Macitent 10mg Tablet 10'S

Introduction About MACITENT 10MG TABLET

MACITENT 10MG TABLET contains Macitentan which belongs to the group of medicines
called Endothelin receptor antagonists. MACITENT 10MG TABLET is used alone/with
other medicines to manage pulmonary hypertension in adults, which is a condition
that occurs due to high blood pressure in pulmonary arteries (blood vessels that
carry blood from heart to lungs).

MACITENT 10MG TABLET is not recommended for use in patients allergic to
Macitentan, and/or soya. It is also not recommended for use in patients with
liver disease or who have been tested with very high levels of liver enzymes in
the blood.

Before taking MACITENT 10MG TABLET, inform your doctor if you have lung problems
(such as pulmonary veno-occlusive disease), and/or kidney problems.

The most common side effects of taking MACITENT 10MG TABLET are anemia,
headache, bronchitis (inflammation of the airways), edema (swelling of arms and
feet), urinary tract infection, low blood pressure, and/or blocked nose. Consult
your doctor if any of these symptoms worsen.

Uses Of MACITENT 10MG TABLET

• Manage pulmonary arterial hypertension in adults

How MACITENT 10MG TABLET Works

MACITENT 10MG TABLET works by blocking the action of endothelin hormone
(chemical that cause vasoconstriction) which leads to relaxation and widening of
blood vessel wall resulting in reduced pressure on the blood vessel wall and
lower blood pressure thus managing pulmonary hypertension in affected
individuals.

How to use MACITENT 10MG TABLET

Take MACITENT 10MG TABLET as advised by your physician. Swallow the medicine
with a glass of water. Do not crush or chew the medicine. Your doctor will
decide the correct dose and duration for you depending upon your age, body
weight, and disease condition.

Side Effects Of MACITENT 10MG TABLET

Common

• anemia/reduced hemoglobin
• headache
• bronchitis (inflammation of the airways)
• nasopharyngitis (inflammation in the throat and nasal passages)
• edema (swelling of arms and feet)
• influenza (flu)
• urinary tract infection
• low blood pressure
• blocked nose

Rare

Stop taking MACITENT 10MG TABLET and contact your doctor immediately if you
experience any of the following side effects:

• signs of allergic reaction such as swelling around the eyes, face, lips, tongue/throat, itching, and/or rash
• signs of impaired liver function such as nausea, vomiting, fever, stomach pain, yellowing of skin/whites of eyes, dark-colored urine, itching skin, unusual tiredness/exhaustion, flu-like condition (joint and muscle pain with fever)
• signs of pulmonary edema (wet lung) such as breathlessness, cough with frothy sputum, racing/pounding heartbeat

How To Manage Side Effects

Headache:

If MACITENT 10MG TABLET causes headache, then take rest and drink plenty of
fluids. Try to avoid drinking alcohol. Ask your doctor to recommend a
painkiller. Headaches should usually go away after the first week of taking
MACITENT 10MG TABLET. If it lasts more than a week or becomes severe, then
consult and inform your doctor.

Warning & Precautions

!### Pregnancy

MACITENT 10MG TABLET is generally not recommended for use during pregnancy and
in women planning for pregnancy.  Women of childbearing potential should use
contrace
pregnancy occurred while taking MACITENT 10MG TABLET since the medicine may
cause harm to the unborn babies.

!### Breastfeeding

MACITENT 10MG TABLET is not recommended for use in breastfeeding women as it is
not known whether the medicine may pass through breast milk. Consult your doctor
before taking the medicine.

!### Driving and Using Machines

Do not drive or operate machines if you feel headache and/or low blood pressure
after taking MACITENT 10MG TABLET.

!### Kidney

MACITENT 10MG TABLET should be used with caution in patients with kidney
problems. Consult your doctor before taking MACITENT 10MG TABLET.

!### Liver

MACITENT 10MG TABLET is not recommended to use in patients with liver disease or
who have been tested with very high levels of liver enzymes in the blood.
Consult your doctor before taking MACITENT 10MG TABLET.

!### Allergy

Do not take MACITENT 10MG TABLET if you are allergic to Macitentan, soya, and/or
any other ingredients of this medicine.

!### Lungs

MACITENT 10MG TABLET should be used with caution in patients with lung problems
such as pulmonary veno-occlusive disease (obstruction of lung vein). Consult
your doctor before taking the medicine.

Others

Before taking MACITENT 10MG TABLET, inform your doctor if you:

• are a man and planning to become father

Use in Pediatrics:

MACITENT 10MG TABLET is not recommended for use in children and adolescents
(aged below 18 years). Consult your doctor before taking MACITENT 10MG TABLET.

Use in Geriatrics:

MACITENT 10MG TABLET should be used with caution in elderly patients (aged
65-years/above). Consult your doctor before taking MACITENT 10MG TABLET.

Interactions

A. Drug-Drug interactions:

Before taking MACITENT 10MG TABLET, inform your doctor if you are taking any of
the following medicine:

• antibiotics (used to manage bacterial infections) Ex. rifampicin, clarithromycin, telithromycin, ciprofloxacin, erythromycin
• medicine used to manage seizures (Ex. phenytoin)
• medicine used to manage depression and epilepsy (Ex. carbamazepine)
• herbal medicines used to manage depression (Ex. St. John’s Wort)
• medicines used to manage HIV infections (Ex. ritonavir, saquinavir)
• medicines used to manage depression (Ex. nefazodone)
• medicines used to manage fungal infections (Ex. ketoconazole (except shampoo), fluconazole, voriconazole, miconazole, itraconazole)
• medicines used to control the heartbeat (Ex. amiodarone)
• medicine used to manage organ rejection after transplant (Ex. cyclosporine)
• medicines used to manage high blood pressure/specific heart problems (Ex. diltiazem, verapamil)

B. Drug-Food interaction:

Avoid taking piperine (used as a dietary supplement) while taking MACITENT 10MG
TABLET as it may alter the effect of the medicine.

Overdosage:

If you or anyone else accidentally take too much of MACITENT 10MG TABLET,
consult your doctor immediately or visit the nearby hospital. Symptoms of
overdose are headache, nausea, and/or vomiting.

Synopsis

Drug	:	Macitentan
Pharmacological Category	:	Endothelin receptor antagonists
Therapeutic Indication	:	Pulmonary arterial hypertension
Dosage Forms	:	Tablet

More Information

• Keep MACITENT 10MG TABLET out of reach of children
• Do not store MACITENT 10MG TABLET above 30°C

FAQs About MACITENT 10MG TABLET

What is MACITENT 10MG TABLET used for?

MACITENT 10MG TABLET is used alone/with other medicines to manage pulmonary
hypertension in adults, which is a condition that occurs due to high blood
pressure in pulmonary arteries (blood vessels that carry blood from heart to
lungs).

What are the common side effects of taking MACITENT 10MG TABLET?

The most common side effects of taking MACITENT 10MG TABLET are anemia,
headache, bronchitis (inflammation of the airways), edema (swelling of arms and
feet), urinary tract infection, low blood pressure, and/or blocked nose. Consult
your doctor if any of these symptoms worsen.

How MACITENT 10MG TABLET works?

MACITENT 10MG TABLET works by blocking the action of endothelin hormone
(chemical that cause vasoconstriction) which leads to relaxation and widening of
blood vessel wall resulting in reduced pressure on the blood vessel wall and
lower blood pressure thus managing pulmonary hypertension in affected
individuals.

How MACITENT 10MG TABLET should be taken?

Take MACITENT 10MG TABLET as advised by your physician. Swallow the medicines
with a glass of water. Do not crush or chew the medicine. Your physician will
decide the correct dose and duration for you depending upon your age, body
weight and disease condition.

Can MACITENT 10MG TABLET be used in pregnant women?

No, MACITENT 10MG TABLET is not recommended for use during pregnancy and in
women planning for pregnancy.  Women of childbearing potential should use
contrace
pregnancy occurs while taking MACITENT 10MG TABLET since the medicine may cause
harm to the unborn babies.

Useful Diagnostic Tests

• Echocardiogram