Question 1

is avapro or losartan safer in moderate liver disease ?

Accepted Answer

: They can cause acute self limiting liver failure in a small % of cases. Your doc knowing your history will prescribe the safest thing for you. Good luck

Question 2

i'm getting horrible anxiety and panic attacks with 40mg valsartan. my cardiologist wants to try irbesartan but i'm afraid to try it because the half life is longer. losartan gave me chills. blood pressure around 115-120/80 down from 130s/80s?

Accepted Answer

: Long half life is better so I wonder why you are afraid of. You should try either Irbesartan or Telmisartan.

Question 3

losartan versus valsartan any reason to switch to valsartan?

Accepted Answer

Drug choices: Both losartan (l) and valsartan (v) are drug of the angiotensin receptor blocker  class. Perhaps you were switched due to your BP was not controlled on the dose of the l you were on. Both have few side effects and reduce BP and proteinuria quite well. L should be given twice a day and v can be given once daily for maximum their maximum effect. Check with your physician for her thoughts.

Question 4

one of my patients is on valsartan 80 mg od. if we want to switch him to losartan what strength should be used?

Accepted Answer

Valsartan: I would start on 50 mg and recheck BP in a week or 2 then bump to 100 if you need to.

Question 5

a friend was taking losartan, but that didn't work. switched to valsartan. it worked. both in arb, why would the latter work instead?

Accepted Answer

Here are some ...: Check if she/he made some change in lifestyle such as decrease coffee drink or better sleep, etc. &amp;/or added other hight-BP-related drugs; these may make BP control different. So, look into other factors so to sort out what might be. But occasionally, one may claim one is better than another for the drugs in the same class, like what happens in using Viagra, Levitra, (vardenafil) or Cialis in PDE-5is.

Question 6

just got switched from enalapril  30 yo losartan 50qd. i'm diabetic type 2  n hbp. in what way is losartan beneficial for both diagnosis ?

Accepted Answer

Less side effects: Losarten has less side effects, otherwise equally effective!

Question 7

i have low renin essential hypertension. i take losartan. doc wants to switch to telmasartan due to inadequate bp response. is this a good choice? ive read arbs dont work with low renin hypertension. is that true?

Accepted Answer

: For low renin essential hypertension, I favor including slow acting diuretics into the mix. It's likely you'll require another medication to get good control. If an ARB is used I don't recommend a potassium sparing diuretic as high potassium levels will be a threat. Hydrochlorothiazide would be my choice of diuretic. Although losartan is a once a day ARB,I found taking it twice daily was needed.

Question 8

my anxiety/hyperarousal has gotten worse with valsartan. should i switch to irbesartan or a different class of blood pressure medication?

Accepted Answer

: Share this with your prescriber and let her/him decide what is best for you for they know you better medically. Good luck

Question 9

hi drs. my blood pressure was high and my dr. switched me from losartan 100mg to losartan hctz 100mg. i have a one month supply. should i take all 30 pills before seeing the doctor or should i take the pills on a trial basis and see the dr in a week?

Accepted Answer

: You have to take one tablet every morning until you see your doctor. You can have your blood pressure checked after 2 weeks and if your blood pressure is under control, you can ask for a refill and do not let it run out.

Question 10

my doctor switched me from losartan 100mg to losartanhctz 100mg. i am concerned about taking a diuretic water pill. will i experience any physical or physiological changes as a result of taking the water pill? i am also on metoprolol er 100mg?

Accepted Answer

: Taking LosartanHctz will make you go to the bathroom a little more in the morning, other than that there will be no significant physical change. Hctz 25 mg is less likely having significant impact on uric acid and triglyceride levels. Your serum creatinine will be slightly higher than the baseline (probably 5-10% higher) but that is physiologically expected. Controlled BP has long term benefits.

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Doctor answers about:

Why switch from losartan to avapro

A member asked:

Is avapro or losartan safer in moderate liver disease ?

A member asked:

I'm getting horrible anxiety and panic attacks with 40mg valsartan. my cardiologist wants to try irbesartan but i'm afraid to try it because the half life is longer. losartan gave me chills. blood pressure around 115-120/80 down from 130s/80s?

A member asked:

Losartan versus valsartan any reason to switch to valsartan?

A member asked:

One of my patients is on valsartan 80 mg od. if we want to switch him to losartan what strength should be used?

A member asked:

A friend was taking losartan, but that didn't work. switched to valsartan. it worked. both in arb, why would the latter work instead?

A member asked:

Just got switched from enalapril 30 yo losartan 50qd. i'm diabetic type 2 n hbp. in what way is losartan beneficial for both diagnosis ?

A member asked:

I have low renin essential hypertension. i take losartan. doc wants to switch to telmasartan due to inadequate bp response. is this a good choice? ive read arbs dont work with low renin hypertension. is that true?

A member asked:

My anxiety/hyperarousal has gotten worse with valsartan. should i switch to irbesartan or a different class of blood pressure medication?

A member asked:

Hi drs. my blood pressure was high and my dr. switched me from losartan 100mg to losartan hctz 100mg. i have a one month supply. should i take all 30 pills before seeing the doctor or should i take the pills on a trial basis and see the dr in a week?

A member asked:

My doctor switched me from losartan 100mg to losartanhctz 100mg. i am concerned about taking a diuretic water pill. will i experience any physical or physiological changes as a result of taking the water pill? i am also on metoprolol er 100mg?

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