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See section 5. Should exposure to Losartan have occurred from the second trimester of pregnancy, ultrasound check of renal function and skull is recommended. Infants whose mothers have taken losartan should be closely observed for hypotension see section 4. System organ class Adverse reaction Frequency Nervous system disorders dizziness, common somnolence, headache, sleep disorders uncommon Cardiac disorder palpitations, angina pectoris uncommon Vascular disorders symptomatic hypotension especially in patients with intravascular volume depletion, e. In a controlled clinical trial in type 2 diabetic patients 31 years of age and older, with proteinuria RENAAL study, see section 5. As a consequence of inhibiting the renin-angiotensin-aldosterone system, changes in renal function including renal failure have been reported in patients at risk; these changes in renal function may be reversible upon discontinuation of therapy see section 4.

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