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Treatment Recommendations

Treat Early With UPTRAVI®1

2022 ESC/ERS Guidelines Recommendations for UPTRAVI® (selexipag)2

UPTRAVI® is the only prostacyclin pathway therapy recommended at first follow-up for intermediate–low-risk patients*

Structured risk assessment should be conducted every 3 to 6 months for patients with PAH

UPTRAVI® is the only prostacyclin pathway therapy to receive the highest class recommendation (Class I, Level B) for sequential triple- and dual‍-‍combination therapy

*The 2022 ESC/ERS Guidelines recommend adding UPTRAVI® for patients without cardiopulmonary comorbidities who are at intermediate-low risk despite receiving ERA/PDE5i therapy. In these patients, switching from a PDE5i to riociguat may be considered. In patients who present as intermediate-high or high risk on oral therapies, also consider adding UPTRAVI® or switching from a PDE5i to riociguat if it is not feasible to add IV or SC prostacyclin analogs.

Structured risk assessment should be conducted in cases of clinical worsening.

Class I recommendation definition: evidence and/or general agreement that a given treatment or procedure is beneficial, useful, effective. Level B evidence definition: data derived from a single randomized clinical trial or large nonrandomized studies.

ERA=endothelin receptor antagonist; ERS=European Respiratory Society; ESC=European Society of Cardiology; FC=Functional Class; IV=intravenous; PDE5i=phosphodiesterase type-5 inhibitor; SC=subcutaneous.

References: 1. UPTRAVI® (selexipag) full Prescribing Information. Actelion Pharmaceuticals US, Inc. 2. Humbert M, Kovacs G, Hoeper MM, et al; ESC‍/‍ERS Scientific Document Group. 2022 ESC‍/‍ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: the Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS). Eur Heart J. 2022‍;‍43(‍38‍)‍:‍3618‍-‍3731.