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Two medicines, side by side

Losartan vs furosemide

Losartan and furosemide are both labeled for high blood pressure. Drugs@FDA records approvals of losartan since 1995 and of furosemide since 1966. Pharmacies paid $0.0327 per losartan potassium 50 mg tablet and $0.490 per mL (Furosemide 20 mg/2 mL vial) (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, losartan is an angiotensin 2 receptor blocker and furosemide a loop diuretic.

Check it at the source: the losartan FDA label on DailyMed (effective January 20, 2026); the furosemide FDA label on DailyMed (effective September 30, 2025).

Highlights of the losartan record

Losartan (Cozaar) · label of January 20, 2026

Boxed warning

FETAL TOXICITY When pregnancy is detected, discontinue COZAAR as soon as possible. Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus [see Warnings and Precautions (5.1) ]. WARNING: FETAL TOXICITY See full prescribing information for complete boxed warning. When pregnancy is detected, discontinue COZAAR as soon as possible. Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus.

Used for

From the label: indications

COZAAR is an angiotensin II receptor blocker (ARB) indicated for: Treatment of hypertension, to lower blood pressure in adults and children greater than 6 years old. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. ( 1.1 ) Reduction of the risk of stroke in patients with hypertension and left ventricular hypertrophy. […]

On the market

Earliest approval on file
April 14, 1995
Generic labelers
43 labelers
Pharmacy cost
$0.0327 per tablet

Supply and safety

Shortage
No current entry
Recalls
77

Highlights of the furosemide record

Furosemide (Lasix) · label of September 30, 2025

Used for

From the label: indications

Edema LASIX is indicated in adults and pediatric patients for the treatment of edema associated with congestive heart failure, cirrhosis of the liver, and renal disease, including the nephrotic syndrome. LASIX is particularly useful when an agent with greater diuretic potential is desired. […]

On the market

Earliest approval on file
July 1, 1966
Generic labelers
52 labelers
Pharmacy cost
$0.490 per mL

Supply and safety

Shortage
In shortage
Recalls
8

Source: FDA drug labels via openFDA (Losartan label of January 20, 2026, Furosemide label of September 30, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do losartan and furosemide differ on the record?

In FDA's classes, losartan is an angiotensin 2 receptor blocker and furosemide a loop diuretic.

Half-life, in each label's words: Losartan, “The terminal half-life of losartan is about 2 hours and of the metabolite is about 6-9 hours.”; Furosemide, “The terminal half-life of furosemide is approximately 2 hours.”

Only the losartan label carries a boxed warning.

Generics: losartan since 2010; furosemide since 1985 (Drugs@FDA).

LosartanFurosemide
Labeled forHigh blood pressure, Chronic kidney disease, Stroke preventionHeart failure, High blood pressure, Edema (fluid retention)
Pharmacologic classAngiotensin 2 Receptor BlockerLoop Diuretic
How it works (label)Angiotensin II [formed from angiotensin I in a reaction catalyzed by angiotensin converting enzyme (ACE, kininase II)] is a potent vasoconstrictor, the primary vasoactive hormone of the renin-angiotensin system, and an important component …n/a
Half-life (label)The terminal half-life of losartan is about 2 hours and of the metabolite is about 6-9 hours.The terminal half-life of furosemide is approximately 2 hours.
Earliest approval on file (Drugs@FDA)April 14, 1995July 1, 1966
First generic approvedApril 6, 2010September 26, 1985
Generic labelers (NDC)43 labelers52 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0327 per tablet (Losartan potassium 50 mg tablet)$0.490 per mL (Furosemide 20 mg/2 mL vial)
12-month price change+2%+31%
Boxed warningYesNo
Shortage nowNo current entryIn shortage
Recalls recorded778
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)200,566398,354
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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