Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C22H23ClN6O |
| Molecular Weight | 422.911 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CCCCC1=NC(Cl)=C(CO)N1CC2=CC=C(C=C2)C3=CC=CC=C3C4=NN=NN4
InChI
InChIKey=PSIFNNKUMBGKDQ-UHFFFAOYSA-N
InChI=1S/C22H23ClN6O/c1-2-3-8-20-24-21(23)19(14-30)29(20)13-15-9-11-16(12-10-15)17-6-4-5-7-18(17)22-25-27-28-26-22/h4-7,9-12,30H,2-3,8,13-14H2,1H3,(H,25,26,27,28)
| Molecular Formula | C22H23ClN6O |
| Molecular Weight | 422.911 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
DescriptionSources: https://www.drugs.com/monograph/cozaar.html
Sources: https://www.drugs.com/monograph/cozaar.html
Losartan is a selective, competitive angiotensin II receptor type 1 (AT1) antagonist. Losartant is recommended as one of several preferred agents for the initial management of hypertension. Administration of losartan reduces the risk of stroke in patients with hypertension and left ventricular hypertrophy. Losartan is indicated for the treatment of diabetic nephropathy with an elevated serum creatinine and proteinuria in patients with type 2 diabetes and a history of hypertension.
CNS Activity
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2094256 Sources: https://www.ncbi.nlm.nih.gov/pubmed/16610806 |
4.0 nM [Kd] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | COZAAR Approved UseAngiotensin II receptor antagonists are recommended as one of several preferred agents for the initial management of hypertension; other options include ACE inhibitors, calcium-channel blockers, and thiazide diuretics. While there may be individual differences with respect to specific outcomes, these antihypertensive drug classes all produce comparable effects on overall mortality and cardiovascular, cerebrovascular, and renal outcomes. Individualize choice of therapy; consider patient characteristics (e.g., age, ethnicity/race, comorbidities, cardiovascular risk) as well as drug-related factors (e.g., ease of administration, availability, adverse effects, cost). Launch Date1995 |
|||
| Preventing | COZAAR Approved UsePreliminary evidence suggests that aspirin therapy at baseline in patients receiving losartan may reduce the risk of combined cardiovascular death, stroke, and acute MI compared with aspirin therapy at baseline in patients receiving atenolol, but there is evidence that this benefit does not apply to Black patients. Launch Date1995 |
|||
| Primary | COZAAR Approved UseManagement of diabetic nephropathy manifested by elevated Scr and proteinuria (urinary albumin to creatinine ratio ≥300 mg/g) in patients with type 2 diabetes mellitus and hypertension. Launch Date1995 |
|||
| Primary | COZAAR Approved UseAngiotensin II receptor antagonists are considered a reasonable alternative for inhibition of the renin-angiotensin system in patients with heart failure and reduced left ventricular ejection fraction (LVEF) who are intolerant of ACE inhibitors; because of their established benefits, ACE inhibitors are preferred. Launch Date1995 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
224 ng/mL |
50 mg 1 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LOSARTAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
442 ng × h/mL |
50 mg 1 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LOSARTAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
2.1 h |
50 mg 1 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LOSARTAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1.3% |
50 mg 1 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LOSARTAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/10877007/ Page: 137.0 |
moderate [IC50 138 uM] | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/10877007/ Page: 137.0 |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/10877007/ Page: 137.0 |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/10877007/ Page: 137.0 |
slight | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/10877007/ Page: 137.0 |
weak [IC50 210 uM] | |||
| yes [IC50 1.5 uM] | ||||
| yes [IC50 1.6 uM] | ||||
| yes [IC50 12 uM] | ||||
| yes [IC50 18 uM] | ||||
Sources: https://pubmed.ncbi.nlm.nih.gov/10877007/ Page: 137.0 |
yes [IC50 524 uM] | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/10877007/ Page: 137.0 |
yes [IC50 81 uM] | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/20222053/ Page: 6.0 |
yes [IC50 >100 uM] | |||
| yes [Ki 24 uM] |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| minor | ||||
| minor | ||||
| minor | ||||
| minor | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
Sources: https://pubmed.ncbi.nlm.nih.gov/16029066/ Page: 2,8 |
yes | yes (co-administration study) Comment: coadministration with fluconazole (CYP2C9 inhibitor) increased AUC24 by 66%; coadministration with phenytoin (CYP2C9 inducer) increased AUC24 of drug by 17% and 29% in those with CYP2C9*1/*1 genotype; Sources: https://pubmed.ncbi.nlm.nih.gov/16029066/ Page: 2,8 |
||
Sources: https://pubmed.ncbi.nlm.nih.gov/16029066/ Page: 2.0 |
yes | yes (co-administration study) Comment: coadministration with ketoconazole or erythromycin (CYP3A4 inhibitors) had no effect on AUC24 of drug; coadministration with rifampin (CYP3A4 inducer) increased AUC24 of drug by 35%; Sources: https://pubmed.ncbi.nlm.nih.gov/16029066/ Page: 2.0 |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/10715269/ Page: 4.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Atypical angiotensin receptors may mediate water intake induced by central injections of angiotensin II and of serotonin in pigeons. | 2001-04-20 |
|
| The role of ANG II and endothelin-1 in exercise-induced diastolic dysfunction in heart failure. | 2001-04 |
|
| Angiotensin II stimulates cardiac L-type Ca(2+) current by a Ca(2+)- and protein kinase C-dependent mechanism. | 2001-04 |
|
| Tonic suppression of spontaneous baroreceptor reflex by endogenous angiotensins via AT(2) subtype receptors at nucleus reticularis ventrolateralis in the rat. | 2001-04 |
|
| The role of angiotensin receptor blockers in the management of chronic heart failure. | 2001-03-12 |
|
| Losartan reduces hematocrit in patients with chronic obstructive pulmonary disease and secondary erythrocytosis. | 2001-03-06 |
|
| Are angiotensin II receptor blockers more efficacious than placebo in heart failure? Implications of ELITE-2. Evaluation of Losartan In The Elderly. | 2001-03-01 |
|
| Effect of losartan on degree of mitral regurgitation quantified by echocardiography. | 2001-03-01 |
|
| Mannitol-induced toxicity in a diabetic patient receiving losartan. | 2001-03 |
|
| Restoration of normal ventricular electrophysiology in renovascular hypertensive rabbits after treatment with losartan. | 2001-03 |
|
| Effect of angiotensin II on venodilator response to nitroglycerin. | 2001-03 |
|
| MK-954 (losartan potassium) exerts endothelial protective effects against reperfusion injury: evidence of an e-NOS mRNA overexpression after global ischemia. | 2001-03 |
|
| Identification, distribution, and expression of angiotensin II receptors in the normal human prostate and benign prostatic hyperplasia. | 2001-03 |
|
| AT(1) receptor blockers prevent sympathetic hyperactivity and hypertension by chronic ouabain and hypertonic saline. | 2001-03 |
|
| Effect of oral contraceptives on the renin angiotensin system and renal function. | 2001-03 |
|
| Cerebral Na concentration, Na appetite and thirst of sheep: influence of somatostatin and losartan. | 2001-03 |
|
| Glucocorticoid modulation of cardiovascular and autonomic function in preterm lambs: role of ANG II. | 2001-03 |
|
| Acute administration of nicotine impairs the hypotensive responses to bradykinin in rats. | 2001-02-16 |
|
| Angiotensin II type 1 receptor blockers. | 2001-02-13 |
|
| Comparative effect of ace inhibition and angiotensin II type 1 receptor antagonism on bioavailability of nitric oxide in patients with coronary artery disease: role of superoxide dismutase. | 2001-02-13 |
|
| Angiotensin II blockade reverses myocardial fibrosis in a transgenic mouse model of human hypertrophic cardiomyopathy. | 2001-02-13 |
|
| [Well tolerated sartans. More normal blood pressure finally?]. | 2001-02-08 |
|
| [Treating not only blood pressure. Advantages for microcirculation]. | 2001-02-08 |
|
| Losartan and fetal toxic effects. | 2001-02-03 |
|
| A two-state receptor model for the interaction between angiotensin II type 1 receptors and non-peptide antagonists. | 2001-02-01 |
|
| Left ventricular hypertrophy and angiotensin II antagonists. | 2001-02 |
|
| Angiotensin II increases vesicular trafficking in brain neurons. | 2001-02 |
|
| Expression of cell cycle proteins in blood vessels of angiotensin II-infused rats: role of AT(1) receptors. | 2001-02 |
|
| Angiotensin II induces migration and Pyk2/paxillin phosphorylation of human monocytes. | 2001-02 |
|
| Role of endothelin and isoprostanes in slow pressor responses to angiotensin II. | 2001-02 |
|
| Angiotensin II relaxes microvessels via the AT(2) receptor and Ca(2+)-activated K(+) (BK(Ca)) channels. | 2001-02 |
|
| Mortality after coronary artery occlusion in different models of cardiac hypertrophy in rats. | 2001-02 |
|
| Role of angiotensin II in altered baroreflex function of conscious rabbits during late pregnancy. | 2001-02 |
|
| Modulation of alveolar-capillary sodium handling as a mechanism of protection of gas transfer by enalapril, and not by losartan, in chronic heart failure. | 2001-02 |
|
| Combined therapy with an angiotensin II receptor blocker and an angiotensin-converting enzyme inhibitor in heart failure. | 2001-02 |
|
| DNA damage of lymphocytes in experimental chronic renal failure: beneficial effects of losartan. | 2001-02 |
|
| Different effects of angiotensin II and catecholamine on renal cell apoptosis and proliferation in rats. | 2001-02 |
|
| Central interactions between angiotensin II and PGD(2) in the regulation of vasopressin and oxytocin secretion in dehydrated rats. | 2001-01-19 |
|
| Left ventricular hypertrophy with exercise and ACE gene insertion/deletion polymorphism: a randomized controlled trial with losartan. | 2001-01-16 |
|
| Angiotensin II inhibits rat arterial KATP channels by inhibiting steady-state protein kinase A activity and activating protein kinase Ce. | 2001-01-15 |
|
| Acute effects of E-3174, a human active metabolite of losartan, on the cardiovascular system in tachycardia-induced canine heart failure. | 2001-01 |
|
| Role of the central nervous system in the development of hypertension produced by chronic nitric oxide blockade in rats. | 2001-01 |
|
| Contribution of angiotensin II, endothelin 1 and the endothelium to the slow inotropic response to stretch in ferret papillary muscle. | 2001-01 |
|
| Functional expression of angiotensin II receptors in type-I cells of the rat carotid body. | 2001-01 |
|
| Losartan versus enalapril on cerebral edema and proteinuria in stroke-prone hypertensive rats. | 2001-01 |
|
| Relation of left ventricular geometry and function to systemic hemodynamics in hypertension: the LIFE Study. Losartan Intervention For Endpoint Reduction in Hypertension Study. | 2001-01 |
|
| New competition in the realm of renin-angiotensin axis inhibition; the angiotensin II receptor antagonists in congestive heart failure. | 2001-01 |
|
| Renal and vascular injury induced by exogenous angiotensin II is AT1 receptor-dependent. | 2001-01 |
|
| Effects of losartan on ventricular remodeling in experimental infarction in rats. | 2000-12 |
|
| [Acute kidney failure and losartan: a recently observed event of antagonists of angiotensin II AT1 receptors]. | 2000-09 |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/monograph/cozaar.html
For treatment of hypertension, Joint National Committee (JNC) 8 expert panel recommends initial dosage of 50 mg daily and target dosage of 100 mg daily (given in 1 dose or 2 divided doses) based on dosages used in randomized controlled studies.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/16610806
From 30 to 40 min after confirmation of endothelium removal, the test compounds were incubated at a concentration of 0.1 uM. After an incubation period of 20 or 60 min, aortic preparations were treated with AII, using 3-fold increasing concentrations from 0.1 nM to 1 uM. Kb for binding with angiotensin receptor was 4 nM with 20 min incubation, and 9 nM with 60 min incubation.
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 18:07:10 GMT 2025
by
admin
on
Mon Mar 31 18:07:10 GMT 2025
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| Record UNII |
JMS50MPO89
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| Record Status |
Validated (UNII)
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| Record Version |
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Common Name | English |
| Classification Tree | Code System | Code | ||
|---|---|---|---|---|
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NDF-RT |
N0000000070
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FDA ORPHAN DRUG |
357211
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LIVERTOX |
NBK547842
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NCI_THESAURUS |
C66930
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WHO-ATC |
C09DA01
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WHO-VATC |
QC09DA01
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NDF-RT |
N0000175561
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WHO-VATC |
QC09DB06
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WHO-ATC |
C09CA01
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FDA ORPHAN DRUG |
668618
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EU-Orphan Drug |
EU/3/19/2142
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WHO-VATC |
QC09CA01
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WHO-ATC |
C09DB06
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| Code System | Code | Type | Description | ||
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52175
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PRIMARY | RxNorm | ||
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JMS50MPO89
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PRIMARY | |||
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7043
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PRIMARY | |||
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6541
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PRIMARY | |||
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114798-26-4
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PRIMARY | |||
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1610
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PRIMARY | |||
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LOSARTAN
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DB00678
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PRIMARY | |||
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590
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PRIMARY | |||
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CHEMBL191
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SUB32953
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ALTERNATIVE | |||
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Losartan
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PRIMARY | |||
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SUB08593MIG
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PRIMARY | |||
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149504
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PRIMARY | |||
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JMS50MPO89
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PRIMARY | |||
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C66869
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PRIMARY | |||
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758699
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PRIMARY | |||
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DTXSID7023227
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6913
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100000082055
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m6911
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PRIMARY | Merck Index | ||
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D019808
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PRIMARY | |||
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3961
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PRIMARY |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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METABOLIC ENZYME -> SUBSTRATE | |||
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TRANSPORTER -> SUBSTRATE | |||
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METABOLIC ENZYME -> SUBSTRATE | |||
|
METABOLIC ENZYME -> INHIBITOR |
IC50
|
||
|
METABOLIC ENZYME -> INHIBITOR |
Liver concentrations were estimated to be about 50 micromolar. this indicates that Losartan might inhibit the AA metabolism in the liver.
IC50
|
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|
DERIVATIVE -> PARENT | |||
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SALT/SOLVATE -> PARENT |
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TRANSPORTER -> INHIBITOR | |||
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TRANSPORTER -> INHIBITOR | |||
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TRANSPORTER -> INHIBITOR | |||
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SALT/SOLVATE -> PARENT |
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TRANSPORTER -> INHIBITOR | |||
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BINDER->LIGAND |
BINDING
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TRANSPORTER -> INHIBITOR |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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METABOLITE -> PARENT | |||
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METABOLITE ACTIVE -> PARENT |
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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IMPURITY -> PARENT |
NMBA is a priority toxic pollutant. FDA is temporarily not objecting to Losartan with NMBA below 9.82 ppm remaining on the market.
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IMPURITY -> PARENT |
Acceptable intake level of NDEA in ppm.
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IMPURITY GENOTOXIC->PARENT |
NDMA is an organic chemical that is part of a family of potent carcinogens.
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |
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| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Volume of Distribution | PHARMACOKINETIC |
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| Biological Half-life | PHARMACOKINETIC |
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| Biological Half-life | PHARMACOKINETIC |
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Elimination PHARMACOKINETIC |
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