bpcure-h tablet - Losartan (50mg) + Hydrochlorothiazide (12.5mg) medicine

Angizaar-H Tablet: Complete Guide to Uses, Side Effects, and Safety

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🏭 HBC Lifesciences Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
⚠️ Nephrotoxicity Risk 🤰 Pregnancy Category Not established from the available information. However, this medicine is contraindicated in pregnancy, especially in the second and third trimesters, due to risk of fetal harm. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for hypertension management.
Reviewed by
SaathiMed Expert Panel | Oct 22, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Swelling of face, lips, throat, or tongue
  • Difficulty breathing or swallowing
  • Severe dizziness or fainting
  • Decreased urine output or swelling in legs
  • Irregular heartbeat or palpitations
  • Severe abdominal pain
  • Yellowing of skin or eyes

If experiencing severe symptoms, call emergency services immediately.

What is bpcure-h tablet used for?

This medicine is a combination of Losartan and Hydrochlorothiazide used to treat high blood pressure. It works by relaxing blood vessels and removing excess fluid from the body.

  • Generic Name: Losartan + Hydrochlorothiazide
  • Manufacturer: HBC Lifesciences Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 bpcure-h tablet के बारे में (Hindi Summary)

उपयोग: यह दवा उच्च रक्तचाप (हाइपरटेंशन) के इलाज के लिए इस्तेमाल की जाती है। इसमें लोसार्टन और हाइड्रोक्लोरोथियाजाइड दो सक्रिय तत्व होते हैं जो रक्त वाहिकाओं को आराम देकर और शरीर से अतिरिक्त नमक और पानी निकालकर रक्तचाप को कम करते हैं। यह दवा उन रोगियों के लिए है जिनका रक्तचाप अकेले एक दवा से नियंत्रित नहीं होता। यह स्ट्रोक, दिल के दौरे और गुर्दे की समस्याओं का खतरा कम करने में मदद करती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में चक्कर आना, सिरदर्द, थकान, और कम रक्तचाप शामिल हैं। कुछ रोगियों को पेशाब में वृद्धि, प्यास, या इलेक्ट्रोलाइट असंतुलन (जैसे पोटेशियम या सोडियम की कमी) हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें एलर्जी प्रतिक्रिया (चेहरे, होंठ, गले में सूजन), गुर्दे की समस्या, और गंभीर इलेक्ट्रोलाइट असंतुलन शामिल हैं। यदि आपको लगातार चक्कर आना, मांसपेशियों में कमजोरी, या अनियमित दिल की धड़कन महसूस हो तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। बिना सलाह के दवा बंद या मात्रा न बदलें। नियमित रूप से अपना रक्तचाप जांचें और रिकॉर्ड रखें। पर्याप्त पानी पिएं, खासकर गर्म मौसम या व्यायाम के दौरान। शराब से बचें क्योंकि इससे रक्तचाप और कम हो सकता है। यदि आपको गुर्दे या लीवर की बीमारी, मधुमेह, या गाउट है तो डॉक्टर को बताएं। पोटेशियम सप्लीमेंट या नमक के विकल्प बिना डॉक्टर की सलाह के न लें। यदि आप गर्भवती हैं तो यह दवा तुरंत बंद करें और डॉक्टर से मिलें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 bpcure-h tablet Uses & Benefits

  • [{"condition":"Hypertension","description":"This medicine is used to lower high blood pressure in adults when monotherapy is insufficient.
  • It reduces both systolic and diastolic blood pressure.","evidence":"Well-established"},{"condition":"Hypertensive patients with left ventricular hypertrophy","description":"Losartan component may help reduce cardiovascular risk and regression of left ventricular hypertrophy.","evidence":"Established"},{"condition":"Diabetic nephropathy","description":"Losartan is known to slow the progression of kidney disease in patients with type 2 diabetes and hypertension.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Heart failure with reduced ejection fraction","description":"Sometimes used off-label as part of heart failure management when ACE inhibitors are not tolerated.","evidence":"Limited"},{"condition":"Post-myocardial infarction","description":"May be used off-label to reduce cardiovascular events after a heart attack.","evidence":"Limited"}]

Primary treatment for: Hypertension

Also treats: Diabetic nephropathy, Left ventricular hypertrophy, Heart failure (off-label)

📋 Drug Information

Generic Name(s)Losartan + Hydrochlorothiazide
Brand NameAngizaar-H Tablet
ManufacturerHBC Lifesciences Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassCARDIAC
Action ClassAngiotensin II Receptor Blocker + Thiazide Diuretic
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at the same time each day to maintain consistent blood pressure control.
2
Monitor your blood pressure regularly and keep a log to share with your doctor.
3
Stay well hydrated, especially if you experience increased urination.
4
Avoid alcohol as it can enhance the blood pressure-lowering effect and cause dizziness.
5
Do not use potassium supplements or salt substitutes without consulting your doctor.
6
Report any swelling of face, lips, or throat immediately.
7
If you become pregnant, stop this medicine and contact your doctor right away.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
High blood pressure
This medicine is commonly prescribed for this.
Likely Use
✅
Swelling in legs (edema)
May be used if edema is related to hypertension or heart failure.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionLosartan is well absorbed orally, with a bioavailability of approximately 33%. Hydrochlorothiazide is absorbed from the gastrointestinal tract, with a bioavailability of about 65-75%.
DistributionLosartan is highly protein-bound (about 98.7%) and has a volume of distribution of about 34 liters. Hydrochlorothiazide is distributed in extracellular fluid and has a volume of distribution of about 3-4 L/kg.
Protein BindingLosartan: ~98.7%; Hydrochlorothiazide: ~40-68%
MetabolismLosartan undergoes extensive first-pass metabolism in the liver, primarily by CYP2C9 and CYP3A4, to form an active metabolite (E-3174) which is 10-40 times more potent. Hydrochlorothiazide is not metabolized and is excreted unchanged.
Half-LifeLosartan: 1.5-2 hours; Active metabolite: 6-9 hours; Hydrochlorothiazide: 5.6-14.8 hours
ExcretionLosartan and its metabolites are excreted primarily in feces (about 60%) and urine (about 35%). Hydrochlorothiazide is excreted unchanged in urine (about 95%).
BioavailabilityLosartan: ~33%; Hydrochlorothiazide: ~65-75%
Onset of ActionAntihypertensive effect begins within 1-2 hours after oral administration, with maximal effect within 3-6 hours.
Peak Plasma TimeLosartan: 1-2 hours; Hydrochlorothiazide: 1-2.5 hours
Duration of ActionBlood pressure reduction lasts for approximately 24 hours, allowing once-daily dosing.

How It Works

This medicine combines two antihypertensive agents with complementary mechanisms. Losartan selectively blocks the angiotensin II type 1 (AT1) receptor, preventing angiotensin II from causing vasoconstriction and aldosterone release, which lowers blood pressure and reduces sodium retention. Hydrochlorothiazide inhibits the sodium-chloride symporter in the distal convoluted tubule of the kidney, increasing excretion of sodium, chloride, and water, thereby reducing plasma volume and cardiac output initially, and later reducing peripheral vascular resistance.

Mechanism Steps

1
Losartan blocks AT1 receptors: Losartan binds to and blocks angiotensin II type 1 receptors in vascular smooth muscle and adrenal cortex, preventing vasoconstriction and aldosterone release.
2
Reduced aldosterone secretion: Decreased aldosterone leads to reduced sodium and water reabsorption in the kidneys, lowering blood volume and pressure.
3
Hydrochlorothiazide inhibits sodium-chloride symporter: In the distal convoluted tubule, hydrochlorothiazide blocks the sodium-chloride symporter, increasing excretion of sodium, chloride, and water.
4
Diuresis and reduced plasma volume: Increased urine output reduces plasma volume and cardiac output initially, contributing to blood pressure reduction.
5
Long-term reduction in peripheral resistance: Over time, the combination leads to decreased peripheral vascular resistance, maintaining lower blood pressure.

💡 How to Take bpcure-h tablet

Strength: Tablet containing Losartan 50 mg and Hydrochlorothiazide 12.5 mg.

1Take this medicine orally with a glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take it at the same time each day, preferably in the morning.
4You may take it with or without food.
5If it causes stomach upset, take it with a light meal.
6Do not stop taking this medicine without consulting your doctor.

Dosage Information

Adult DosageThe usual adult dose is one tablet (Losartan 50 mg + Hydrochlorothiazide 12.5 mg) taken orally once daily, with or without food. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and blood pressure response. Some patients may require a higher dose (Losartan 100 mg + Hydrochlorothiazide 25 mg) as prescribed by the doctor.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the blood pressure-lowering effects. Start with a lower dose and monitor closely. Dose must be individualized by a qualified clinician.
Renal ImpairmentIn patients with mild to moderate renal impairment, no dose adjustment is usually needed. In severe renal impairment (creatinine clearance <30 mL/min), this medicine is contraindicated. Dose must be individualized by a qualified clinician.
Hepatic ImpairmentIn patients with mild to moderate hepatic impairment, no dose adjustment is usually needed. In severe hepatic impairment, this medicine is contraindicated. Dose must be individualized by a qualified clinician.
Maximum Daily DoseThe maximum recommended daily dose is Losartan 100 mg + Hydrochlorothiazide 25 mg once daily.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With or without food
Take at the same time daily
Food does not significantly affect absorption.
High-sodium foods
Limit intake
Sodium can counteract blood pressure-lowering effect.
Alcohol
Avoid
May enhance hypotensive effect and cause dizziness.

⏰ What to Do If You Miss a Dose

📌 Less than 12 hours have passed since the missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 12 hours have passed since the missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of bpcure-h tablet

✅ Common Side Effects

Dizziness (Common (5-10%))
Rise slowly from sitting or lying position. Avoid driving if dizzy. Consult doctor if persistent.
Headache (Common (5-10%))
Usually resolves on its own. Stay hydrated. Consult doctor if severe or persistent.
Fatigue (Common (5-10%))
Ensure adequate rest. If fatigue interferes with daily activities, consult your doctor.
Increased urination (Common (5-10%))
Take the medicine in the morning to avoid nighttime urination. Stay hydrated.
Hypotension (Common (5-10%))
Monitor blood pressure. If symptomatic (dizziness, fainting), contact your doctor.

🚨 Serious Side Effects

Angioedema (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of face, lips, throat, or tongue, or difficulty breathing.
Severe hypotension (Rare (<0.1%))
If you feel faint or have very low blood pressure readings, contact emergency services.
Acute kidney injury (Rare (<0.1%))
Report decreased urine output, swelling in legs, or fatigue to your doctor immediately.
Severe electrolyte imbalance (Rare (<0.1%))
Seek medical attention if you experience muscle cramps, weakness, irregular heartbeat, or confusion.

⚠️ Rare Side Effects

Pancreatitis
Seek immediate medical attention if you have severe abdominal pain radiating to the back.
Cholestatic jaundice
Report yellowing of skin or eyes, dark urine, or pale stools to your doctor immediately.
Agranulocytosis
Report sudden fever, sore throat, or unusual infections to your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Potassium supplements Major
Lithium Major
NSAIDs Major
Corticosteroids Moderate
Oral hypoglycemics Moderate
Cholestyramine Moderate
Antacids Minor
Digoxin Minor

🚨 Major Interactions

  • Potassium supplements or potassium-sparing diuretics
  • Lithium
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)

⚡ Moderate Interactions

  • Corticosteroids
  • Oral hypoglycemics
  • Cholestyramine

🍷 Alcohol Interaction

Alcohol may potentiate the blood pressure-lowering effects of this medicine, leading to dizziness, fainting, or orthostatic hypotension. It is advisable to avoid or limit alcohol consumption while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Pregnancy (second and third trimesters)","Anuria","Hypersensitivity to losartan, hydrochlorothiazide, or sulfonamide-derived drugs","Severe renal impairment (creatinine clearance

⚠️ Warnings & Precautions

["May cause symptomatic hypotension, especially in volume-depleted patients.","Monitor renal function and electrolytes periodically.","Avoid in patients with a history of angioedema related to ARBs.","May exacerbate gout or hyperuricemia.","Can cause photosensitivity; advise sun protection.","May impair glucose tolerance; monitor diabetic patients.","Not recommended during breastfeeding."]

🤱 Lactation Safety

Not established from the available information. Hydrochlorothiazide is excreted in breast milk and may suppress lactation. Losartan is not recommended during breastfeeding. Consult your doctor before breastfeeding.

💊 Overdose Management

Overdose may cause severe hypotension, electrolyte imbalances, and dehydration. Treatment is supportive and symptomatic. If overdose is suspected, contact emergency services immediately. Induce vomiting if recent ingestion and patient is conscious. Monitor vital signs and electrolytes closely.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not stop or change the dose without medical advice. Monitor your blood pressure regularly and keep a record. Stay adequately hydrated, especially during hot weather or exercise. Avoid alcohol as it may intensify blood pressure-lowering effects. Inform your doctor if you have kidney or liver disease, diabetes, or gout. Do not use potassium supplements or salt substitutes containing potassium without consulting your doctor. If you become pregnant, stop this medicine immediately and contact your doctor.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the blood pressure-lowering effects and electrolyte imbalances. Start with a lower dose and monitor closely. Regular monitoring of kidney function and electrolytes is recommended.

🤰 Pregnancy Planning (TTC)

This medicine is contraindicated during pregnancy. If you are planning pregnancy, consult your doctor to switch to a safer alternative before conception. Use effective contraception while taking this medicine.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine. It may need to be temporarily stopped before surgery to avoid hypotension during the procedure. Follow your doctor's instructions.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine. It may cause dry mouth or increase bleeding risk during dental procedures. Your dentist may take precautions.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to help control blood pressure.
🥗
Engage in regular physical activity like walking, swimming, or cycling.
😴
Reduce salt intake to less than 5 grams per day.
💧
Eat a balanced diet rich in fruits, vegetables, and whole grains.
🧘
Limit alcohol and avoid smoking.
🌞
Manage stress through relaxation techniques like yoga or meditation.
🚭
Get adequate sleep (7-8 hours per night).

🏋️ Exercise Considerations

Moderate exercise is generally safe, but avoid strenuous activities initially as they may cause dizziness due to lowered blood pressure. Stay hydrated during exercise. If you experience dizziness, shortness of breath, or chest pain, stop and consult your doctor.

🥗 Diet Recommendations

Follow a DASH diet (rich in fruits, vegetables, and low-fat dairy).
Limit sodium intake to less than 5 grams per day.
Include potassium-rich foods like bananas, oranges, and spinach (unless advised otherwise).
Avoid processed and fried foods.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue, especially when you first start taking it. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their normal work routine after adjusting to the medication.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience serious side effects like angioedema, severe hypotension, or kidney problems, seek immediate medical advice. Your doctor may adjust the dose or switch to another medicine.

📅 Long-Term Use Effects

Long-term use of this medicine may require regular monitoring of kidney function, electrolytes, and blood pressure. It can effectively control hypertension and reduce cardiovascular risk. However, prolonged use may lead to electrolyte imbalances, increased uric acid levels, and reduced glucose tolerance. Periodic blood tests are recommended to detect any abnormalities early.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Diet, exercise, and stress reduction can help lower blood pressure and complement medicine.

Evidence: Well-established
Other antihypertensive classes

ACE inhibitors, calcium channel blockers, or beta-blockers may be alternatives if this medicine is not suitable.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. However, consult your doctor before receiving any live vaccines while on this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or moisture. If traveling across time zones, consult your doctor about adjusting the timing. Carry enough supply for the entire trip plus extra in case of delays. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 55-year-old man with hypertension not controlled on monotherapy
He was prescribed this medicine once daily. After 4 weeks, his blood pressure normalized. He experienced mild dizziness initially, which subsided. He emphasized taking it in the morning to avoid nighttime urination.
💡 Lesson: Combination therapy can effectively control blood pressure when monotherapy fails. Taking the medicine in the morning helps manage diuretic effect.
👤 A 62-year-old woman with diabetes and hypertension
She was started on this medicine to protect her kidneys. Over 6 months, her blood pressure remained stable and kidney function improved. She monitored her blood sugar and electrolytes regularly.
💡 Lesson: This medicine can be beneficial for diabetic patients with hypertension, but regular monitoring of kidney function and electrolytes is essential.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts lowering blood pressure within 1-2 hours, but full effect may take 2-4 weeks of regular use.

Q: Can I take this medicine at night?

A: It is usually taken in the morning to avoid nighttime urination. However, your doctor may advise based on your condition.

Q: What should I do if I miss a dose?

A: If you remember within 12 hours, take it. Otherwise, skip the missed dose and continue with your regular schedule. Do not double dose.

Q: Is it safe to take during pregnancy?

A: No, this medicine is contraindicated during pregnancy as it can harm the fetus. Consult your doctor immediately if you become pregnant.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my diabetes medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for bpcure-h tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure high blood pressure permanently.
    Fact: This medicine controls blood pressure but does not cure hypertension. Lifestyle changes and continued medication are often needed.
  • Myth: You can stop taking this medicine once your blood pressure is normal.
    Fact: Stopping suddenly can cause a rebound increase in blood pressure. Always consult your doctor before stopping.
  • Myth: This medicine is safe to take during pregnancy.
    Fact: This medicine is contraindicated during pregnancy as it can harm the fetus.

🔄 Alternative Options

Generic Alternatives

  • Losartan + Hydrochlorothiazide generic tablets

Brand Alternatives

  • Angizaar-H Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Losartan + Hydrochlorothiazide","class":"ARB + Thiazide diuretic","usual_dose":"50/12.5 mg once daily","notes":"This medicine"},{"medicine":"Telmisartan + Hydrochlorothiazide","class":"ARB + Thiazide diuretic","usual_dose":"40/12.5 mg once daily","notes":"Longer duration of action"},{"medicine":"Valsartan + Hydrochlorothiazide","class":"ARB + Thiazide diuretic","usual_dose":"80/12.5 mg once daily","notes":"Similar efficacy"}]

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