macitentan

Generic Name: macitentan (MA si TEN tan)
Brand Name: Opsumit

What is macitentan?

Macitentan lowers blood pressure in your lungs, helping your heart pump blood more efficiently.

Macitentan is used to treat pulmonary arterial hypertension (PAH). It improves your ability to exercise and prevents your condition from getting worse.

Macitentan is available to women only under a special program from a certified pharmacy. You must be registered in the program and understand the risks and benefits of taking this medication.

Macitentan may also be used for purposes not listed in this medication guide.

What is the most important information I should know about macitentan?

Do not use macitentan if you are pregnant. Tell your doctor right away if you miss a menstrual period or think you may have become pregnant during treatment. You must use highly effective birth control methods to prevent pregnancy while you are using this medication and for at least 30 days after your treatment ends.

Slideshow: Flashback: FDA Drug Approvals 2013

You will need to have a negative pregnancy test before you start taking macitentan. You will also be re-tested every month during your treatment, and 1 month after you stop taking this medicine.

Macitentan is available to women only under a special program from a certified pharmacy.

What should I discuss with my healthcare provider before taking macitentan?

You should not use macitentan if you are allergic to it, or if you are pregnant or might become pregnant during treatment.

To make sure macitentan is safe for you, tell your doctor if you have:

  • liver disease; or

  • anemia (low red blood cells).

FDA pregnancy category X. This medication can harm an unborn baby or cause birth defects. Do not use macitentan if you are pregnant. Tell your doctor right away if you miss a menstrual period or think you may have become pregnant during treatment.

You will need to have a negative pregnancy test before starting this treatment. You will be re-tested every month during your treatment, and 1 month after you stop taking this medicine.

Even if you are not planning a pregnancy, you are considered able to become pregnant if:

  • you have entered puberty (even if you have not yet started having periods);

  • you have never had a hysterectomy or had your ovaries removed; or

  • you have not gone through menopause (you have never gone 12 months in a row without a menstrual period).

While taking macitentan you must use a highly effective form of birth control, or two methods together.

  • A tubal ligation alone is an effective birth control method.

  • An intrauterine device (IUD) or birth control implant alone are also effective birth control methods.

  • If you use birth control pills, injections, skin patches, or vaginal rings, you must use a back-up barrier form of birth control, such as a condom or diaphragm or cervical cap. Always use a spermicide gel or insert together with a barrier form of birth control.

  • If you use only a barrier method, you must use a second barrier method as a back-up. For example, use a diaphragm or cervical cap in addition to a condom, plus a spermicide gel or insert.

  • If your sexual partner has had a vasectomy, you must still use a second method of birth control--either a barrier method or a hormonal form (birth control pills, injections, skin patch, or vaginal ring).

Macitentan comes with patient instructions about acceptable forms of birth control to use while taking this medicine. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

If you are the parent or caregiver of a female child taking this medication, talk to the child's doctor once you notice any signs of puberty (breast development or pubic hair), even if menstrual periods have not yet begun.

This medication can decrease sperm count and may affect fertility in men (your ability to have children).

It is not known whether macitentan passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine.

How should I take macitentan?

Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

You may take macitentan with or without food.

Do not crush, chew, or break a macitentan tablet. Swallow it whole.

While using macitentan, you may need frequent blood tests.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking macitentan?

Do not have unprotected sex while taking macitentan. You must use birth control to prevent pregnancy during treatment and for at least 30 days after you stop taking this medicine.

Macitentan side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using macitentan and call your doctor at once if you have:

  • pain or burning when you urinate;

  • liver problems--nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or

  • new lung problems--anxiety, sweating, pale skin, severe shortness of breath, wheezing, gasping for breath, cough with foamy mucus, chest pain, fast or uneven heart rate.

Common side effects may include:

  • stuffy nose, sinus pain, sore throat;

  • headache; or

  • flu symptoms (fever, chills, body aches).

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

Macitentan dosing information

Usual Adult Dose for Pulmonary Hypertension:

Recommended dose: 10 mg orally once a day

Approved indication: For the treatment of pulmonary arterial hypertension (PAH, WHO Group I) to delay disease progression.

What other drugs will affect macitentan?

Other drugs may interact with macitentan, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.

Where can I get more information?

  • Your pharmacist can provide more information about macitentan.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 1.01. Revision Date: 2013-12-12, 2:34:28 PM.

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