Managing PAH

To help you manage pulmonary arterial hypertension (PAH), The National Institutes of Health (NIH) suggests several lifestyle changes* that may be helpful to patients with PAH.

Quit smoking. Smoking can worsen your symptoms. Ask your doctor or Specialty Pharmacy Service provider about programs and products that can help you quit
Avoid secondhand smoke
Eat right. Include a variety of vegetables, fruits, and whole grains—as well as lean meats, poultry, fish, and fat-free or low-fat milk products—in your diet
Be active. Ask your doctor which activities are best for you and how much activity is safe
Avoid activities that strain your heart (such as lifting heavy objects or weights) or that cause your blood pressure to drop (such as using a hot tub or sauna or taking long baths)
Consult your doctor before flying in an airplane or traveling to high-altitude areas, as it may be advisable to use supplemental oxygen at such times

* Always consult your doctor before making any lifestyle changes.

For more information on suggested lifestyle changes, please go to the following NIH website: http://www.nhlbi.nih.gov/health/dci/Diseases/pah/pah_what.html. Click on the "Living With" link on the navigation panel, and scroll down to "Lifestyle Changes."

Indication

Tyvaso is a prescription medicine used in adults to treat pulmonary arterial hypertension (PAH) (WHO Group 1), which is high blood pressure in the arteries of your lungs. Tyvaso can improve exercise ability in people who also take bosentan (an endothelin receptor antagonist) or sildenafil (a phosphodiesterase-5 inhibitor). The effects decrease over 4 hours; treatment timing can be adjusted for planned activities.

Studies establishing effectiveness included predominately patients with NYHA Functional Class III symptoms and etiologies of idiopathic or heritable PAH (56%) or PAH associated with connective tissue diseases (33%).

Important Safety Information for Tyvaso

Tyvaso is breathed in (inhalable) through your mouth into your lungs. Tyvaso should only be used with the Tyvaso Inhalation System
The effects of Tyvaso are unknown in patients with lung disease (such as asthma or chronic obstructive pulmonary disease) and in patients under 18 years of age
If you have low blood pressure, Tyvaso may cause symptomatic hypotension (low blood pressure)
Because Tyvaso reduces the ability of your blood to clot (coagulate), it may increase your risk for bleeding if you are taking blood thinners (anticoagulants), such as warfarin or heparin
The use of Tyvaso with diuretics (water pills), antihypertensives (medications used to treat high blood pressure or heart disease), or other vasodilators (medications that lower blood pressure) may increase your risk for hypotension (low blood pressure)

Other medical conditions and medicines may affect your use of Tyvaso by increasing the risk of side effects or decreasing effectiveness. It is important to tell your doctor about your medical conditions and any medicines you may be taking, including:

If you are taking gemfibrozil (for high cholesterol) or rifampin (for infection), your Tyvaso dosage may need adjustment
If you have liver or kidney problems, your ability to tolerate Tyvaso may be affected
If you are pregnant, breast-feeding, or planning to become pregnant, talk with your healthcare provider about whether you should take Tyvaso

The most common side effects of Tyvaso are coughing, headache, throat irritation and pain, nausea, reddening of the face and neck (flushing), and fainting or loss of consciousness. These are not all the possible side effects of Tyvaso. Tell your doctor about any side effects that bother you or do not go away. Your doctor may be able to help you manage the side effects.

For more information about Tyvaso, please see the Full Prescribing Information, Patient Package Insert, and the Tyvaso Inhalation System Instructions for Use Manual. Questions? Call the Customer Service Line at 1-877-UNITHER (1-877-864-8437).

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Managing PAH

Indication

Important Safety Information for Tyvaso

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