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Losartan side effects: what 173,627 FDA adverse event reports show

Losartan · Losartan Potassium · 1,156 reaction terms · 649,821 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

173,627 reports · 63% serious · 12,522 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 is a biphenylyltetrazole where a 1,1'-biphenyl group is attached at the 5-position and has an additional trisubstituted imidazol-1-ylmethyl group at the 4'-position.

PubChem CID 3961 (ChEBI)

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 — boxed warning 3Labeled adverse reaction 2Labeled (related wording) 2Likely indication confounding 8Lab value / disease marker 2Not in label — unassessed 23
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). 1,116 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
Cardiospasm340190.3
160.3–225.9ROR 190.7 · calibrated p 8e-10 ✓
73.2 EB05 66.9 · IC025 +5.9
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=340not reported in cached trials
Immunisation220124.9
103.3–151.0ROR 125.1 · calibrated p 3e-8 ✓
60.9 EB05 54.4 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=220not reported in cached trials
Palmoplantar keratoderma334104.6
90.3–121.2ROR 104.8 · calibrated p 9e-8 ✓
55.8 EB05 50.9 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=334not reported in cached trials
Chronic kidney disease-mineral and bone disorder18524.9
21.3–29.2ROR 24.9 · calibrated p 7e-4 ✓
20.7 EB05 18.3 · IC025 +4.1
3/3 methods agree
Not in label — unassessedserious n=185not reported in cached trials
Atrial tachycardia34923.8
21.2–26.7ROR 23.8 · calibrated p 9e-4 ✓
19.9 EB05 18.2 · IC025 +4.1
3/3 methods agree
Not in label — unassessedserious n=349NCT00090259: 1/1,913 (0.1%) on Losartan (serious AE)
Pruritus genital37623.1
20.7–25.8ROR 23.1 · calibrated p 0.001 ✓
19.5 EB05 17.9 · IC025 +4.1
3/3 methods agree
Not in label — unassessedserious n=361not reported in cached trials
Hyperparathyroidism secondary36420.1
18.0–22.5ROR 20.2 · calibrated p 0.002 ✓
17.3 EB05 15.9 · IC025 +3.9
3/3 methods agree
Not in label — unassessedserious n=364not reported in cached trials
Nephrogenic anaemia65019.4
17.8–21.0ROR 19.4 · calibrated p 0.002 ✓
16.8 EB05 15.7 · IC025 +3.9
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=650NCT00090259: 2/1,921 (0.1%) on Losartan (serious AE)
Carotid artery occlusion40615.0
13.5–16.6ROR 15.0 · calibrated p 0.007 ✓
13.4 EB05 12.3 · IC025 +3.6
3/3 methods agree
Not in label — unassessedserious n=406not reported in cached trials
Rebound acid hypersecretion33914.9
13.3–16.7ROR 14.9 · calibrated p 0.007 ✓
13.3 EB05 12.2 · IC025 +3.5
3/3 methods agree
Not in label — unassessedserious n=339not reported in cached trials
Brash syndrome13513.2
11.1–15.8ROR 13.3 · calibrated p 0.012 ✓
11.9 EB05 10.3 · IC025 +3.2
3/3 methods agree
Not in label — unassessedserious n=135 · 100% cliniciannot reported in cached trials
Sleep terror35811.1
10.0–12.4ROR 11.2 · calibrated p 0.022 ✓
10.2 EB05 9.4 · IC025 +3.2
3/3 methods agree
Not in label — unassessedserious n=346not reported in cached trials
Multi-organ disorder1419.2
7.7–10.9ROR 9.2 · calibrated p 0.045 ✓
8.4 EB05 7.3 · IC025 +2.8
3/3 methods agree
Not in label — unassessedserious n=139 · ♀ 100% (drug 60%)NCT00090259: 1/1,921 (0.1%) on Losartan (serious AE)
End stage renal disease1,2638.8
8.3–9.3ROR 8.9 · calibrated p 0.048 ✓
8.3 EB05 7.9 · IC025 +3.0
3/3 methods agree
Likely indication confounding
term in indications
serious PRR 7.5not reported in cached trials
Chronic kidney disease4,1876.9
6.7–7.1ROR 7.1 · calibrated p 0.096
6.6 EB05 6.4 · IC025 +2.7
3/3 methods agree
Labeled — boxed warning
exact term
age-adj. PRR 6.2 · serious PRR 6.1not reported in cached trials
Dengue fever1176.4
5.3–7.7ROR 6.4 · calibrated p 0.129
6.0 EB05 5.1 · IC025 +2.3
3/3 methods agree
Not in label — unassessedserious n=115 · ♀ 100% (drug 60%) · 100% consumernot reported in cached trials
Facial pain4516.4
5.8–7.0ROR 6.4 · calibrated p 0.128
6.1 EB05 5.6 · IC025 +2.4
3/3 methods agree
Not in label — unassessedserious n=409not reported in cached trials
Eyelid pain946.1
5.0–7.5ROR 6.1 · calibrated p 0.148
5.7 EB05 4.8 · IC025 +2.2
3/3 methods agree
Not in label — unassessed♀ 100% (drug 60%) · 100% consumernot reported in cached trials
Discouragement995.4
4.4–6.5ROR 5.4 · calibrated p 0.204
5.0 EB05 4.3 · IC025 +2.0
3/3 methods agree
Not in label — unassessedserious n=95 · ♀ 100% (drug 60%) · 100% consumernot reported in cached trials
Subarachnoid haemorrhage4265.2
4.7–5.7ROR 5.2 · calibrated p 0.213
5.0 EB05 4.6 · IC025 +2.2
3/3 methods agree
Not in label — unassessedserious PRR 4.6NCT00546052: 1/1,714 (0.1%) on Losartan (serious AE)
Asthmatic crisis1515.2
4.4–6.1ROR 5.2 · calibrated p 0.221
4.9 EB05 4.3 · IC025 +2.0
3/3 methods agree
Not in label — unassessedserious n=151 · ♀ 100% (drug 60%)NCT00090259: 1/1,921 (0.1%) on Losartan (serious AE)
Loss of employment1245.1
4.2–6.1ROR 5.1 · calibrated p 0.229
4.8 EB05 4.2 · IC025 +2.0
3/3 methods agree
Not in label — unassessedserious n=121 · ♀ 100% (drug 60%) · 100% cliniciannot reported in cached trials
Vasculitis4564.9
4.4–5.4ROR 4.9 · calibrated p 0.248
4.7 EB05 4.3 · IC025 +2.1
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 4.8 · serious PRR 4.6NCT00090259: 1/1,921 (0.1%) on Losartan (serious AE)
Essential hypertension964.6
3.8–5.7ROR 4.6 · calibrated p 0.286
4.4 EB05 3.7 · IC025 +1.8
3/3 methods agree
Labeled adverse reaction
exact term
serious n=89 · ♀ 100% (drug 60%) · 100% cliniciannot reported in cached trials
Blood pressure inadequately controlled2224.5
4.0–5.2ROR 4.6 · calibrated p 0.291
4.4 EB05 3.9 · IC025 +1.9
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=170not reported in cached trials
Anosmia (loss of smell)5174.4
4.1–4.8ROR 4.4 · calibrated p 0.306
4.3 EB05 4.0 · IC025 +2.0
3/3 methods agree
Not in label — unassessedserious n=451not reported in cached trials
Body height decreased3834.4
4.0–4.9ROR 4.4 · calibrated p 0.311
4.3 EB05 3.9 · IC025 +1.9
3/3 methods agree
Not in label — unassessedserious n=253not reported in cached trials
Blood cholesterol abnormal1554.2
3.5–4.9ROR 4.2 · calibrated p 0.352
4.0 EB05 3.5 · IC025 +1.7
3/3 methods agree
Lab value / disease markerserious n=133 · 100% consumernot reported in cached trials
Impaired gastric emptying4204.1
3.7–4.5ROR 4.1 · calibrated p 0.363
4.0 EB05 3.7 · IC025 +1.8
3/3 methods agree
Not in label — unassessedserious PRR 3.9 · 84% consumernot reported in cached trials
Infarction2274.1
3.6–4.6ROR 4.1 · calibrated p 0.366
3.9 EB05 3.5 · IC025 +1.8
3/3 methods agree
Likely indication confounding
term in indications
serious PRR 3.6 · 100% consumerNCT00090259: 1/1,913 (0.1%) on Losartan (serious AE)
Blood pressure abnormal6133.8
3.5–4.1ROR 3.8 · calibrated p 0.411
3.7 EB05 3.5 · IC025 +1.8
3/3 methods agree
Likely indication confounding
term in indications
serious PRR 3.4NCT00090259: 1/1,913 (0.1%) on Losartan (serious AE)
Acute kidney injury (sudden kidney damage)4,6693.8
3.7–3.9ROR 3.9 · calibrated p 0.404
3.7 EB05 3.6 · IC025 +1.8
3/3 methods agree
Labeled — boxed warning
synonym match
age-adj. PRR 2.4 · serious PRR 3.4not reported in cached trials
Arterial occlusive disease2413.8
3.3–4.3ROR 3.8 · calibrated p 0.425
3.7 EB05 3.3 · IC025 +1.7
3/3 methods agree
Not in label — unassessedserious PRR 3.4 · 80% consumernot reported in cached trials
Ventricular tachycardia5023.7
3.4–4.1ROR 3.7 · calibrated p 0.429
3.6 EB05 3.4 · IC025 +1.7
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
age-adj. PRR 3.2 · serious PRR 3.4NCT00090259: 2/1,913 (0.1%) on Losartan (serious AE)
Diabetic neuropathy1493.7
3.1–4.3ROR 3.7 · calibrated p 0.442
3.6 EB05 3.1 · IC025 +1.6
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=137not reported in cached trials
Oligohydramnios1003.7
3.0–4.5ROR 3.7 · calibrated p 0.446
3.5 EB05 3.0 · IC025 +1.5
3/3 methods agree
Labeled — boxed warning
exact term
serious n=100 · ♀ 100% (drug 60%) · 100% cliniciannot reported in cached trials
Glomerular filtration rate decreased3573.6
3.3–4.0ROR 3.6 · calibrated p 0.453
3.5 EB05 3.2 · IC025 +1.7
3/3 methods agree
Lab value / disease markerserious PRR 3.2not reported in cached trials
Eye haemorrhage3943.6
3.3–4.0ROR 3.6 · calibrated p 0.452
3.5 EB05 3.3 · IC025 +1.7
3/3 methods agree
Not in label — unassessedserious PRR 3.4NCT00090259: 1/1,921 (0.1%) on Losartan (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
Kidney injury9,2262.52.4–2.5signal
Hyponatraemia1,5712.42.3–2.5signal
Arrhythmia / qt3,3152.12.0–2.2signal
Fall / fracture5,7941.91.8–1.9raised
Hyperglycaemia / diabetes5,1361.81.8–1.9raised
Heart failure2,5571.71.7–1.8raised
Tendon disorder5441.71.6–1.9raised
Hypoglycaemia1,3621.71.6–1.8raised
Gi bleeding2,5691.71.6–1.8raised
Myocardial infarction2,7491.61.6–1.7raised
Serious infection10,0941.61.6–1.6raised
Anaemia3,8701.61.5–1.6raised
Anaphylaxis / angioedema1,4761.41.4–1.5raised
Stroke2,9181.41.4–1.5raised
Depression3,2701.41.4–1.5raised
Venous thromboembolism2,2111.21.2–1.3raised

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Losartan 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 (10 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)12,4732.0
1.9–2.0ROR 2.0 · calibrated p 0.959
1.9 EB05 1.9 · IC025 +0.9Labeled adverse reaction
exact term
age-adj. PRR 1.7 · serious PRR 1.9NCT00090259: 1/1,921 (0.1%) on Losartan (serious AE)
Diarrhoea (diarrhea)10,4482.0
1.9–2.0ROR 2.0 · calibrated p 0.965
2.0 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 (serious AE)
Nausea9,6921.5
1.5–1.5ROR 1.5 · calibrated p 0.653
1.5 EB05 1.5 · IC025 +0.5Labeled adverse reaction
exact term
age-adj. PRR 1.4 · serious PRR 1.6NCT00090259: 1/1,921 (0.1%) on Losartan (serious AE)
Drug ineffective (drug did not work)9,6350.9
0.9–0.9ROR 0.9 · calibrated p 0.228
0.9 EB05 0.9 · IC025 -0.2
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)8,8531.9
1.9–1.9ROR 2.0 · calibrated p 0.917
1.9 EB05 1.9 · IC025 +0.9Labeled adverse reaction
exact term
age-adj. PRR 1.6 · serious PRR 1.8NCT00090259: 2/1,921 (0.1%) on Losartan (serious AE)
Dizziness8,4242.1
2.0–2.1ROR 2.1 · calibrated p 0.995
2.0 EB05 2.0 · IC025 +1.0
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 1.7 · serious PRR 2.1NCT00090259: 7/1,921 (0.4%) on Losartan (serious AE)
Headache8,3311.6
1.6–1.6ROR 1.6 · calibrated p 0.735
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 (serious AE)
Pain7,6771.5
1.5–1.5ROR 1.5 · calibrated p 0.665
1.5 EB05 1.5 · IC025 +0.6Labeled adverse reaction
exact term
age-adj. PRR 1.7 · serious PRR 1.5NCT00090259: 2/1,921 (0.1%) on Losartan (serious AE)
Off label use (used outside approved label)7,6121.1
1.0–1.1ROR 1.1 · calibrated p 0.347
1.1 EB05 1.0 · IC025 +0.0Reporting / coding artifactage-adj. PRR 1.0 · serious PRR 1.0not reported in cached trials
Arthralgia (joint pain)6,6251.9
1.9–2.0ROR 2.0 · calibrated p 0.934
1.9 EB05 1.9 · IC025 +0.9Labeled adverse reaction
exact term
age-adj. PRR 1.8 · serious PRR 2.2NCT00090259: 3/1,921 (0.2%) on Losartan (serious AE)
Malaise (feeling unwell)6,1391.7
1.7–1.7ROR 1.7 · calibrated p 0.782
1.7 EB05 1.7 · IC025 +0.7Labeled adverse reaction
exact term
age-adj. PRR 1.6 · serious PRR 1.9NCT00090259: 1/1,921 (0.1%) on Losartan (serious AE)
Asthenia (weakness)6,0972.0
1.9–2.0ROR 2.0 · calibrated p 0.948
2.0 EB05 1.9 · IC025 +0.9Labeled adverse reaction
exact term
age-adj. PRR 1.5 · serious PRR 1.8NCT00090259: 1/1,921 (0.1%) on Losartan (serious AE)
Cough5,6852.5
2.4–2.5ROR 2.5 · calibrated p 0.799
2.5 EB05 2.4 · IC025 +1.3
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.0 · serious PRR 2.5NCT00090259: 1/1,913 (0.1%) on Losartan (serious AE)
Vomiting5,5021.4
1.4–1.5ROR 1.4 · calibrated p 0.599
1.4 EB05 1.4 · IC025 +0.5Labeled adverse reaction
exact term
age-adj. PRR 1.4 · serious PRR 1.4NCT00090259: 1/1,921 (0.1%) on Losartan (serious AE)
Fall5,4592.0
1.9–2.1ROR 2.0 · calibrated p 0.961
2.0 EB05 1.9 · IC025 +0.9Not in label — unassessedage-adj. PRR 1.4 · serious PRR 1.9NCT00090259: 12/1,921 (0.6%) on Losartan (serious AE)

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?

In FDA FAERS, the most frequently co-reported reaction terms for Losartan 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 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 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.