losartan metabolite

What it isCarboxylic acid metabolite of losartan, a more potent and insurmountable AT1 antagonist.
Why it mattersProvides most of losartan’s blood-pressure effect and its longer duration.
What it changesCYP2C9 poor metabolizers form less, explaining losartan’s poorer performance in this group; the parent alone is weak.
NO BOXED WARNINGS
Principal riskLittle in its own right; see the parent drug
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