochlorothiazide must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it unless instructed by the doctor.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Alert your doctor if you have the following conditions:
- allergy to sulfonamide-derived medicines
- unable to pass urine
as Losartan + Hydrochlorothiazide may not be suitable for you.
Do not take Losartan + Hydrochlorothiazide with aliskiren (medicines for high blood pressure) if you have diabetes.
Inform your doctor if you have the following conditions:
- kidney disease e.g. narrowing of the blood vessels in the kidney
- liver disease
- heart disease e.g. narrowing of heart valves
- low blood pressure
- high cholesterol level
- electrolyte imbalance (imbalance of minerals in the body)
- systemic lupus erythematosus (autoimmune disease that causes inflammation)
Let your doctor know if you are pregnant or breastfeeding. If you become pregnant while being treated with Losartan + Hydrochlorothiazide, alert your doctor immediately. This medicine may cause harm to your unborn child. Discuss the use of appropriate birth control methods with your doctor while being treated with Losartan + Hydrochlorothiazide.
If you are going for an operation, including minor surgery and dental work, inform your doctor or dentist that you are taking this medicine.
For as long as you are taking Losartan + Hydrochlorothiazide, you may need to monitor your blood pressure regularly to check your body’s response to the medicine. Routine tests for your kidney function and electrolyte level may also be needed. Your doctor will advise you about how often you need to have these tests.
What lifestyle changes can I make to improve my blood pressure?
Regular exercise and eating a healthy diet will help lower your blood pressure and improve your overall health. Engage in physical activity (e.g. walking) at least 30 to 60 minutes on most days of the week. If you have not exercised for a long time, start with light exercises such as slow walks. Speak to your doctor about what type of exercise would be suitable for you. Follow a healthy diet plan by eating more fruits, vegetables, whole grains and low-fat dairy products and reduce your intake of foods high in saturated fat, cholesterol and sodium. Cutting down on deep-fried foods and using less salt when cooking can kick-start your healthy diet.
If you smoke, you should try to quit. Smoking is harmful to your blood pressure, heart and overall health. Speak to your doctor or pharmacist about ways to kick your smoking habit.
Try to keep stress levels under control as stress will cause your blood pressure to go up.
Losartan + Hydrochlorothiazide may cause drowsiness or dizziness. If affected, do not drive or take part in any activity in which you need to be alert.
Other side effects include any of the following: cough, stomach pain, muscle cramps, back pain, headache and tiredness.
This medicine may cause your skin to be more sensitive to sunlight. Apply sunscreen when going outdoors and avoid direct or prolonged exposure to the sunlight and UV lamps.
You may also feel dizzy when getting up from a sitting or lying down position, especially if you are taking Losartan + Hydrochlorothiazide for the very first time. This is common and should improve gradually as you get used to this medicine. It will help if you get up slowly from a sitting or lying down position.
Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
- swelling of the face, lips, mouth, throat, arms or legs
- difficulty in breathing
- unable to pass urine
- eye pain
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Do not take Losartan + Hydrochlorothiazide with aliskiren if you have diabetes.
Inform your doctor and pharmacist if you are taking any of these medicines:
- other medicines for heart disease e.g. digoxin
- medicines for diabetes e.g. insulin
- cholesterol-lowering medicines e.g. colestyramine, colestipol
- medicines for pain and inflammation e.g. NSAIDs
- medicines for depression e.g. lithium
- potassium supplements (either as a medicine or as a salt substitute)
This list does not include all medicines that may interact with Losartan + Hydrochlorothiazide.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.
Cut down on your salt intake. This may help lower your blood pressure and improve your overall health. Speak to your doctor or dietitian about ways to cut down on your salt intake.
Store in a cool, dry place away from the reach of children.
Protect from light and moisture.
Medicines must not be used past the expiry date.