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Generic Name: selexipag (se LEX i pag)
Brand Names: Uptravi

Medically reviewed by Last updated on Jan 3, 2018.

What is Uptravi?

Uptravi (selexipag) lowers blood pressure in your lungs by dilating (widening) blood vessels that supply blood to the lungs.

Uptravi is used to treat pulmonary arterial hypertension (PAH).

Uptravi helps keep your condition from getting worse and helps lower your risk of needing to be hospitalized for PAH.

Important information

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

Before taking this medicine

You should not use Uptravi if you are allergic to selexipag, or if you also take gemfibrozil.

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

  • a condition called pulmonary veno-occlusive disease (narrowing of the veins that carry blood from the lungs to the heart);

  • liver disease;

  • a thyroid disorder; or

  • kidney disease (or if you are on dialysis).

It is not known whether Uptravi will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

It is not known whether selexipag 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 Uptravi?

Take Uptravi exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not use this medicine in larger or smaller amounts or for longer than recommended.

You may take Uptravi with or without food.

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

You should not stop taking Uptravi without your doctor's advice. Stopping suddenly may make your condition worse.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

Store at room temperature away from moisture and heat.

Uptravi dosing information

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

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if your next dose is less than 6 hours away. Do not take extra medicine to make up the missed dose.

If you miss doses or forget to take Uptravi for 3 or more days, call your doctor before taking another dose. You may need to restart the medicine at a lower dose than you took before.

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 Uptravi?

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Uptravi side effects

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

Call your doctor at once if you have:

  • low red blood cells (anemia)--pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating; 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 Uptravi side effects may include:

  • headache;

  • jaw pain;

  • muscle pain, pain in your arms or legs;

  • nausea, vomiting, diarrhea; or

  • flushing (warmth, redness, or tingly feeling).

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.

What other drugs will affect Uptravi?

Tell your doctor about all your current medicines and any you start or stop using, especially:

  • gemfibrozil.

This list is not complete. Other drugs may interact with selexipag, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Uptravi only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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