SELEPEG 200 Tablet 10's

Introduction About SELEPEG 200 TABLET

SELEPEG 200 TABLET contains Selexipag, which belongs to the group of medicines
known as Prostacyclin Receptor Agonists. It is used for the long-term management
of Pulmonary Arterial Hypertension (PAH - a condition with increased pressure
due to the narrowing of blood vessels supplying the lungs from the heart lungs)
in adults. The symptoms of PAH may include dizziness, tiredness, shortness of
breath, swelling in the ankles and legs, chest pain, heart failure, etc.

SELEPEG 200 TABLET is not recommended for use in patients with coronary heart
disease (poor blood supply to heart muscles, unstable angina (chest pain), weak
heart (decompensated heart failure), a history of heart attack within the past 6
months, congenital or acquired heart valve disease, severe arrhythmias
(irregular heartbeat).

SELEPEG 200 TABLET should be taken with caution in patients with narrowing of
the pulmonary vein, a condition called pulmonary venous-occlusive disease,
severe liver disease, severe kidney disease, low blood pressure (hypotension)
with dizziness and hyperthyroidism.

SELEPEG 200 TABLET is generally not recommended for use by pregnant women,
breastfeeding mothers and children less than 18 years of age. SELEPEG 200 TABLET
is also not recommended for use in children under the age of 18 years. SELEPEG
200 TABLET should be used with caution in patients above 75 years of age.

The side effects of taking SELEPEG 200 TABLET may include headache, flushing
(reddening of the face), nausea, vomiting, diarrhoea, jaw pain, muscle pain,
joint pain, nasopharyngitis (stuffy nose), anaemia, weight loss, rashes, stomach
pain, hypotension (low blood pressure), hyperthyroidism, tachycardia (increased
heart rate), etc. Consult your doctor if any of the side effects get worse.

Uses Of SELEPEG 200 TABLET

• Manage Pulmonary arterial hypertension (PAH)

How SELEPEG 200 TABLET Works

SELEPEG 200 TABLET works similarly to a natural substance present in our body
(Prostacyclin) by widening the pulmonary arteries and reducing their hardness.
Doing so makes it easier for the heart to pump blood to the lungs effectively.
It also decreases pressure in pulmonary arteries, hence reducing the symptoms of
pulmonary arterial hypertension and slowing down the progression of the disease.
The metabolite released by SELEPEG 200 TABLET has vasodilatory,
anti-proliferative and anti-fibrotic effects.

How to use SELEPEG 200 TABLET

Take SELEPEG 200 TABLET as advised by your physician. Swallow the medicine with
a glass of water and do not crush or chew the medicine. Your management dose and
duration will be decided by your physician depending on your age, body weight
and disease condition.

Side Effects Of SELEPEG 200 TABLET

Common

• headache
• flushing (reddening of the face)
• nausea and vomiting, diarrhoea
• jaw pain, pain in muscles and joints
• leg pain
• nasopharyngitis (stuffy nose)
• anaemia (low red blood cell levels)
• hyperthyroidism (overactive thyroid gland)
• reduced appetite
• weight loss
• hypotension (low blood pressure)
• stomach pain
• affects the blood test results, including the blood cell counts or thyroid function test
• rashes and hives may cause a burning or stinging sensation and skin redness

Uncommon

• tachycardia (increased heart rate)

How To Manage Side Effects

Headache:

Rest and relax. Apply a pain-relieving balm to your forehead if needed. Contact
your doctor if the headache persists.

Nausea, vomiting:

Take the medicine, with or just after a meal. Stick to simple meals. Avoid
eating oily or spicy foods. Contact your doctor if your symptom gets worse or
persist.

Stomach pain:

Try to rest and relax. Eat small meals but take them frequently. Keep a heating
pad on your stomach. Contact your doctor if your symptom gets worse or persist.

Diarrhoea:

Drink plenty of water or fruit juice to keep you hydrated. Do not take any
medication on your own to manage diarrhoea. Contact your doctor if your symptom
gets worse or persist.

Itchy skin:

Avoid hot showers because hot water can irritate the skin. Do not scratch the
affected area. Use sunscreen and protective clothing when outdoors. Use
moisturizers to soothe and hydrate the affected skin area. Contact your doctor
if your symptom gets worse or persist.

Warning & Precautions

!### Pregnancy

SELEPEG 200 TABLET is generally not recommended for use in pregnant women.
Consult your doctor before taking it.

!### Breastfeeding

SELEPEG 200 TABLET is generally not recommended for use in breastfeeding women
as it is not known whether it may pass through the breast milk. Consult your
doctor before taking it.

!### Driving and Using Machines

SELEPEG 200 TABLET causes headaches and low blood pressure, which can affect
your ability to drive and operate machines. Consult your doctor for advice.

!### Kidney

SELEPEG 200 TABLET should be taken with caution in patients with severe kidney
disease. Consult your doctor before taking SELEPEG 200 TABLET.

!### Liver

SELEPEG 200 TABLET should be used with caution in patients with severe liver
disease. Consult your doctor before taking SELEPEG 200 TABLET.

!### Allergy

Do not take SELEPEG 200 TABLET if you are allergic to selexipag or other
ingredients in this medicine.

!### Lungs

SELEPEG 200 TABLET should be taken with caution in patients with lung diseases
such as narrowing of the pulmonary veins, a condition called pulmonary
venous-occlusive disease. Consult your doctor before taking SELEPEG 200 TABLET.

!### Heart Disease

SELEPEG 200 TABLET is not recommended for use in patients with coronary heart
disease (poor blood supply to heart muscles) or unstable angina (chest pain),
weak heart (decompensated heart failure, a history of heart attack within the
past 6 months, congenital or acquired heart valve disease, severe arrhythmias
(irregular heartbeat). It should be used with caution in patients suffering from
hypotension (low blood pressure). Consult your doctor before taking SELEPEG 200
TABLET.

Others

SELEPEG 200 TABLET is not indicated for use if you:

• have suffered a stroke within the past 3 months
• have a transient ischemic stroke

Before taking SELEPEG 200 TABLET, inform your doctor if you:

• have a hyperactive thyroid gland
• have recently suffered from severe diarrhoea or vomiting or significant blood loss

Use in paediatrics:

SELEPEG 200 TABLET is generally not recommended for use in children and
adolescents (under 18 years of age). Consult your doctor before taking it.

Use in geriatrics:

SELEPEG 200 TABLET should be used with caution in elderly patients (aged above
75 years). Consult your doctor before taking it.

Interactions

A. Drug-Drug interactions:

Before taking SELEPEG 200 TABLET, inform your physician if you are taking any of
the following medicine:

• gemfibrozil (a medicine used to lower the level of fats in the blood)
• clopidogrel (a medicine used for managing blood clots)
• deferasirox (a medicine used to manage iron overload)
• carbamazepine (a medicine used in the management of fits & seizures, nerve pain or to help control serious mood disorders when some other medicines do not work)
• teriflunomide (a medicine used for relapsing-remitting multiple sclerosis)
• phenytoin, valproic acid (a medicine used for the management of fits & seizures)
• probenecid (a medicine used in the management of gout)
• fluconazole (a medicine used for the management of fungal infections)
• rifampicin or rifapentine (a medicine used for the management of tuberculosis)
• lopinavir, ritonavir (medicines used for the management of HIV infections)

Overdosage:

If you or anyone else have accidentally taken too much of SELEPEG 200 TABLET,
consult your doctor immediately or visit the nearby hospital. Symptoms of
overdose are mild transient nausea.

Synopsis

Drug	:	Selexipag
Pharmacological Category	:	Prostacyclin Receptor Agonist
Therapeutic Indication	:	Manages Pulmonary arterial hypertension (PAH)
Dosage Forms	:	Tablet

More Information

• Keep SELEPEG 200 TABLET out of reach from children
• Store at room temperature

FAQs About SELEPEG 200 TABLET

What is pulmonary hypertension?

Pulmonary arterial hypertension (PAH) is a condition in which the blood vessels
that carry blood from the heart to the lungs become narrow, leading to increased
pressure in the blood vessels. The symptoms of pulmonary arterial hypertension
(PAH) include dizziness, tiredness, shortness of breath, chest pain and swelling
in the ankles and legs. Prolonged pulmonary hypertension may also lead to
serious conditions such as right heart failure.

Does SELEPEG 200 TABLET cause hypotension?

Yes, SELEPEG 200 TABLET causes hypotension (low blood pressure). Do not drive or
operate any machines if you feel dizzy after taking SELEPEG 200 TABLET.

How does SELEPEG 200 TABLET work?

SELEPEG 200 TABLET works by widening the pulmonary arteries & reducing their
hardness. Thus, it is easier for the heart to pump and supply blood to the lungs
effectively. It also decreases pressure in pulmonary arteries hence reducing the
symptoms of pulmonary arterial hypertension & slowing down the progression of
the disease.

Is SELEPEG 200 TABLET safe for heart patients?

SELEPEG 200 TABLET is not recommended for use in patients suffering from
coronary heart disease (poor blood supply to heart muscles), a history of heart
attack within the past 6 months, congenital or acquired heart valve disease,
severe arrhythmias (irregular heartbeat) & and should be used with caution in
patients suffering from hypotension (low blood pressure). Consult your doctor
before taking SELEPEG 200 TABLET.

Can I operate machinery or drive after consuming SELEPEG 200 TABLET?

SELEPEG 200 TABLET causes headaches and low blood pressure, which can affect
your ability to drive and operate machines. Do not drive or operate any
machinery after taking SELEPEG 200 TABLET.

What are the side effects of SELEPEG 200 TABLET?

Patients taking SELEPEG 200 TABLET may experience side effects such as headache,
flushing (reddening of the face), nausea, vomiting, diarrhoea, jaw pain, muscle
pain, joint pain, nasopharyngitis (stuffy nose), anaemia, weight loss, rashes,
stomach pain, hypotension (low blood pressure), hyperthyroidism, tachycardia
(increased heart rate). Consult your doctor if any of the side effects worsen.

Is SELEPEG 200 TABLET a prostacyclin?

Yes, SELEPEG 200 TABLET is an oral selective prostacyclin receptor agonist. It
is used for the long-term management of pulmonary arterial hypertension (a
condition in which blood vessels that carry blood from the heart to the lungs
become narrow, leading to increased pressure in blood vessels) in adults.

Useful Diagnostic Tests

• Echocardiogram
• Comprehensive metabolic panel
• Thyroid function tests
• B-type Natriuretic Pe
• Chest X-ray
• Pulmonary function test