Pharmacology Easy

Losartan

Remember the name – LOS → lose, ARTAN → artery tension
LOSARTAN = LOSE ARTery TensioN. The artery loses its grip and the pressure falls.
It blocks the AT1 receptor so angiotensin II cannot dock on the artery wall — the tension is lost at the receptor, not at the enzyme.
Mnemonic: A -SARTAN sits on the receptor
Every ARB ends in -sartan. It blocks the docking site rather than the enzyme, so bradykinin never builds up and there is no dry cough.
The mechanism comic and the patient case for Losartan are in the app: four panels that show what the drug does in the body, and a short patient story with the practice pearl that goes with it.

Side effects

Common: dizziness, high potassium, fatigue

Serious: kidney injury, harm in pregnancy

Typical dose

50–100 mg once daily

Start at 25 mg in the elderly or anyone volume-depleted.

Check yourself

What is the difference between Losartan and Lisinopril?

  1. Losartan blocks the receptor; lisinopril blocks the enzyme that makes angiotensin II
  2. Losartan blocks calcium channels; lisinopril blocks ACE
  3. Losartan is a diuretic and lisinopril is not
  4. They are identical in action and differ only in dose
Show answer

A. Losartan blocks the receptor; lisinopril blocks the enzyme that makes angiotensin II

Both end up relaxing vessels. The ARB leaves angiotensin II in the blood but blocks where it docks; the ACE inhibitor stops it being made. Because bradykinin breakdown is untouched by the ARB, there is no cough.

See it, don't memorize it

The app has the mechanism comic and a patient case for Losartan – plus the name link, the class mnemonic, pronunciation you can hear, and a self-check, for the top 100 drugs. One purchase, no subscription, no account.

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