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Losartan/Hydrochlorothiazide and Potassium: what the research found

PubMed indexes 8 records that name Losartan/Hydrochlorothiazide and Potassium together, either in the title or in an interaction, co-administration, or pharmacokinetic context. The key findings come first, in the authors’ own words, followed by every study with its design and PubMed link.

A summary of published research, not medical advice. A pharmacist can check any combination against your full list of medicines and supplements.

Key findings

What the studies concluded.

Reviews and human studies first. Each quote is the authors’ own conclusion about their study, not a NutriStack assessment, and a single study is not a consensus.

“In conclusion, these novel results have demonstrated that CHIP diuretics reduce LVM 2-fold more than HCTZ among hypertensive patients. Although generally related to LVM, blood pressure fails to explain the superiority of CHIP diuretics for reducing LVM.”

Roush et al. · 2018 · Review or meta-analysis · details

“The current review summarizes all available PK parameters of torasemide that may be beneficial for avoiding drug-drug interactions in subjects with renal and hepatic dysfunction and for predicting doses in patients with different diseases.”

Sherazi et al. · 2024 · Review or meta-analysis · details

“In patients with HF with reduced ejection fraction intolerant to angiotensin-converting enzyme inhibitors and treated with either high- or low-dose losartan, incident hypokalemia had a stronger association with poor outcomes than incident hyperkalemia. High-dose losartan reduced the incidence of hypokalemia, and its benefits were maintained across the full spectrum of serum potassium.”

The research

8 studies naming Losartan/Hydrochlorothiazide and Potassium.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Hydrochlorothiazide vs chlorthalidone, indapamide, and potassium-sparing/hydrochlorothiazide diuretics for reducing left ventricular hypertrophy: A systematic review and meta-analysis.

Journal of clinical hypertension (Greenwich, Conn.) · 2018 · PMID 30251403

Comparative StudyMeta-AnalysisSystematic ReviewHuman subjects

“In conclusion, these novel results have demonstrated that CHIP diuretics reduce LVM 2-fold more than HCTZ among hypertensive patients. Although generally related to LVM, blood pressure fails to explain the superiority of CHIP diuretics for reducing LVM.”

Roush et al. · From the abstract

Names both Losartan/Hydrochlorothiazide and Potassium in its title.

High- Versus Low-dose Losartan and Serum Potassium: An Analysis From HEAAL.

Journal of cardiac failure · 2023 · PMID 36244652

Human subjects

“In patients with HF with reduced ejection fraction intolerant to angiotensin-converting enzyme inhibitors and treated with either high- or low-dose losartan, incident hypokalemia had a stronger association with poor outcomes than incident hyperkalemia. High-dose losartan reduced the incidence of hypokalemia, and its benefits were maintained across the full spectrum of serum potassium.”

Ferreira et al. · Authors' conclusion

Names both Losartan/Hydrochlorothiazide and Potassium in its title.

Hydrochlorothiazide/Losartan Potassium Tablet Prepared by Direct Compression.

Pharmaceutics · 2022 · PMID 36015367

“1 tablet and the Hyzaar® tablet in HCTZ, losartan carboxylic acid (E-3174), and LOS-K (F < F0.05). Thus, formulation and preparation factors were determined according to the combination of the compression and mechanical properties of the mixed powder and quality of tablets, which was demonstrated to be a feasible method in direct powder compression.”

Luo et al. · From the abstract

Names both Losartan/Hydrochlorothiazide and Potassium in its title.

Losartan potassium: a review of its pharmacology, clinical efficacy and tolerability in the management of hypertension.

Drugs · 1996 · PMID 8861549

ReviewHuman subjects

“Pending long term data as outlined above, it is likely to find initial use in patients with mild to severe hypertension who are unresponsive to, or intolerant of their current therapy. However, with its novel mechanism of action, good efficacy and favourable tolerability profile, losartan potassium is well placed to claim a prominent position in the management of patients with essential hypertension in the future.”

Goa et al. · From the abstract

Names both Losartan/Hydrochlorothiazide and Potassium in its title.

Clinical pharmacology of the angiotensin II receptor antagonist losartan potassium in healthy subjects.

Journal of hypertension. Supplement : official journal of the International Society of Hypertension · 1995 · PMID 18800452

ReviewHuman subjects

“These results suggest that losartan is an effective angiotensin II receptor antagonist in normal subjects. Its safety and clinical efficacy in hypertensive patients will be addressed in large clinical trials.”

Burnier et al. · Authors' conclusion

Names both Losartan/Hydrochlorothiazide and Potassium in its title.

A Systematic Critical Review of Clinical Pharmacokinetics of Torasemide.

Therapeutic drug monitoring · 2024 · PMID 38176856

Systematic ReviewHuman subjects

“The current review summarizes all available PK parameters of torasemide that may be beneficial for avoiding drug-drug interactions in subjects with renal and hepatic dysfunction and for predicting doses in patients with different diseases.”

Sherazi et al. · Authors' conclusion

Names Losartan/Hydrochlorothiazide and Potassium together in an interaction, co-administration, or pharmacokinetic context.

Single-Pill Low-Dose Triple Combination Therapy vs Standard-Dose Monotherapy in Patients With Mild-to-Moderate Hypertension.

Journal of the American College of Cardiology · 2026 · PMID 41670573

Randomized Controlled TrialMulticenter StudyClinical Trial, Phase IIIComparative Study

“Single-pill LDC-ALC achieved BP reductions similar to those with amlodipine and greater than those with losartan monotherapy over 8 weeks, with similar short-term tolerability. These findings support LDC-ALC as an effective and well tolerated alternative initial therapy for mild-to-moderate hypertension, expanding the set of validated strategies alongside established monotherapies.”

Sung et al. · Authors' conclusion

Names Losartan/Hydrochlorothiazide and Potassium together in an interaction, co-administration, or pharmacokinetic context.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

How to read this page

A literature summary, not guidance.

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Losartan/Hydrochlorothiazide, Potassium, and several hundred other substances.

Log your routine, get reminders at the times you choose, and scan a label to add a product. The checker is a research and organisation tool, not a clinical decision aid.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.