Can you split Losartan?

Can you split Losartan?

Yes, you can split Losartan, but you should only do that if recommended by your healthcare provider. Losartan tablets mostly are immediate-release tablets and there’s nothing wrong with splitting such tablets (1). 

However, there are some factors that may make this task difficult. Most Losartan tablets are available in odd asymmetrical shapes and they are not scored. This makes it extremely difficult to split these tablets into two equal halves (2). 

What are the potential risks of splitting Losartan tablets?

As stated earlier, Losartan is available as immediate-release tablets and it can be split, but the tablets are not scored and splitting these tablets can lead to an uneven distribution of the active ingredient (2).

This can result in one portion containing more medication than the other, affecting the accuracy and consistency of the dosage. In some cases, splitting the tablets may lead to under-dosing or over-dosing, which can impact the effectiveness of the medication or increase the risk of side effects (1,2).

Additionally, Losartan is used to treat conditions like hypertension and certain kidney problems, where precise dosing is crucial for achieving desired therapeutic outcomes (3). Any alteration in the dosing accuracy may compromise the ability to manage these conditions effectively.

If a lower dose of Losartan is required, it is best to consult a healthcare professional who can prescribe the appropriate strength of the medication or consider alternative treatment options.

Taking an accurate dose of Losartan is also important due to the fact that this medication can be combined with other antihypertensive, like Amlodipine. Taking higher or lower doses in such cases can either cause side effects, particularly low blood pressure or may not help your condition adequately.

However, Losartan and other angiotensin II receptor blockers, like Irbesartan, Valsartan, Olmesartan, etc can be cut in half if you do it correctly and by following the guidance of your healthcare provider. However, extended-release dosage forms should never be cut in half.

What are the alternatives to cutting Losartan tablets?

If you need a lower dose of Losartan, it is essential to discuss it with your healthcare provider. Instead of cutting Losartan tablets, your doctor may prescribe a lower strength of the medication that meets your specific needs. 

They can determine the appropriate dosage based on your medical condition, age, and other factors. Alternatively, your healthcare provider might suggest trying a different medication that provides the desired effects at a lower dose. 

It is crucial to follow your doctor’s advice and never adjust your medication without their guidance to ensure your safety and the effectiveness of the treatment.

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References

1.-

LABEL: LOSARTAN POTASSIUM tablet, film-coated. DailyMed [Internet]. Available from: https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=1dadbe02-289c-4312-9e65-40f3314dcc31&type=pdf

2.-

The Food and Drug Administration, FDA [US]. Best Practices for Tablet Splitting [Internet]. Available from: https://www.fda.gov/drugs/ensuring-safe-use-medicine/best-practices-tablet-splitting

3.-

Mulla S, Siddiqui WJ. Losartan. 2022 Jul 18. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 30252321. https://www.ncbi.nlm.nih.gov/books/NBK526065