Losartan use in specific populations: Difference between revisions

Jump to navigation Jump to search
(Created page with "__NOTOC__ {{Losartan}} {{CMG}}; {{AE}} {{SS}} ==Use In Specific Populations== ===Nursing Mothers=== It is not known whether losartan is excreted in human milk, but signific...")
 
 
Line 1: Line 1:
__NOTOC__
#REDIRECT [[Losartan#Use in Specific Populations]]
{{Losartan}}
{{CMG}}; {{AE}} {{SS}}
 
==Use In Specific Populations==
 
===Nursing Mothers===
 
It is not known whether losartan is excreted in human milk, but significant levels of losartan and its active metabolite were shown to be present in rat milk. Because of the potential for adverse effects on the nursing infant, a decision should be made whether to discontinue nursing or discontinue the drug, taking into account the importance of the drug to the mother.
 
===Pediatric Use===
 
Neonates with a history of in utero exposure to COZAAR
 
If [[oliguria]] or [[hypotension]] occurs, direct attention toward support of blood pressure and renal perfusion. Exchange transfusions or dialysis may be required as a means of reversing [[hypotension]] and/or substituting for disordered renal function.
 
Antihypertensive effects of COZAAR have been established in hypertensive pediatric patients aged 6 to 16 years. There are no data on the effect of COZAAR on blood pressure in pediatric patients under the age of 6 or in pediatric patients with glomerular filtration rate <30 mL/min/1.73 m2 (see CLINICAL PHARMACOLOGY, Pharmacokinetics, Special Populations and Pharmacodynamics and Clinical Effects, and DOSAGE AND ADMINISTRATION).
 
===Geriatric Use===
 
Of the total number of patients receiving COZAAR in controlled clinical studies for [[hypertension]], 391 patients (19%) were 65 years and over, while 37 patients (2%) were 75 years and over. In a controlled clinical study for renal protection in type 2 diabetic patients with [[proteinuria]], 248 patients (33%) were 65 years and over. In a controlled clinical study for the reduction in the combined risk of cardiovascular death, stroke and [[myocardial infarction]] in hypertensive patients with left ventricular [[hypertrophy]], 2857 patients (62%) were 65 years and over, while 808 patients (18%) were 75 years and over. No overall differences in effectiveness or safety were observed between these patients and younger patients, but greater sensitivity of some older individuals cannot be ruled out.<ref name="dailymed.nlm.nih.gov">{{Cite web  | last =  | first =  | title = COZAAR (LOSARTAN POTASSIUM) TABLET, FILM COATED [MERCK SHARP & DOHME CORP.] | url = http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=5ac32c20-169d-475a-fc8a-934f758d6ab0 | publisher =  | date =  | accessdate = 20 February 2014 }}</ref>
 
==References==
 
{{Reflist}}
 
{{Angiotensin II receptor antagonists}}
 
[[Category:Alcohols]]
[[Category:Angiotensin II receptor antagonists]]
[[Category:Imidazoles]]
[[Category:Organochlorides]]
[[Category:Tetrazoles]]
[[Category:Biphenyls]]
[[Category:Cardiovascular Drugs]]
[[Category:Drugs]]

Latest revision as of 01:13, 22 July 2014