Opsumit
Opsumit Uses, Dosage, Side Effects, Food Interaction and all others data.
Opsumit was approved in October 2013. It is indicated for patients with pulmonary arterial hypertension, and is marketed under the brand name Opsumit. Opsumit is an antagonist/blocker of endothelin receptors on blood vessels and smooth muscle, and, thus, blocks the stimulation of vasculature hypertrophy, inflammation, fibrosis, proliferation, and vasoconstriction. Similar to all drugs acting on the renin-angiotensin system, macitentan is associated with embryo and fetal toxicity, so it should not be used in pregnancy and has special precautions that must be followed for all females of child-bearing age.
Opsumit blocks simulators of hypertrophy, inflammation, fibrosis, proliferation, and vasoconstriction.
Trade Name | Opsumit |
Availability | Prescription only |
Generic | Macitentan |
Macitentan Other Names | Macitentán, Macitentan, Macitentanum |
Related Drugs | sildenafil, tadalafil, Revatio, Adempas, Opsumit, ambrisentan |
Weight | 10mg, |
Type | Tablet, Oral Tablet |
Formula | C19H20Br2N6O4S |
Weight | Average: 588.273 Monoisotopic: 585.963349142 |
Protein binding | Macitentan is >99% bound to plasma proteins, which are mainly albumin |
Groups | Approved |
Therapeutic Class | |
Manufacturer | Janssen-Cilag Ltd |
Available Country | Australia, Canada, United Kingdom, United States, |
Last Updated: | September 19, 2023 at 7:00 am |
Uses
Opsumit is an endothelin receptor antagonist used to manage pulmonary arterial hypertension to delay disease progression.
Opsumit is indicated for patients with pulmonary arterial hypertension.
Opsumit is also used to associated treatment for these conditions: Pulmonary Arterial Hypertension (PAH) (WHO Group 1 PH)
How Opsumit works
Opsumit is an antagonist/blocker of endothelin receptors. Endothelin receptors are found in the endothelial cells of blood vessels and smooth muscle. Opsumit binds to the receptors, endothelin A and B (ETA and ETB), which prevents the agonist endothelin -1 (ET-1) from binding and stimulating the ETA and ETB receptors.
Toxicity
Opsumit has a black box warning of embryo-fetal toxicity. Special precautions must be taken for all females of child-bearing age, and women who are pregnant must not be given macitentan.
Food Interaction
- Take with or without food.
Opsumit Drug Interaction
Moderate: diltiazemUnknown: charcoal, tadalafil, fluticasone / salmeterol, diphenhydramine, fluticasone / vilanterol, rosuvastatin, glucose, ferrous sulfate, clonazepam, furosemide, levothyroxine, metoprolol, metoprolol, acetaminophen, selexipag, liraglutide, cyanocobalamin, cholecalciferol, sertraline
Opsumit Disease Interaction
Major: hepatotoxicity/liver impairmentModerate: anemia, fluid retention
Volume of Distribution
Opsumit has a volume of distribution of 50L.
Elimination Route
Opsumit is administered orally, and it take about 8 hours for maximum plasma concentrations to be reached.
Half Life
The half life of macitentan is 16 hours, and the half life of it's active metabolite is 48 hours.
Clearance
Clearance data was not found.
Elimination Route
Eliminated 50% through urine and 24% through feces.
Innovators Monograph
You find simplified version here Opsumit