Palopag
Generic: Selexipag
Daily Dose:
Duration:
Cheaper & Alternative Brands (400 mg)
Same active generic (Selexipag), same form (Tablet), exact same strength (400 mg)No other brands are currently registered in Bangladesh for the 400 mg presentation. Below are available brands for Selexipag in other strengths:
Clinical Prescribing Information
Medical monograph and safety information for healthcare professionals & patients.Indications & Clinical Uses
Palopag tablet is indicated for the treatment of pulmonary arterial hypertension (PAH, WHO Group I) to delay disease progression and reduce the risk of hospitalization for PAH.
Dosage & Administration
The recommended starting dose is 200 mcg twice daily. Tolerability may be improved when taken with food. Increase the dose by 200 mcg twice daily at weekly intervals to the highest tolerated dose up to 1600 mcg twice daily. The maintenance dose is determined by tolerability.
Side Effects & Adverse Reactions
The most common side-effects of Palopag are Nausea, Diarrhoea, Vomiting, Headache, Jaw pain, muscle pain, low appetite and low RBC count.
Warnings & Precautions
Discontinue Palopag if the patient develops the sign and symptoms of Pulmonary Veno-Occlusive Disease (PVOD)
Pharmacology & Mechanism of Action
Selexipag is a selective non-prostanoid IP prostacyclin receptor agonist. Selexipag is a pale yellow crystalline powder that is practically insoluble in water. In the solid-state selexipag is very stable, is not hygroscopic, and is not light sensitive. Selexipag is an oral prostacyclin receptor (IP receptor) agonist that is structurally distinct from prostacyclin. Selexipag is hydrolyzed by carboxylesterase 1 to yield its active metabolite, which is approximately 37-fold as potent as selexipag. Selexipag and the active metabolite are selective for the IP receptor versus other prostanoid receptors (EP1-4, DP, FP, and TP).