
Arbli
Arbli (losartan) is used to treat high blood pressure in adults and children age 6 and older. It can also help lower the risk of stroke in people with high blood pressure and a thickened heart muscle (left ventricular hypertrophy). This medication can also treat kidney problems due to Type 2 diabetes. Arbli (losartan) is an angiotensin II receptor blocker (ARB). It comes as a ready‑to‑use oral suspension (liquid) you take by mouth once daily. Common side effects include upper respiratory infection, dizziness, and stuffy nose.
What is Arbli (losartan)?
What is Arbli (losartan) used for?
- High blood pressure
- Lower the risk of stroke in people with high blood pressure who have a thickened heart (left ventricular hypertrophy)
- Slow down the worsening of kidney problems in people with Type 2 diabetes and high blood pressure
How Arbli (losartan) works
Arbli (losartan) is an angiotensin II receptor blocker (ARB). It works by blocking a hormone in your body called angiotensin II. This hormone normally tightens your blood vessels, which can raise blood pressure.
By blocking angiotensin II, Arbli (losartan) relaxes blood vessels and helps lower blood pressure. This also helps reduce strain on the heart. In people with Type 2 diabetes and kidney problems, it can also help slow kidney damage.
Drug facts
| Common Brands | Arbli |
|---|---|
| Drug Class | ARB |
| Controlled Substance Classification | Not a controlled medication |
| Generic Status | No lower-cost generic available |
| Availability | Prescription only |
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Side effects of Arbli (losartan)
The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Common Side Effects
- Upper respiratory infection (8%)
- Dizziness (3%)
- Nasal congestion or stuffy nose (2%)
- Back pain (2%)
Less Common Side Effects
- Sleepiness
- Headache
- Chest pain
- Stomach pain
- Nausea or vomiting
- Constipation
- Muscle or joint pain
- Swelling in the hands or feet
Note: Side effects were reported by people taking Arbli (losartan) for high blood pressure.
Arbli (losartan) serious side effects
Contact your healthcare provider immediately if you experience any of the following.
- Dangerously low blood pressure: dizziness, lightheadedness, pale skin, feeling faint
- Serious kidney problems: urinating less often than usual; swelling in your feet, ankles, or hands; unexplained weight gain
- High potassium levels: nausea, muscle weakness, abnormal heartbeat
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The following Arbli (losartan) side effects have also been reported
Side effects that you should report to your care team as soon as possible:
- Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
- High potassium level—muscle weakness, fast or irregular heartbeat
- Kidney injury—decrease in the amount of urine, swelling of the ankles, hands, or feet
- Low blood pressure—dizziness, feeling faint or lightheaded, blurry vision
Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
- Back pain
- Dizziness
- Headache
- Runny or stuffy nose
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Pros and cons of Arbli (losartan)
Pros
- Ready‑to‑use liquid that's a good option if you can’t swallow tablets
- Taken once a day
- Proven benefits for lowering blood pressure and lowering the risk of stroke
- Can help protect the kidneys in people with Type 2 diabetes
Cons
- Can cause dizziness or low blood pressure when starting and with dose increases
- Can raise potassium levels and affect kidney function
- Not recommended in younger children or children with severe kidney problems
- Can cause birth defects if taken during pregnancy
Pharmacist tips for Arbli (losartan)
- You can take Arbli (losartan) with or without food. If the medication hurts your stomach, you can try taking it with food next time to see if that helps.
- Before each dose, shake the bottle of Arbli (losartan) well for 20 seconds. This helps mix the medication evenly so you get the right amount for each dose.
- Measure every dose of Arbli (losartan) carefully. Use an oral dosing syringe or dosing cup to get the exact amount that you're prescribed. Ask the pharmacy if you need extras. Don't use household spoons because they might be accurate and using them can make you take the wrong dose.
- Watch for dizziness when you start Arbli (losartan) or after your dose gets raised. Stand up slowly and sit or lie down if you feel lightheaded. This helps prevent falls from low blood pressure. If you feel dizzy often while taking this medication, let your care team know.
- Drink plenty of fluids, especially if you’ve vomited, had diarrhea, or sweated a lot. This helps prevent dehydration. This is important because being dehydrated while taking Arbli (losartan) can put you at risk of low blood pressure and kidney problems.
- Avoid potassium supplements and salt substitutes that have potassium while taking Arbli (losartan). This medication can raise your potassium levels. Taking extra potassium can be dangerous. Ask your care team before using these products.
- Be careful with NSAIDs, like ibuprofen (Advil), while taking Arbli (losartan). Taking NSAIDs often or at high doses can strain your kidneys. They can also reduce how well Arbli (losartan) works. Ask a healthcare professional about safer pain options if needed.
- Tell your care team about all the medications you take or plan to take. Arbli (losartan) can interact with lithium and other medications. These interactions can raise the risk of side effects. Your care team can check that your medications are safe to take together and make changes if needed to keep you safe.
- If you can become pregnant or are planning to be: Talk to your prescriber if Arbli (losartan) is right for you. This medication can harm an unborn baby. If you become pregnant, stop Arbli (losartan) and call your prescriber right away.
- If you’re breastfeeding: Talk to your prescriber about the safest way to feed your baby. Breastfeeding isn't recommended while you're taking Arbli (losartan) and for 2 days after your last dose. It's not clear if the medication can pass into breast milk, but it could harm your baby if it does.
- Store Arbli (losartan) at room temperature (68°F to 77°F) in the original bottle to protect it from light. Use the liquid within 60 days after opening the bottle. After this time, throw it away and get a refill from the pharmacy.
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Risks and warnings for Arbli (losartan)
Arbli (losartan) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Harm to an unborn baby
- Risk factors: Currently pregnant | Planning pregnancy
Arbli (losartan) can cause severe harm or death to an unborn baby if taken during the second and third trimesters of pregnancy. It can affect how the baby's kidneys grow and work. It can also lower the amount of amniotic fluid around the baby, which can lead to other birth defects. These effects can be life-threatening.
If you become pregnant, stop taking Arbli (losartan) and tell your care team right away. Talk to your primary care provider or prescriber about safer medications for high blood pressure during pregnancy.
Low blood pressure
- Risk factors: Not enough fluid in your body | A lot of diarrhea or vomiting | Low salt levels in your body | Taking higher doses of diuretic mediations
Arbli (losartan) can make your blood pressure drop too much. This can make you feel dizzy, tired, or lightheaded. It's more likely to happen when you first start Arbli (losartan) or when your dose gets raised. This can also happen if you become dehydrated, such as from having too much diarrhea or vomiting too much.
Make sure to stay well-hydrated. Sit down if you feel dizzy. And when you're ready to stand back up, hold onto something sturdy to keep your balance.
Let your care team know if you feel dizzy, lightheaded, faint, tired, or confused often while you're taking Arbli (losartan). Get medical help right away if you fall and hit your head.
Kidney damage
- Risk factors: Severe heart failure | Kidney problems | Not enough fluid in your body (dehydration) | Taking other medications that can cause kidney damage
Arbli (losartan) can help protect the kidneys in people with diabetes. But it can also reduce kidney blood flow in some people. This might lead to kidney damage. The risk might be higher in people with severe heart failure or certain kidney problems. It can also be higher for those who take medications that can worsen kidney function, like nonsteroidal anti-inflammatory drugs (NSAIDs).
If you have a risk of kidney problems from Arbli (losartan), your care team might order blood tests during treatment. These tests help make sure your kidneys are healthy and are working properly. If your kidney function gets worse, your prescriber might tell you to stop the medication.
Tell your primary care provider or prescriber if you're urinating less than usual or notice unusual swelling in your body. These could be signs that your kidneys aren't working as well.
High potassium levels
- Risk factors: Taking other medications that can raise potassium levels
ARBs like Arbli (losartan) can raise the potassium levels in your blood. Your risk is higher if you also take other medications that can raise potassium. These can include spironolactone (Aldactone) or eplerenone (Inspra).
Your care team might check your potassium levels with blood tests during treatment. If your levels are too high, your prescriber might lower your Arbli (losartan) dose or stop the medication.
To lower your risk, avoid extra potassium in supplements or salt substitutes. Tell your care team right away if you have nausea, muscle weakness, or an abnormal heartbeat. These can be signs of high potassium levels. You'll probably need your potassium levels checked.
Arbli (losartan) dosage
| Dosage | Quantity | Price as low as | Price per unit |
|---|---|---|---|
| 165ml of 10mg/mL | 165 bottles | $608.81 | $3.69 |
Typical dosage for Arbli (losartan)
-
Adults: The typical starting dose is 50 mg by mouth once a day. Your prescriber might raise the dose to 100 mg once a day if needed to control your blood pressure better.
-
Children 6 to 16 years old (for treatment of high blood pressure only): The prescriber will calculate the dose based on your child's body weight. The typical starting dose is 0.7 mg/kg of body weight by mouth once a day, up to 50 mg total. The prescriber will adjust the dose based on your child's blood pressure. Doses above 1.4 mg/kg or 100 mg per day hasn't been studied.
Your dose might differ if you're at risk of low blood pressure or if you have liver problems.
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How much does Arbli (losartan) cost?
$608.81
Arbli (losartan) contraindications
Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Arbli (losartan) will not be safe for you to take.
- Allergy to losartan (Cozaar)
- Take at the same time as aliskiren (Tekturna) in people with diabetes (high blood sugar)
What are alternatives to Arbli (losartan)?
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