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Losartan Potassium side effects: what 78,389 FDA adverse event reports show

Losartan Potassium · Losartan Potassium · 1,166 reaction terms · 300,911 drug–reaction co-reports · data 2026-09-14
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Drug class

Angiotensin ii receptor blocker (arb)

FDA label, Indications wording

Brand names

Losartan Potassium

openFDA label

Who reports

78,389 reports · 60% serious · 5,497 with death outcome · 60% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Losartan potassium tablet is an angiotensin II receptor blocker (ARB) indicated for: • Treatment of hypertension, to lower blood pressure in adults and children greater than 6 years old. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions.

FDA label, Indications and Usage

What it is

Losartan potassium is an angiotensin II receptor blocker acting on the At 1 receptor subtype. Losartan potassium, a non-peptide molecule, is chemically described as 2-butyl-4-chloro-1-[ p -( o -1 H- tetrazol-5-ylphenyl)benzyl]imidazole-5-methanol monopotassium salt.

FDA label, Description section

Boxed warning

FETAL TOXICITY When pregnancy is detected, discontinue losartan potassium tablets as soon as possible. Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus. [see Warnings and Precautions (5.1) ]. WARNING: FETAL TOXICITY See full prescribing information for complete boxed warning.

FDA label
How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Labeled adverse reaction 1Labeled (related wording) 3Likely indication confounding 10Reporting / coding artifact 1Not in label — unassessed 25
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,126 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Cardiospasm5830.9
23.5–40.6ROR 30.9 · calibrated p 3e-4 ✓
27.5 EB05 22.1 · IC025 +4.1
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=58 · ♀ 0% (drug 60%)not reported in cached trials
Palmoplantar keratoderma5923.8
18.2–31.0ROR 23.8 · calibrated p 0.001 ✓
21.8 EB05 17.5 · IC025 +3.8
3/3 methods agree
Not in label — unassessedserious n=58 · ♀ 0% (drug 60%)not reported in cached trials
Chronic kidney disease-mineral and bone disorder6717.7
13.8–22.7ROR 17.7 · calibrated p 0.004 ✓
16.5 EB05 13.4 · IC025 +3.5
3/3 methods agree
Not in label — unassessedserious n=67not reported in cached trials
Nephrogenic anaemia23914.4
12.6–16.3ROR 14.4 · calibrated p 0.008 ✓
13.6 EB05 12.2 · IC025 +3.5
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=239NCT00090259: 2/1,921 (0.1%) on Losartan Potassium (serious AE)
Hyperparathyroidism secondary12613.9
11.7–16.7ROR 14.0 · calibrated p 0.010 ✓
13.2 EB05 11.4 · IC025 +3.4
3/3 methods agree
Not in label — unassessedserious n=125not reported in cached trials
Eyelid pain8011.5
9.2–14.3ROR 11.5 · calibrated p 0.021 ✓
10.8 EB05 8.9 · IC025 +3.0
3/3 methods agree
Not in label — unassessed100% consumernot reported in cached trials
Atrial tachycardia8310.9
8.8–13.6ROR 10.9 · calibrated p 0.025 ✓
10.3 EB05 8.5 · IC025 +3.0
3/3 methods agree
Not in label — unassessedserious n=82 · ♀ 0% (drug 60%)NCT00090259: 1/1,913 (0.1%) on Losartan Potassium (serious AE)
Essential hypertension899.5
7.7–11.7ROR 9.5 · calibrated p 0.041 ✓
9.0 EB05 7.5 · IC025 +2.8
3/3 methods agree
Labeled adverse reaction
exact term
serious n=82not reported in cached trials
Pruritus genital809.5
7.6–11.8ROR 9.5 · calibrated p 0.041 ✓
8.9 EB05 7.3 · IC025 +2.8
3/3 methods agree
Not in label — unassessedserious n=75 · ♀ 0% (drug 60%)not reported in cached trials
Infusion site discharge518.2
6.2–10.8ROR 8.2 · calibrated p 0.067
7.6 EB05 5.9 · IC025 +2.4
3/3 methods agree
Not in label — unassessedserious n=42 · ♀ 100% (drug 60%) · 100% consumernot reported in cached trials
Rebound acid hypersecretion877.8
6.3–9.6ROR 7.8 · calibrated p 0.075
7.3 EB05 6.1 · IC025 +2.5
3/3 methods agree
Not in label — unassessedserious n=87not reported in cached trials
Blood pressure inadequately controlled1627.3
6.3–8.5ROR 7.3 · calibrated p 0.088
7.0 EB05 6.2 · IC025 +2.5
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=114not reported in cached trials
Nephrogenic systemic fibrosis807.1
5.7–8.9ROR 7.2 · calibrated p 0.097
6.8 EB05 5.6 · IC025 +2.4
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=80 · 100% cliniciannot reported in cached trials
Carotid artery occlusion896.6
5.4–8.2ROR 6.6 · calibrated p 0.118
6.3 EB05 5.3 · IC025 +2.3
3/3 methods agree
Not in label — unassessedserious n=89 · ♀ 34% (drug 60%)not reported in cached trials
Ischaemic cardiomyopathy716.2
4.9–7.9ROR 6.3 · calibrated p 0.140
5.9 EB05 4.8 · IC025 +2.2
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=71 · ♀ 0% (drug 60%) · 100% cliniciannot reported in cached trials
End stage renal disease4096.0
5.5–6.7ROR 6.1 · calibrated p 0.146
5.9 EB05 5.4 · IC025 +2.4
3/3 methods agree
Likely indication confounding
term in indications
serious PRR 5.7not reported in cached trials
Angina unstable1435.9
5.0–7.0ROR 5.9 · calibrated p 0.156
5.7 EB05 5.0 · IC025 +2.2
3/3 methods agree
Not in label — unassessedserious n=143 · ♀ 26% (drug 60%)not reported in cached trials
Renal failure chronic1665.8
5.0–6.8ROR 5.8 · calibrated p 0.166
5.6 EB05 4.9 · IC025 +2.2
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious PRR 5.4NCT00090259: 2/1,913 (0.1%) on Losartan Potassium (serious AE)
Bundle branch block left875.5
4.5–6.8ROR 5.5 · calibrated p 0.188
5.3 EB05 4.4 · IC025 +2.1
3/3 methods agree
Not in label — unassessedserious n=86 · 100% cliniciannot reported in cached trials
Orthopnoea655.5
4.3–7.1ROR 5.5 · calibrated p 0.190
5.2 EB05 4.3 · IC025 +2.0
3/3 methods agree
Not in label — unassessedserious n=65 · 100% cliniciannot reported in cached trials
Aortic stenosis695.4
4.2–6.8ROR 5.4 · calibrated p 0.203
5.1 EB05 4.2 · IC025 +2.0
3/3 methods agree
Not in label — unassessedserious n=66 · 100% cliniciannot reported in cached trials
Aortic arteriosclerosis515.4
4.1–7.1ROR 5.4 · calibrated p 0.206
5.1 EB05 4.0 · IC025 +1.9
3/3 methods agree
Not in label — unassessedserious n=50 · 100% cliniciannot reported in cached trials
Left ventricular hypertrophy825.2
4.2–6.5ROR 5.2 · calibrated p 0.219
5.0 EB05 4.1 · IC025 +2.0
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious n=80not reported in cached trials
Pre-existing condition improved1175.0
4.2–6.0ROR 5.0 · calibrated p 0.234
4.9 EB05 4.2 · IC025 +2.0
3/3 methods agree
Not in label — unassessedserious n=62not reported in cached trials
Infusion site haemorrhage605.0
3.9–6.5ROR 5.0 · calibrated p 0.239
4.8 EB05 3.8 · IC025 +1.8
3/3 methods agree
Not in label — unassessedserious n=37 · ♀ 100% (drug 60%) · 100% consumerNCT00090259: 1/1,921 (0.1%) on Losartan Potassium (serious AE)
Diverticulum intestinal805.0
4.0–6.2ROR 5.0 · calibrated p 0.242
4.8 EB05 4.0 · IC025 +1.9
3/3 methods agree
Not in label — unassessedserious n=77NCT00090259: 1/1,921 (0.1%) on Losartan Potassium (serious AE)
Seasonal allergy2564.9
4.3–5.6ROR 4.9 · calibrated p 0.244
4.8 EB05 4.3 · IC025 +2.1
3/3 methods agree
Not in label — unassessedserious n=144 · 76% consumernot reported in cached trials
Haemorrhagic anaemia804.9
3.9–6.1ROR 4.9 · calibrated p 0.255
4.7 EB05 3.9 · IC025 +1.9
3/3 methods agree
Not in label — unassessedserious n=80NCT00090259: 1/1,921 (0.1%) on Losartan Potassium (serious AE)
Suspected suicide854.8
3.9–6.0ROR 4.8 · calibrated p 0.258
4.6 EB05 3.9 · IC025 +1.9
3/3 methods agree
Not in label — unassessedserious n=85 · 100% cliniciannot reported in cached trials
Diabetic neuropathy884.8
3.9–5.9ROR 4.8 · calibrated p 0.263
4.6 EB05 3.9 · IC025 +1.9
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=82not reported in cached trials
Hyperlipidaemia2114.8
4.2–5.5ROR 4.8 · calibrated p 0.262
4.7 EB05 4.2 · IC025 +2.0
3/3 methods agree
Likely indication confounding
term in indications
serious PRR 4.6not reported in cached trials
Product administration interrupted1334.7
4.0–5.6ROR 4.7 · calibrated p 0.272
4.6 EB05 3.9 · IC025 +1.9
3/3 methods agree
Reporting / coding artifactserious n=119not reported in cached trials
Tricuspid valve incompetence1374.7
4.0–5.6ROR 4.7 · calibrated p 0.273
4.6 EB05 4.0 · IC025 +1.9
3/3 methods agree
Not in label — unassessedserious PRR 4.4not reported in cached trials
Mitral valve incompetence1964.7
4.1–5.4ROR 4.7 · calibrated p 0.272
4.6 EB05 4.1 · IC025 +2.0
3/3 methods agree
Not in label — unassessedage-adj. PRR 4.0 · serious PRR 4.4not reported in cached trials
Loss of employment524.6
3.5–6.1ROR 4.6 · calibrated p 0.288
4.4 EB05 3.5 · IC025 +1.7
3/3 methods agree
Not in label — unassessedserious n=52 · ♀ 100% (drug 60%) · 100% cliniciannot reported in cached trials
Benign prostatic hyperplasia864.5
3.6–5.6ROR 4.5 · calibrated p 0.302
4.3 EB05 3.6 · IC025 +1.8
3/3 methods agree
Not in label — unassessedserious n=81 · ♀ 0% (drug 60%)NCT00090259: 11/1,921 (0.6%) on Losartan Potassium (serious AE)
Sleep apnoea syndrome3114.4
3.9–4.9ROR 4.4 · calibrated p 0.310
4.3 EB05 3.9 · IC025 +1.9
3/3 methods agree
Not in label — unassessedage-adj. PRR 4.4 · serious PRR 4.3NCT00090259: 4/1,921 (0.2%) on Losartan Potassium (serious AE)

Clinical concept groups

MedDRA splits one clinical problem across several terms (e.g. "neutropenia", "neutrophil count decreased", "agranulocytosis"), which dilutes term-level signals. These rows count reports with any term in a concept group (an exact union, not a sum), compared with all other drugs. Groups are hand-built and listed in the methods.

ConceptReportsPRR 95% CIReading
Heart failure1,7912.72.6–2.8signal
Hyponatraemia7112.42.2–2.6signal
Kidney injury3,8642.32.2–2.3signal
Arrhythmia / qt1,6242.32.1–2.4signal
Myocardial infarction1,6892.22.1–2.3signal
Hypoglycaemia7602.12.0–2.3raised
Fall / fracture2,8132.01.9–2.1raised
Hyperglycaemia / diabetes2,5141.91.9–2.0raised
Anaemia2,1421.91.8–2.0raised
Gi bleeding1,2851.91.8–2.0raised
Serious infection4,8081.71.6–1.7raised
Stroke1,5521.71.6–1.8raised
Depression1,7201.61.6–1.7raised
Rhabdomyolysis / myopathy4821.61.5–1.7raised
Pancreatitis4431.51.3–1.6raised
Tendon disorder2021.41.2–1.6raised

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Losartan Potassium as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (8 of 40 signal terms matched).

Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Fatigue (tiredness)5,8212.0
2.0–2.1ROR 2.1 · calibrated p 0.993
2.0 EB05 2.0 · IC025 +1.0Labeled adverse reaction
exact term
age-adj. PRR 1.8 · serious PRR 2.0NCT00090259: 1/1,921 (0.1%) on Losartan Potassium (serious AE)
Diarrhoea (diarrhea)4,6862.0
1.9–2.0ROR 2.0 · calibrated p 0.952
1.9 EB05 1.9 · IC025 +0.9Labeled adverse reaction
exact term
age-adj. PRR 1.7 · serious PRR 1.9NCT00090259: 5/1,921 (0.3%) on Losartan Potassium (serious AE)
Nausea4,5791.6
1.5–1.6ROR 1.6 · calibrated p 0.699
1.6 EB05 1.5 · IC025 +0.6Labeled adverse reaction
exact term
age-adj. PRR 1.5 · serious PRR 1.7NCT00090259: 1/1,921 (0.1%) on Losartan Potassium (serious AE)
Drug ineffective (drug did not work)4,2630.9
0.8–0.9ROR 0.9 · calibrated p 0.217
0.9 EB05 0.8 · IC025 -0.3
PRR-only: not supported by EBGM or IC
Reporting / coding artifactage-adj. PRR 1.0 · serious PRR 1.0not reported in cached trials
Dyspnoea (shortness of breath)4,2122.0
1.9–2.1ROR 2.1 · calibrated p 0.973
2.0 EB05 1.9 · IC025 +0.9Labeled adverse reaction
exact term
age-adj. PRR 1.7 · serious PRR 1.9NCT00090259: 2/1,921 (0.1%) on Losartan Potassium (serious AE)
Dizziness3,8802.1
2.0–2.2ROR 2.1 · calibrated p 0.978
2.1 EB05 2.0 · IC025 +1.0
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 1.8 · serious PRR 2.2NCT00090259: 7/1,921 (0.4%) on Losartan Potassium (serious AE)
Headache3,7471.6
1.6–1.7ROR 1.6 · calibrated p 0.727
1.6 EB05 1.6 · IC025 +0.6Labeled adverse reaction
exact term
age-adj. PRR 1.6 · serious PRR 1.8NCT00090259: 1/1,913 (0.1%) on Losartan Potassium (serious AE)
Pain3,4561.5
1.5–1.6ROR 1.5 · calibrated p 0.659
1.5 EB05 1.5 · IC025 +0.5Labeled adverse reaction
exact term
age-adj. PRR 1.7 · serious PRR 1.5NCT00090259: 2/1,921 (0.1%) on Losartan Potassium (serious AE)
Arthralgia (joint pain)2,8191.8
1.8–1.9ROR 1.9 · calibrated p 0.862
1.8 EB05 1.8 · IC025 +0.8Labeled adverse reaction
exact term
age-adj. PRR 1.7 · serious PRR 2.0NCT00090259: 3/1,921 (0.2%) on Losartan Potassium (serious AE)
Asthenia (weakness)2,7802.0
1.9–2.1ROR 2.0 · calibrated p 0.954
2.0 EB05 1.9 · IC025 +0.9Labeled adverse reaction
exact term
age-adj. PRR 1.6 · serious PRR 1.9NCT00090259: 1/1,921 (0.1%) on Losartan Potassium (serious AE)
Cough2,7772.7
2.6–2.8ROR 2.7 · calibrated p 0.721
2.7 EB05 2.6 · IC025 +1.3
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.2 · serious PRR 2.6NCT00090259: 1/1,913 (0.1%) on Losartan Potassium (serious AE)
Fall2,6132.1
2.0–2.2ROR 2.1 · calibrated p 0.978
2.1 EB05 2.0 · IC025 +1.0
3/3 methods agree
Not in label — unassessedage-adj. PRR 1.6 · serious PRR 2.0NCT00090259: 12/1,921 (0.6%) on Losartan Potassium (serious AE)
Off label use (used outside approved label)2,6090.8
0.8–0.8ROR 0.8 · calibrated p 0.182
0.8 EB05 0.8 · IC025 -0.4
PRR-only: not supported by EBGM or IC
Reporting / coding artifactage-adj. PRR 0.8 · serious PRR 0.8not reported in cached trials
Pruritus (itching)2,5171.8
1.7–1.9ROR 1.8 · calibrated p 0.836
1.8 EB05 1.7 · IC025 +0.8Labeled adverse reaction
exact term
age-adj. PRR 1.6 · serious PRR 1.8not reported in cached trials
Rash2,4721.5
1.5–1.6ROR 1.5 · calibrated p 0.670
1.5 EB05 1.5 · IC025 +0.5Labeled adverse reaction
exact term
age-adj. PRR 1.5 · serious PRR 1.5not reported in cached trials

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

✓ A hand-written Bradford Hill causality assessment exists for this drug: Losartan ↔ Renal failure.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Losartan Potassium?

In FDA FAERS, the most frequently co-reported reaction terms for Losartan Potassium are fatigue, diarrhoea, nausea, dyspnoea, dizziness, headache. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Losartan Potassium have an FDA boxed warning?

Yes. The current FDA label carries a boxed warning: FETAL TOXICITY When pregnancy is detected, discontinue losartan potassium tablets as soon as possible. Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus. [see Warnings and Precautions (5.1) ]. WARNING: FETAL TOXICITY See full prescribing information for complete boxed warning.

Do FAERS signals prove that Losartan Potassium causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.