Lorista HD 100 mg. / 25 mg. 28 tablets

What is Lorista HD and what is it used for?

Lorasta HD is a combination of angiotensin II receptor antagonist (losartan) and diuretic (hydrochlorothiazide). Lorasta HD is indicated for the treatment of essential hypertension (high blood pressure).

2. Before you take Lorista HD

Do not take Loris HD:

• if you are allergic (hypersensitive) to losartan, hydrochlorothiazide or any of the other ingredients of this medicine;

• if you are allergic (hypersensitive) to a group of medicines called "sulphonamide derivatives" (eg other thiazides, some antibacterial medicines such as co-trimoxazole, ask your doctor if you are not sure):

• if you are more than 3 months pregnant. (It is advisable to avoid taking Lorista HD and in early pregnancy - see section "Pregnancy and breast-feeding");

• if you have severe hepatic impairment;

• if you have severely impaired kidney function or your kidneys do not produce any urine;

• if you have low potassium levels, low sodium levels or high levels of calcium that can not be corrected by treatment;

• if you suffer from gout.

Take special care when using Lorista HD

• if you have had swollen face, lips, throat and / or tongue before;

• if you are taking diuretics (multiple urine pills);

• if you are on a diet with limited salt intake;

• if you have or have had severe vomiting and / or diarrhea;

• if you have heart failure;

• if you have narrowing of the arteries to your kidneys (kidney artery stenosis) or you have only one kidney functioning or you have recently had a kidney grafted;

• if you have narrowing of the arteries (atherosclerosis), angina (chest pain due to poor cardiac function);

• if you have a "aortic or mitral stenosis" (narrowing of the heart valves) or "hypertrophic cardiomyopathy" (a disease causing thickening of the heart muscle);

• if you have diabetes;

if you have had a gout;

• if you have or have had an allergic condition, asthma or a condition that causes joint pain, skin rash and fever (systemic lupus erythematosus);

• if you have high calcium and low potassium levels or are on a low potassium diet;

• if you are anesthetized (even with a dentist) or before surgery or you are being tested for parathyroid function, you should tell your doctor or medical staff that you are taking losartan potassium and hydrochlorothiazide;

• if you suffer from primary hyperaldosteronism (a syndrome associated with increased secretion of the hormone aldosterone from the adrenal gland caused by abnormalities in the glands).

You should tell your doctor if you think you are (or may be) pregnant. Lorasta HD is not recommended during early pregnancy and should not be taken during pregnancy after the third month as it may cause serious harm to your baby if used at this stage (see Pregnancy and Breastfeeding section).

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

Diuretic products such as hydrochlorothiazide contained in Loris HD may interact with other medicines. Preparations containing lithium should not be taken with Loris HD without constant control from your doctor. There may be appropriate and special precautions (eg blood tests) if you are taking potassium supplements, potassium-containing substitutes or potassium-sparing medicines, other diuretics (medicines for urinating), some laxatives, medicines to control heart rhythm or diabetes (oral products or insulins). It is also important that your doctor is informed if you are taking other medicines that lower blood pressure, steroids, medicines to treat cancer, painkillers, medicines to treat fungal infections or arthritis, high cholesterol resins such as cholestyramine, muscles, sleeping tablets, opiates such as morphine, "pressurized amines" such as adrenaline or other medicines of the same group (oral medicines for the treatment of diabetes or insulins).

Please inform your doctor if you are planning to use contrast-based iodine that you are taking Lorista HD.

Take Lorista HD with food and drink

We advise you not to drink alcohol while taking these tablets: Alcohol and Lolita HD tablets can mutually enhance their effects.

Excessive intake of salt with food can counteract the effect of Loris HD tablets. Loris HD tablets can be taken during or without meals.

Pregnancy and breastfeeding

Check with your doctor or pharmacist before taking any medicine

Pregnancy

You should tell your doctor if you think you are (or may be) pregnant. Your doctor will advise you to stop taking Lorasta HD before you become pregnant or as soon as you know that
How to take Lorista HD

Always take Lorasta HD exactly as your doctor has told you. Your doctor will decide which is the right dose of Loris HD depending on your condition and whether you are taking other medicines. It is important that you continue to take Lorasta HD for as long as your doctor prescribes, this will ensure a constant control of your blood pressure. The usual starting and maintenance dose for most patients is 1 tablet of Losartan H (50 mg / 12.5 mg) per day. If necessary, your doctor will increase the dose to 2 tablets of Lorasta H once a day or to 1 tablet Lorasta HD (losartan 100 mg / hydrochlorothiazide 25 mg) a day.

The maximum daily dose is 1 tablet daily Lorista HD (100 mg / 25 mg).

If you have the impression that the effect of the medicine is too strong or too weak, tell your doctor or pharmacist.

If you take more Losartan HD than you should

If you take more Losartan than you should, tell your doctor immediately to get the necessary medical help in time. Overdose can cause a fall in blood pressure, palpitations.

4. Possible side effects

Like all medicines, Lorista HD can cause side effects, although not everybody gets them.

If you experience a similar reaction, stop taking Lorasta HD tablets and tell your doctor immediately or go to the emergency room of the nearest hospital:

Severe allergic reaction (rash, pruritus, swelling of the face, lips, mouth or throat which may cause difficulty swallowing or breathing). This is a severe but rare side effect that affects more than 1 in 10,000 patients but less than 1 in 1,000 patients. You may need urgent medical attention or hospitalization.

The following side effects have been reported:

Common (occurring in less than one person in 10 but more than one person in 100):

• Cough, upper respiratory tract infection, nasal congestion, sinusitis, sinus disorders,

• Diarrhea, abdominal pain, nausea, dyspepsia (indigestion),

• Muscle pain or spasm, leg pain, back pain,

• Insomnia, headache, dizziness,

• Weakness, fatigue, chest pain,

• Increased potassium levels (which may cause heart rhythm disturbance), decreased hemoglobin levels.

Uncommon: (occurring in less than one person per 100 but more than one person per 1,000):

• Anemia, red or brown spots on the skin (sometimes especially on the feet, legs, hands and hips, with joint pain, swelling of the hands and feet and stomach pain), low white blood cell count, clotting problems and bruises,

• Loss of appetite, increased levels of uric acid or gout, elevated blood sugar levels, abnormal blood levels of electrolytes,

• Anxiety, nervousness, panic disorder (recurrent panic attacks), confusion, depression, abnormal dreams, disturbed sleep, drowsiness, memory impairment,

• numbness and tingling sensation, pain in limbs, tremor, migraine, loss of consciousness,

• Blurred vision, burning or stinging in the eyes, conjunctivitis, impaired visual field, vision of objects in yellow,

• Different ringing in the ears - ringing, buzzing, rumbling or snapping,

• Low blood pressure, which may be associated with a change in position (dizziness or weakness in getting up, chest tooth (chest pain), irregular heartbeat, cerebrovascular accident (transient ischemic attack, mini stroke), heart attack, palpitations ,

• Inflammation of the blood vessels, often linked: skin rash or bruising,

• Sore throat, shortness of breath, bronchitis, pneumonia, water in the lungs (breathing difficulty), nose bleeds, discharge of nose, clogging.

• Constipation, exhaustion, nervous stomach with stomach cramps, vomiting, dry mouth, salivary gland inflammation, toothache,

• Jaundice (yellowing of the eyes and skin), inflammation of the pancreas,

• Urticaria, itching, skin inflammation, rash, skin redness, sensitivity to light, dry skin, flushing, sweating, hair loss,

• Pain in the hands, shoulders, thighs, knees or other joints, swelling of the joints, stiffness, muscle weakness,

• Frequent urination, including at night, abnormal kidney function including kidney inflammation, urinary tract infection, urinary sugar,

• Decreased sexual desire, impotence,

• Swelling of the face, fever.

Rare: (occurring in more than 1 in 10,000 patients and less than 1 in 1,000 patients)

• Hepatitis (inflammation of the liver), impaired liver function.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor.

5. How to store Lorista HD

Do not use Loris HD after the expiry date which is stated on the carton. Store below 25 ° C.
Keep out of the reach and sight of children.

6. Additional information

What Lorista HD contains

• The active substances are losartan potassium and hydrochlorothiazide.

Each Losartan HD tablet contains 100 mg of losartan potassium and 25 mg of hydrochlorothiazide.

The other substances are: microcrystalline cellulose, lactose monohydrate, pregelatinized maize starch, magnesium stearate, hypromellose, macrogol 4000, cinnolino yellow dye (104), talc, titanium dioxide (E171)

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