✔ Losartan for high blood pressure
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Losartan as a therapeutic agent for hypertension: mechanism of action and clinical effectiveness
High blood pressure or arterial hypertension, is one of the most common chronic diseases in the world and is regarded as a major risk factor for cardiovascular diseases such as heart attack, stroke and kidney failure. Effective blood pressure control diseases is therefore of crucial importance for the prevention of this episode.
One of the modern active ingredients for the treatment of arterial hypertension, a selective Antagonist of the Angiotensin II type‑1 receptor (AT₁ receptors) is Losartan. Losartan belongs to the class of so-called Sartans and is different from other anti-hypertensive substances due to its specific mechanism of action.
Mechanism of action
The Renin‑Angiotensin‑aldosterone‑system (RAAS) plays a Central role in the Regulation of blood pressure and Fluid balance in the body. Angiotensin II, a potent vasoconstrictor skills peptides, acting on the AT₁ receptors and leads to:
Vasoconstriction of the blood vessels,
increased Aldosterone secretion,
Water and Salt retention in the kidney,
Stimulation of the sympathetic nervous system activity,
cardiovascular remodeling.
Losartan blocks the AT₁ receptors selectively and reversibly. As a result, it prevents the effects of Angiotensin II leads to a decrease in blood pressure:
Vascular Dilation (Vasodilation),
Reduction in aldosterone secretion,
Decrease in peripheral Vascular resistance,
reduced water and Sodium retention.
In contrast to ACE inhibitors, Losartan caused no accumulation of Bradykinin, which is why the typical appearance of side effects picture of the dry cough in Sartans much less frequently.
Clinical Efficacy
Several randomized controlled trials (RCTs) and meta-analyses confirm the high efficacy of Losartan in the treatment of hypertension. In the LIFE study (Losartan Intervention For Endpoint reduction in hypertension), it was shown that Losartan reduces in comparison to Aténolol in patients with hypertension and left ventricular hypertrophy, the risk for cardiovascular events significantly.
Dieuch in patients with type 2 Diabetes mellitus and concomitant nephropathy shows Losartan protective effects on renal function by reducing albuminuria and the progression of renal insufficiency is slowing down.
Dosage and administration
Dieuch the dose of Losartan is individually adjusted. The usual starting dose is 50 mg once daily. If necessary, the dose can be increased to four to six weeks to 100 mg daily, either as a single or twice a gift. In patients with volume or sodium depletion (e.g., after a strong diuretic therapy) should be reduced starting dose (25 mg).
Side effects and contraindications
Losartan is generally well tolerated. The most common side effects are:
Headache,
Dizziness,
Fatigue,
Hyperkalemia (elevated potassium levels),
rare: angioedema.
Contraindicated Losartan is:
Pregnancy and lactation (teratogenic effect),
bilateral Nierenarterienstenoze,
known Hypersensitivity to the active substance.
Conclusion
Losartan is an effective and safe antihypertensive agent that lowers its specific effect on the RAAS, both the blood pressure as well as cardioprotective and nephrotoxicity develops protective effects. Due to its good tolerability, and to its favorable side effect profile, it is an important therapeutic option in the long-term treatment of arterial hypertension, particularly in patients with additional risk factors such as Diabetes or left ventricular hypertrophy.

Ang arteryal na hypertension o hypertension ay isang kondisyon ng patuloy na systolic at diastolic na presyon ng dugo, kung saan ang mga sukatan ay lumalagpas sa 140/90 mmHg. Ang mataas na presyon ay nagpapakita ng mga hindi komportableng sintomas.
Ang mga modernong gamot sa pag-imprenta ay hinahati sa 10 iba't ibang grupo ayon sa kanilang mekanismo ng pagkilos. Pagkatapos suriin ng doktor ang mga reklamo ng pasyente at ang resulta ng mga pagsusuri, nagrereseta siya ng isa o higit pang gamot, na hindi dapat baguhin nang mag-isa. Ang mga gamot sa puso at daluyan ng dugo ay hindi kabilang sa mga puwedeng irekomenda sa kaibigan. Ang maling desisyon ay maaaring magdulot ng malungkot na kahihinatnan. Lahat ng gamot na pampababa ng presyon ng dugo ay kailangan ng reseta. Sa artikulong ito, tinitingnan natin ang kanilang modernong klasipikasyon base sa mga aktibong sangkap at sa paraan ng epekto nito sa katawan. Music of hypertension. Нпвпн and cardiovascular disease questions. Center for risk management of cardiovascular diseases. Cardiovascular inherited diseases. Cardio Balance treats digestive issues by promoting the absorption of nutrients, and it helps in the elimination of toxic wastes. So, you’re unlikely to experience stomach ache as a side effect.
Constant high levels of stress can disturb the blood flow and blood pressure and can damage vessels, and you may experience dizziness, extreme fatigue, or body aches with no wish to get out of bed. This stress-induced fatigue can make your blood pressure high and needs to be monitored. Kasabay nito, hindi inirerekomenda ang pangmatagalang pag-inom ng mga gamot mula sa kategoryang Diuretics, dahil ang mahahalagang sangkap tulad ng Potassium, Calcium, Magnesium ay mabilis na nailalabas sa katawan kasama ng sobrang tubig at asin. Alinsunod sa katangiang ito, sinasabayan ng mga Diuretics ang pag-inom ng mga gamot na may laman ng mga sangkap na ito. Maaaring ito ay mga vitamin at mineral na complexes, monokomponent, o mga suplemento sa pagkain na may napatunayang klinikal na bisa.
