Losartan and Vitamin D3, a synergy.
Vitamin D directly suppresses renin biosynthesis, so vitamin D deficiency leaves the renin-angiotensin system over-activated. Correcting deficiency in losartan-treated patients may modestly improve blood pressure control and reduces upstream RAAS activation that ARBs are trying to counter. The combination is well tolerated.
One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.
From the interaction database
What the row says.
Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.
At a glance
- Substances
- Losartan and Vitamin D3
- Pair type
- Synergy
- Evidence (highest tier)
- Moderate
- Source citations
- 2 sources
- Stack Score effect
- +2 to your Stack Score (per scored synergy row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Synergy · Moderate evidence
Synergy
What is happening. Vitamin D directly suppresses renin biosynthesis, so vitamin D deficiency leaves the renin-angiotensin system over-activated. Correcting deficiency in losartan-treated patients may modestly improve blood pressure control and reduces upstream RAAS activation that ARBs are trying to counter. The combination is well tolerated.
Mechanism. 1,25-dihydroxyvitamin D binds the vitamin D receptor and downregulates renin gene transcription, reducing angiotensin II generation upstream of AT1 receptor blockade. Correcting deficiency complements the pharmacologic effect of losartan.
Recommendation. If your 25-hydroxyvitamin D level is below 30 ng/mL, supplementing 1000-2000 IU/day of Vitamin D3 is reasonable, with periodic level checks. Monitor home blood pressure after starting and tell your prescriber.
Sources (2)
- Li YC, Qiao G, Uskokovic M, Xiang W, Zheng W, Kong J. Vitamin D: a negative endocrine regulator of the renin-angiotensin system and blood pressure. J Steroid Biochem Mol Biol. 2004;89-90(1-5):387-92. PMID 15225806
- Vaidya A, Williams JS. The relationship between vitamin D and the renin-angiotensin system in the pathophysiology of hypertension, kidney disease, and diabetes. Metabolism. 2012;61(4):450-8. PMID 22075270
Stack Score
How this pair moves the number.
Effect on the composite score
If both Losartan and Vitamin D3 are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).
The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.
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