Sigma University, Bakrol, Vadodara -390019
An essential component in the treatment of hypertension and other cardiovascular diseases is the angiotensin II receptor blocker (ARB) losartan. The pharmacological characteristics, clinical uses, and methodological developments made to better understand and utilize losartan are all covered in detail in this review. The development of analytical methods, pharmacokinetic investigations, and creative research approaches that have advanced our comprehension of losartan are highlighted. According to short-term (up to 12 weeks) clinical trials, losartan is just as effective as approved dosages of captopril, atenolol, enalapril, felodipine, and nifedipine at lowering blood pressure (BP) in older people with hypertension (causes a decrease in BP ?26/20mm Hg). Losartan's effectiveness in treating patients with isolated systolic hypertension (ISH) was comparable to that of atenolol. The antihypertensive efficacy of captopril + hydrochlorothiazide is comparable to that of hydrochlorothiazide added to losartan treatment. Additionally, preliminary data suggests that losartan medication aids in the reduction of left ventricular hypertrophy linked to chronic. The incidence of treatment-related adverse events linked to once-daily losartan (either alone or in combination with hydrochlorothiazide) in elderly patients with hypertension ranged from 19 to 27%; this was comparable to that of felodipine (23%) and nifedipine (21%); on the other hand, losartan was generally better tolerated than captopril (11 vs 16%). Additionally, among individuals with ISH, losartan was more well tolerated (10.4 vs. 23%) than atenolol. Losartan's renal tolerability in heart failure patients was comparable to that of captopril, but losartan was linked to a decreased rate of withdrawal due to adverse events. Patients with mild to moderate renal failure or the elderly don't need to change their dosage, and there is little chance of first-dose
The idea of quality assurance was restricted to product inspection, which took place at the very end of the production process and resulted in the product's acceptance or rejection. The term "losartan potassium" refers to the (basic) potassium salt of the aromatized negatively charged tetrazole that is typically used in marketing. The molecule functions as a bio isostere by substituting an extended biphenyl group with a tetrazole for the carboxylic acid. The first medication from ABB to go on sale is losartan. It is connected to cardiovascular problems and utilized in the treatment of Hypertension.by specifically blocking the angiotensin receptor, losartan prevents vasoconstriction and the secretion of aldosterone, which lowers blood pressure and enhances cardiovascular health. In addition to controlling hypertension, it also has positive side effects on platelet aggregation, uric acid metabolism, diabetes, and atrial fibrillation, all of which help to prevent stroke in the patient. The measurement of Losartan potassium in pharmaceutical goods has been done using a variety of analytical techniques, including spectrophotometry, capillary electrophoresis, high performance thin layer chromatography, and capillary electrochromatography (CEC). Numerous analytical techniques for Losartan tablet quantification using HPLC are reported in the literature. All of the previously described approaches were laborious to analyse or used mobile phases that required buffer solution pH adjustments, which made them unsuitable for routine testing of quality control samples for dissolution studies.[1] Angiotensin converting enzyme (ACE) inhibitors were less clinically effective than angiotensin receptor blockers (ARBs) at reducing adverse events, according to current research. Losartan (LOS) and valsartan (VLS) are two of the ARBs that are most commonly used globally. Small resistance artery vasodilation is the goal of LOS and VLS, and thus attenuates the total peripheral resistance [2].
Table 1. Drug Profile of Losartan [12]
MECHANISM OF ACTION:
The way losartan functions is by preventing the effects of the hormone angiotensin II, which narrows blood vessels. Losartan lowers blood pressure, relaxes blood vessels, and lessens the strain on the heart by blocking the angiotensin II type 1 (AT1) receptor. It is efficient in controlling hypertension and safeguarding vital organs like the kidneys because of this process.
PHARMACOLOGICAL PROPERTIES [8]
Medication causes LVH in people with hypertension and LVH to regress while lowering systolic and diastolic blood pressure. Angiotensin II's actions are blocked by losartan, a selective, competitive, reversible angiotensin AT1 receptor antagonist. E3174, the active metabolite of losartan, is a noncompetitive, reversible antagonist of the AT1 receptor. In the context of stroke prevention, losartan is a reasonably priced substitute for atenolol and is well tolerated. It would be interesting to know how losartan and other antihypertensive medications compare in terms of clinical outcomes in hypertension patients.
THERAPEUTIC EFFICACY [9]
The relative effectiveness of losartan in relation to CV clinical outcomes in patients with hypertension has been examined in one investigation. In several patient groups in LIFE sub study analyses (i.e., patients with isolated systolic hypertension, patients with a history of atrial fibrillation, and patients without clinically evident vascular disease), the incidence of stroke was significantly lower in losartan recipients than in those receiving atenolol. Additionally, there was a lower incidence of CV mortality among losartan recipients. In a community-based research, patients with mild to moderate hypertension who received a systematic losartan-based regimen required less switching to alternative medicine than those who received conventional care. Losartan had a more favourable effect on quality of life than enalapril in elderly patients with hypertension. However, the drug had a similar effect on quality of life to nifedipine GITS, although the total number of adverse events reported with nifedipine GITS was greater than in losartan recipients.
Tolerability
The elderly individuals with hypertension who took losartan 50 or 100 mg either alone or in combination with low dose hydrochlorothiazide tolerated it well. Approximately 5 to 10% of patients had headache, asthenia, oedema, and upper respiratory tract infections, which were the most frequently reported side effects.
CLINICAL USES [16,17]
Hypertension:
The main reason losartan is administered is to treat high blood pressure. It works well to lower blood pressure and lower the risk of heart attack, stroke, and other hypertension-related problems.
Symptoms
Most people with high blood pressure have no symptoms, even if blood pressure readings reach dangerously high levels. You can have high blood pressure for years without any symptoms.
A few people with high blood pressure may have:
However, these symptoms aren't specific. They usually don't occur until high blood pressure has reached a severe or life-threatening stage.
Heart Failure:
Heart failure is treated with it, particularly in patients who are intolerant to angiotensin-converting enzyme (ACE) inhibitors.
Diabetic Nephropathy:
Patients with type 2 diabetes who have diabetic nephropathy (kidney disease) benefit from losartan treatment because it helps shield the kidneys from additional harm. Diabetes-related nephropathy is a progressive disease that affects your kidneys. Long-standing diabetes causes diabetes-related nephropathy. Symptoms don’t appear until later stages, but they include swelling, peeing more often, foamy pee, nausea and fatigue. Treatment includes managing your diabetes and blood pressure.
Stroke Prevention:
In individuals with hypertension and left ventricular hypertrophy (thickening of the left ventricle of the heart), the medication may be administered to lower the risk of stroke.
Benefits
Effectiveness Patients with heart failure or diabetic nephropathy benefit from losartan's effective blood pressure-lowering effects and improved prognosis.
Tolerability:
Compared to ACE inhibitors, it is generally well tolerated and has a decreased incidence of cough, which is a common side effect of ACE inhibitors. tolerability of a particular drug can be discussed in a general sense, or it can be a quantifiable measurement as part of a clinical study. Usually, it is measured by the rate of "dropouts", or patients that forfeit participation in a study due to extreme adverse effects. Tolerability, however, is often relative to the severity of the medical condition a drug is designed to treat. For instance, cancer patients may tolerate significant pain or discomfort during a chemotherapeutic study with the hope of prolonging survival or finding a cure, whereas patients experiencing a benign condition, such as a headache, are less likely to.
METHOD DEVELOPED
Mass spectrometry and liquid chromatography are combined in liquid chromatography-mass spectrometry, or LC-MS. Compounds are separated using HPLC, ionized, and then their mass-to-charge ratio is measured.[5]
High-Performance Liquid Chromatography (HPLC)
Under high pressure, chemicals are separated using High-Performance Liquid Chromatography (HPLC) based on how they interact with a stationary phase and a mobile phase. By examining their various affinities for the stationary phase, losartan and its metabolites are separated and quantified.[4]
CHROMATOGRAPHY [20]
1.Gas Chromatography (GC)
The field of forensic science makes substantial use of gas chromatography. GC is used in a wide range of disciplines, including paint chip analysis, toxicological cases, arson investigations, solid drug dose (pre-consumption form) identification and quantification, and more, to identify and quantify different biological specimens and evidence from crime scenes.
Fig 2. Gas chromatography
2. Thin-Layer Chromatography (TLC):
Under the influence of a solvent, Thin-Layer Chromatography (TLC) divides substances according to their various speeds of movement on a stationary phase, which is a thin layer of adsorbent material.[7].
It's employed in the cosmetics business and to determine whether a response is complete.
Disadvantages Of Thin Layer Chromatography:
Fig.3 thin layer chromatography
3. UV Spectroscopy [18]:
The measurement and analysis of electromagnetic radiation emitted or absorbed as molecules, atoms, or ions in a sample transition from one energy level to another is known as spectroscopy. UV spectroscopy is a kind of absorption spectroscopy in which the molecule absorbs light in the ultra-violet range (200–400 nm), which excites the electrons from their ground state to a higher energy state.
Principle of UV Spectroscopy
Advantages of UV-VIS Spectrophotometers
The accuracy of UV-VIS spectrometers is their greatest benefit to chemists and astronomers. When making chemical solutions or tracking the motion of celestial bodies, even tiny UV-VIS spectrometers can provide incredibly accurate measurements. The UV-VIS spectrometers are user-friendly. The majority of astronomical UV-VIS spectrometers are telescope-mounted. The majority of those used in chemistry are about the same size as electron microscopes and operate with similar fundamental knowledge. There is minimal possibility of a UV-VIS spectrometer being utilized incorrectly due to its ease of use.
Disadvantages of UV-VIS Spectrophotometers The primary drawback of utilizing a UV-VIS spectrometer is the amount of time required to get set up. The configuration of UV-VIS spectrometers is crucial. Any external light, electronic noise, or other impurities that can tamper with the spectrometer's reading must be removed from the region. UV-VIS spectrometers are easy to use and produce reliable findings if the area has been correctly set up beforehand. But, if the area isn't set up correctly, even a tiny amount of outside light or vibration from a tiny electronic gadget could skew the results of your UV-VIS spectrometer experiment.
LC-MS[14]
Liquid chromatography–mass spectrometry (LC–MS)
is a method of analytical chemistry that combines the mass analysis capabilities of mass spectrometry (MS) with the physical separation capabilities of liquid chromatography (or HPLC). Coupled chromatography-MS systems are popular in chemical analysis because the individual capabilities of each technique are enhanced synergistically. Mass spectrometry provides spectral information that may help to identify (or confirm the suspected identity of) each separated component, while liquid chromatography separates mixtures with multiple components.[1] MS is not only sensitive, but also provides selective detection, negating the need for complete chromatographic separation.
Advantages of LC-MS
Disadvantages of LC-MS
It only works with volatile buffers that are required to avoid fouling of the API interface2
LITERATURE REVIEW:
Table 2. UV And HPLC Method of Losartan:
Method was validated according to validation of analytical procedures provided in the ICH guidelines
Linearity & Range
The method's linearity was assessed by examining various drug concentrations. It is required to employ a minimum of five concentrations, as per ICH guidelines.
Accuracy and Precision
Using the usual addition approach, recovery tests were conducted to determine the accuracy of the method. After injecting each solution three times, the recovery % was determined. The intra- and inter-day variation was examined in order to evaluate the method's precision. The degree to which the mean test results produced by the developed analytical method closely resemble the actual value of the analyte is referred to as method accuracy. Replica analysis of processed plasma samples with known losartan concentrations was used to assess accuracy.
Limits of Detection (LOD) and Limit of Quantitation (LOQ)
To establish detection and quantification limits, the method based on the response's standard deviation and the slope of the calibration plots was applied in compliance with ICH guidelines.
Selectivity
By determining whether excipients found in pharmaceutical formulations affected the study, the method's selectivity was assessed.
Robustness
The ability of analytical methods to stay unaffected by slight but intentional variations in the operating environment is measured by their robustness.
Specificity
The resolution factor of the drug peak from the closest resolving peak was studied in order to determine the method's specificity towards the drug.
Sensitivity
The lowest concentrations of NDMA, NDEA, and NDIPA that could be found using this analytical technique were used to evaluate the LOD. By calculating the lowest concentration that could be measured with a reasonable level of accuracy and precision, the LOQ was investigated.
LITERATURE REVIEW
METHOD OF LOSARTAN
ADVANTAGES OF LOSARTAN
CONCLUSION [10]
Although it has a higher risk of dry cough, losartan on systemic blood pressure, renal function, and serum UA in individuals with chronic kidney disease. In-depth studies are necessary to assess how these drugs affect clinical results. losartan to be as effective as other antihypertensive agents in the treatment of elderly patients with hypertension. Treatment with losartan is therefore an option for first-line therapy in all patients with hypertension, particularly those who are not well managed with or who are intolerant of their current therapy. Morbidity and mortality data from the Losartan Heart Failure Survival (ELITE II) study show that losartan has potential in the treatment of heart failure.
REFERENCES
Drashti S. Solanki, Krishna Soni, Chainesh Shah, Umesh Upadhyay , Review Article On Analytical Method Development And Method Validation On UV And HPLC Of Drug Losartan, Int. J. of Pharm. Sci., 2024, Vol 2, Issue 9, 1565-1576. https://doi.org/10.5281/zenodo.13863030