Selexipag

Chemical formula: C₂₆H₃₂N₄O₄S  Molecular mass: 496.63 g/mol  PubChem compound: 9913767

Therapeutic indications

Selexipag is indicated for:

Pulmonary arterial hypertension (PAH)

Population group: only adults (18 years old or older)

Uptravi is indicated for the long-term treatment of pulmonary arterial hypertension (PAH) in adult patients with WHO functional class (FC) II–III, either as combination therapy in patients insufficiently controlled with an endothelin receptor antagonist (ERA) and/or a phosphodiesterase type 5 (PDE-5) inhibitor, or as monotherapy in patients who are not candidates for these therapies.

Efficacy has been shown in a PAH population including idiopathic and heritable PAH, PAH associated with connective tissue disorders, and PAH associated with corrected simple congenital heart disease.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Contraindications

Selexipag is contraindicated in the following cases:

Coronary heart disease, unstable angina

at least one of
Coronary arteriosclerosis
Preinfarction syndrome

Myocardial infarction

at least one of
Myocardial infarction
Recent myocardial infarction

Decompensated cardiac failure

Decompensated cardiac failure

Arrhythmias

Arrhythmia

Cerebrovascular events

CVA - Cerebrovascular accident

Congenital or acquired valvular defects

Heart valve disorder

Strong inhibitors of CYP2C8

Strong CYP2C8 inhibitors

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Factors such as age, gender, and health history are evaluated to create a personalized medication regimen.

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