Sandoz Losartan HCT: Uses, Side Effects and Dosage

What are Sandoz Losartan HCT and Sandoz Losartan HCT DS used for?

Sandoz Losartan HCT and Sandoz Losartan HCT DS are used in adults to lower high blood pressure.

How do Sandoz Losartan HCT and Sandoz Losartan HCT DS work?

Sandoz Losartan HCT and Sandoz Losartan HCT DS contains a combination of 2 drugs, losartan and hydrochlorothiazide:

• Losartan is an angiotensin receptor blocker (ARB). It lowers blood pressure.
• Hydrochlorothiazide is a diuretic or “water pill” that increases urination. This also helps to lower blood pressure.

This medicine does not cure high blood pressure, it helps to control it. Therefore, it is important to continue taking Sandoz Losartan HCT or Sandoz Losartan HCT DS regularly even if you feel fine.

What are the ingredients in Sandoz Losartan HCT and Sandoz Losartan HCT DS?

Medicinal ingredients: losartan potassium and hydrochlorothiazide

Non-medicinal ingredients: colloidal silicon dioxide, croscarmellose sodium, hydroxypropylcellulose, hypromellose, magnesium stearate, silicified microcrystalline cellulose, silicon dioxide, talc and titanium dioxide. Sandoz Losartan HCT 50 mg/12.5 mg and Sandoz Losartan HCT DS 100 mg/25 mg also contain lake quinoline yellow and polyethylene glycol. Sandoz Losartan HCT 50 mg/12.5 mg contains 4.24 mg (<1 mmol) of potassium and, Sandoz Losartan HCT 100 mg/12.5 mg and Sandoz Losartan HCT DS 100 mg/25 mg contain 8.48 mg (<1 mmol) of potassium, as losartan potassium.

Although Sandoz Losartan HCT and Sandoz Losartan HCT DS contain potassium, this amount is too small to replace potassium supplements. If your doctor has prescribed potassium supplements, continue to follow their advice.

Sandoz Losartan HCT and Sandoz Losartan HCT DS come in the following dosage forms:

Sandoz Losartan HCT tablets; 50 mg/12.5 mg and 100 mg/12.5 mg

Sandoz Losartan HCT DS tablets; 100 mg / 25 mg

Do not use Sandoz Losartan HCT or Sandoz Losartan HCT DS if :

• you are allergic to losartan potassium and hydrochlorothiazide or any of the non-medicinal ingredients in the formulation.
• you are allergic to any sulfonamide-derived drugs (sulfa drugs); most of them have a medicinal ingredient that ends in “-MIDE”.
• you have difficulty urinating or produce no urine.
• you are already taking a blood pressure-lowering medicine that contains aliskiren (such as Rasilez) and you have diabetes or kidney disease.

To help avoid side effects and ensure proper use, talk to your healthcare professional before you take Sandoz Losartan HCT or Sandoz Losartan HCT DS. Talk about any health conditions or problems you may have, including if you:

• are allergic to any drug used to lower blood pressure, including angiotensin converting enzyme (ACE) inhibitors, or penicillin.
• are taking an ACE inhibitor.
• have narrowing of an artery or a heart valve.
• have had a heart attack or stroke.
• have recently received or are planning to get allergy shots for bee or wasp stings.
• have heart failure.
• have diabetes, liver or kidney disease.
• have lupus or gout.
• are on dialysis.
• are dehydrated or suffer from excessive vomiting, diarrhea, or sweating.
• are taking a salt substitute that contains potassium, potassium supplements, a potassium-sparing diuretic (a specific kind of “water pill”), or other drugs that may increase potassium levels (such as trimethoprim-containing products).
• are on a low-salt diet.
• have had skin cancer or have a family history of skin cancer.
• have a greater chance of developing skin cancer because you have light-coloured skin, get sunburned easily, or are taking drugs to suppress your immune system.

• are pregnant, planning to become pregnant or think you are pregnant.

• are breastfeeding or plan to breastfeed.
• have had breathing or lung problems (including inflammation or fluid in the lungs) in the past following the use of medication containing hydrochlorothiazide. If you experience any severe shortness of breath or difficulty breathing after taking Sandoz Losartan HCT or Sandoz Losartan HCT DS, stop the medication and seek medical attention immediately.

Other warnings you should know about:

Use of anesthesia: If you are about to have a surgery or dental procedure with anesthesia, be sure to tell your healthcare professional that you are taking Sandoz Losartan HCT/Sandoz Losartan HCT DS.

Risk of skin cancer: Sandoz Losartan HCT/Sandoz Losartan HCT DS contain hydrochlorothiazide. Treatment with hydrochlorothiazide may increase the risk of developing non-melanoma skin cancer. The risk is higher if you have been taking Sandoz Losartan HCT/Sandoz Losartan HCT DS for many years (more than 3) or at a high dose.

While taking Sandoz Losartan HCT and Sandoz Losartan HCT DS

• Make sure to regularly check your skin for any new lesions. Check areas that are most exposed to the sun, such as the face, ears, hands, shoulders, upper chest and back.
• Limit your exposure of skin to sun and avoid indoor tanning. Always use sunscreen (SPF 30 or higher) and wear protective clothing when going outside.
• Talk to your healthcare professional immediately if you get more sensitive to the sun or UV light or if you develop an unexpected skin lesion (such as a lump, bump, sore, or patch) during the treatment.

Eye problems: Hydrochlorothiazide in Sandoz Losartan HCT and Sandoz Losartan HCT DS can cause sudden eye disorders:

• Choroidal effusion: an abnormal building of liquid in your eye that may result in vision changes.
• Myopia: sudden nearsightedness or blurred vision.
• Glaucoma: an increased pressure in your eyes, eye pain. Untreated, it may lead to permanent vision loss.

If your vision changes, stop taking Sandoz Losartan HCT or Sandoz Losartan HCT DS and seek immediate medical help. These eye disorders are related and can develop within hours to weeks of starting Sandoz Losartan HCT or Sandoz Losartan HCT DS.

Testing and check-ups: During your treatment with Sandoz Losartan HCT and Sandoz Losartan HCT DS, your healthcare professional may monitor:

• Your kidney function.
• Your blood pressure.
• The amount of electrolytes in your blood (such as potassium, sodium, calcium).
• Your liver function

Driving and using machines: Before you perform tasks which may require special attention, wait until you know how you respond to Sandoz Losartan HCT and Sandoz Losartan HCT DS. Dizziness, lightheadedness, or fainting can occur, especially after the first dose and when the dose is increased.

Tell your healthcare professional about all the medicines you take, including any drugs, vitamins, minerals, natural supplements or alternative medicines.

The following may also interact with Sandoz Losartan HCT and Sandoz Losartan HCT DS:

• Other medications used to lower blood pressure, such as diuretics ("water pills").
• Adrenocorticotropic hormone (ACTH), which may be used to treat diseases such as nephrotic syndrome or collagen diseases and in diagnostic tests.
• Alcohol, barbiturates (sleeping pills), or narcotics (strong pain medications). They may cause low blood pressure and dizziness when you go from lying or sitting to standing up.
• Amphotericin B, an antifungal drug.
• Anticancer medications, such as cyclophosphamide and methotrexate.
• Antidepressants, in particular selective serotonin reuptake inhibitors (SSRIs), including citalopram, escitalopram, and sertraline.
• Antidiabetic medications, such as insulin and oral medicines.
• Bile acid resins used to lower cholesterol such as cholestyramine.
• Calcium or vitamin D supplements.
• Corticosteroids used to treat joint pain and swelling.
• Digoxin, a heart medication.
• Medications that slow down or speed up bowel function, such as atropine, metoclopramide, and domperidone.
• Medications used to treat epilepsy, such as carbamazepine and topiramate.
• Glycyrrhizin (found in liquorice).
• Gout medications, such as allopurinol and probenecid.
• Grapefruit juice (which should be avoided while taking Sandoz Losartan HCT or Sandoz Losartan HCT DS).
• Lithium used to treat bipolar disease.
• Medicines may cause high blood pressure (adrenaline).
• Nonsteroidal anti-inflammatory drugs (NSAIDs), used to reduce pain and swelling such as ibuprofen, naproxen, acetylsalicylic acid and celecoxib.
• Skeletal muscle relaxants used to relieve muscle spasms, such as tubocurare.
• Sympathomimetics which may be found in some decongestants, cough/cold, hay fever, sinus medicines.
• Potassium supplements, salt substitutes containing potassium or other drugs that may increase serum potassium (e.g., trimethoprim-containing products).

How to take Sandoz Losartan HCT and Sandoz Losartan HCT DS:

• Take Sandoz Losartan HCT and Sandoz Losartan HCT DS exactly as prescribed.
• It is recommended to take your dose at about the same time everyday.

• Sandoz Losartan HCT and Sandoz Losartan HCT DS can be taken with or without food, but it should be taken the same way each day. If Sandoz Losartan HCT and Sandoz Losartan HCT DS causes upset stomach, take it with food or milk.

Usual dose:

Your healthcare professional has decided the best dose for you. The usual dose is 1 tablet of Sandoz Losartan HCT or Sandoz Losartan HCT DS once daily.

The maximum dose is 1 tablet of Sandoz Losartan HCT DS (100 mg/25 mg) once daily.

Overdose:

If you think you, or a person you are caring for, have taken too much Sandoz Losartan HCT or Sandoz Losartan HCT DS, contact a healthcare professional, hospital emergency department, or regional poison control centre immediately, even if there are no symptoms.

Missed Dose:

If you have forgotten to take your dose during the day, carry on with the next one at the usual time. Do not double the dose.

What are possible side effects from using Sandoz Losartan HCT and Sandoz Losartan HCT DS?

These are not all the possible side effects you may have when taking Sandoz Losartan HCT and Sandoz Losartan HCT DS. If you experience any side effects not listed here, tell your healthcare professional.

Side effects may include:

• constipation
• decreased appetite
• diarrhea
• enlargement of the glands in your mouth
• nausea
• upset stomach
• vomiting
• cramping
• seeing more of the colour yellow in your vision
• temporary blurred vision
• fatigue
• fever
• back or leg pain
• joint pain
• muscle cramps
• restlessness
• spasms and pain
• weakness
• dizziness
• headache
• pins and needles in your fingers
• change in taste
• erectile dysfunction/impotence
• reduced libido
• dry cough
• nasal congestion
• upper respiratory infections
• bleeding under the skin
• rash
• red patches on the skin
• hives
• itch
• bruising
• increased sensitivity to the sun
• a feeling of dizziness or lightheadedness due to a sudden drop in blood pressure when standing up quickly

Sandoz Losartan HCT and Sandoz Losartan HCT DS can cause abnormal blood test results. Your doctor will decide when to perform blood tests and will interpret the results.

Serious side effects and what to do about them

Serious side effects and what to do about them

Serious side effects and what to do about them

Serious side effects and what to do about them

If you have a troublesome symptom or side effect that is not listed here or becomes bad enough to interfere with your daily activities, tell your healthcare professional.

Storage:

Blister packs: Store Sandoz Losartan HCT and Sandoz Losartan HCT DS between 15 and 30°C.

Bottles: Store Sandoz Losartan HCT and Sandoz Losartan HCT DS between 15 and 30°C. Keep container tightly closed. Protect from light and moisture.

Keep out of reach and sight of children.

If you want more information about Sandoz Losartan HCT and Sandoz Losartan HCT DS:

• Talk to your healthcare professional
• Find the full product monograph that is prepared for healthcare professionals and includes this Patient Medication Information by visiting the Health Canada website: (https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/drug-

Reporting Side Effects

• product-database.html); the manufacturer’s website www.sandoz.ca, or by calling 1-800-361-3062.

by written request at:

110, de Lauzon

Boucherville, (QC), Canada

J4B 1E6

or by e-mail at:

medinfo@sandoz.com

Last revised: March 02, 2023