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Drug interactions

Furosemide + Losartan

Severity: Moderate

Furosemide and Losartan: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Furosemide-induced volume depletion may cause an exaggerated hypotensive response and renal function decline when losartan is added. Potassium effects partly counteract each other.

What this interaction means in plain words

Furosemide and Losartan can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Furosemide belongs to Cardiovascular; Losartan belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive pharmacodynamic effects of volume depletion and angiotensin receptor blockade; opposing potassium effects.

What to do

Monitor blood pressure, creatinine and potassium after starting or adjusting therapy. Consider lowering the furosemide dose if volume depleted.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Furosemide with Losartan?

MediHelp rates the interaction as moderate. Furosemide and Losartan can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Furosemide-induced volume depletion may cause an exaggerated hypotensive response and renal function decline when losartan is added. Potassium effects partly counteract each other.

How serious is the interaction between Furosemide and Losartan?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure, creatinine and potassium after starting or adjusting therapy. Consider lowering the furosemide dose if volume depleted.

What other medicines interact with Furosemide?

MediHelp also lists interactions of Furosemide with, for example, Amifostine, Amikacin, Carbenoxolone. The full list is on the Furosemide page.

Full monographs, dosing and an interaction checker in the MediHelp app

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