AMBRISENTAN,TADALAFIL

Background and Date of Approval

The U.S. FDA approved the combination of Ambrisentan and Tadalafil for pulmonary arterial hypertension (PAH) on June 15, 2007. Ambrisentan and Tadalafil together form an antihypertensive medication class. Tadalafil functions as a phosphodiesterase-5 (PDE5) inhibitor, while Ambrisentan acts as an endothelin receptor antagonist.

Uses

Ambrisentan + Tadalafil treats pulmonary arterial hypertension (PAH). It functions by inducing relaxation in the blood vessels within the lungs.

How is it administered?

Take the Ambrisentan + Tadalafil as your physician advises. Usually, the tablets will be taken with or without food. Do not crush, chew, or open the medicine. Your physician will decide the correct dosage and duration based on age, body weight, and disease condition. Only stop taking the tablet if your doctor advises you to stop.

Side Effects

The most common side effects of Ambrisentan + Tadalafil are redness of skin, vomiting, chest pain, ringing in the ears, abnormal liver function, constipation. Serious side effects while taking Ambrisentan + Tadalafil are oedema, anaemia, hypotension, allergic reactions, sudden loss of vision, priapisms, or weakness, problems with eyesight, including blurry vision.

Warnings

Ambrisentan + Tadalafil should not be consumed if you are allergic to Ambrisentan + Tadalafil or any of its ingredients in the medication. Avoid taking this medicine if you have liver conditions or low blood pressure. Do not consume this medicine if you are pregnant or breastfeeding, if you use organic nitrates or GC stimulators, have a history of vision loss in one eye, or if you have idiopathic pulmonary fibrosis (IPF). Before beginning the treatment, notify your doctor if you have any issues such as penis deformation, swelling in the extremities, prolonged or painful erection (priapism), cancer (leukemia, multiple myeloma), severe kidney problems, abnormality of red blood cells, or loss of hearing.

Precautions

Notify your doctor if you are pregnant, planning to get pregnant, or think you may be pregnant or breastfeeding. This medicine is not advised to use in children under 18 years old. Before starting the treatment, inform your doctor if you have hypotension, a history of heart failure, or severe liver disease. Inform your doctor if you recently had a stroke or myocardial infarction. Notify your doctor if you have or have had lung conditions, anemia, or edema (fluid retention). Your doctor will conduct blood tests to check for anemia and assess the liver's functionality. The exact impact of the medicine during driving or operating machinery is unknown. So consult your doctor for more concerns.

Word of Advice

Inform your doctor of all underlying medical conditions. Do not discontinue the medicine without your doctor's advice. Do not take a double dose to compensate for a missed dose. Notify your doctor if you experience any serious side effects. Your doctor will advise if dose adjustments are necessary. Attend regular follow-up appointments to monitor your response to the medication and any potential side effects. Contact your doctor for additional information.

References

KD Tripathi, Essentials of Medical Pharmacology, Androgens and drugs for erectile dysfunction, 7th edition, 2013, 303-304. Ciplamed, [Revised on September 2019] [Accessed on 26th June 2023] https://ciplamed-library.com/content/endobloc-t-kit

Frequently Asked Questions

How to manage the side effects of Ambrisentan + Tadalafil?

To manage the side effects of Ambrisentan + Tadalafil, follow the prescribed dosage, and report side effects promptly. Stay hydrated, and monitor your liver function regularly. Maintain a healthy lifestyle, and attend follow-up appointments.

Can you take Ambrisentan + Tadalafil when pregnant?

No, Ambrisentan + Tadalafil is unsafe to consume during pregnancy. Consult your medical professional regarding the use of Ambrisentan + Tadalafil during pregnancy. Also do not breastfeed. It is advised to use contraception to avoid getting pregnant.

What are the common side effects of Ambrisentan + Tadalafil?

Common side effects of Ambrisentan + Tadalafil include drowsiness, dizziness, dry mouth, blurred vision, weight gain, and changes in mood or behavior. It is crucial to consult your doctor for any concerns or persistent side effects.

What should I do if I miss a dose of Ambrisentan + Tadalafil?

If you miss a tablet dose, take it as soon as possible. However, if it's close to the time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose the Ambrisentan + Tadalafil.

Can I take Ambrisentan + Tadalafil if I have a heart condition?

Individuals with pre-existing heart conditions should use it with caution and under the supervision of a healthcare professional. It can lower blood pressure and may have interactions with certain heart medications.

Written By: Muskan Patel, M.Pharm

Reviewed By: Dr. Vishwa Patel, MBBS