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Selexipag Dosage

Applies to the following strength(s): 200 mcg ; 400 mcg ; 600 mcg ; 800 mcg ; 1000 mcg ; 1200 mcg ; 1400 mcg ; 1600 mcg ; 200 mcg-800 mcg

The information at is not a substitute for medical advice. Always consult your doctor or pharmacist.

Usual Adult Dose for Pulmonary Hypertension

Initial dose: 200 mcg orally twice a day
Maintenance dose: Increase in increments of 200 mcg orally twice a day at weekly intervals to the highest tolerated dose
Maximum dose: 1600 mcg orally twice a day

-If the patient reaches a dose that is not well tolerated, reduce to a previously tolerated dose.

Use: For the treatment of pulmonary arterial hypertension (PAH) to delay disease progression and reduce the risk of hospitalization for PAH

Renal Dose Adjustments

Estimated GFR (eGFR) greater than 15 mL/min/1.73 m2: No adjustment recommended.
eGFR less than 15 mL/min/ 1.73 m2: Data not available

Liver Dose Adjustments

Mild liver dysfunction (Child-Pugh A): No adjustment recommended.
Moderate liver dysfunction (Child-Pugh B): 200 mcg orally once a day; increase in increments of 200 mcg orally once a day at weekly intervals as tolerated.
Severe liver dysfunction (Child-Pugh C): Not recommended.


Safety and efficacy have not been established in patients younger than 18 years.

Consult WARNINGS section for additional precautions.


Data not available

Other Comments

Administration advice:
-Do not split, crush, or chew.
-Tolerability may be improved when taken with food.
-If a dose is missed, take the next dose as soon as possible unless the next dose is within the next 6 hours.
-If treatment is missed for 3 days or more, restart at lower dose and then retitrate.