Statements in which the resource exists as a subject.
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Ventavis (Solution)
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Ventavis is intended to be inhaled using either of two pulmonary drug delivery devices: the I-neb���AAD System or the Prodose AAD System. The first inhaled dose should be 2.5 mcg (as delivered at the mouthpiece). If this dose is well tolerated, dosing should be increased to 5.0 mcg and maintained at that dose; otherwise maintain the dose at 2.5 mcg. Ventavis should be taken 6 to 9 times per day (no more than once every 2 hours) during waking hours, according to individual need and tolerability. The maximum daily dose evaluated in clinical studies was 45 mcg (5 mcg 9 times per day). Direct mixing of Ventavis with other medications in the I-neb���AAD System or Prodose AAD System has not been evaluated. To avoid potential interruptions in drug delivery due to equipment malfunctions, the patient should have easy access to a back-up I-neb���AAD System or Prodose AAD System. Ventavis is supplied in two ampule configurations, a 2 mL and 1 mL single-use glass ampule. Both ampule sizes contain 10 mcg/1 mL. The 2 mL single-use ampule delivers 20 mcg to the medication chamber of either of the AAD Delivery Systems. The 2 mL must be used with the Prodose AAD System and may be used with the I-neb���AAD System. The 1 mL ampule delivers 10 mcg to the medication chamber and must only be used with the I-neb���AAD System. Both the 2 mL and the 1 mL ampules deliver a nominal dose of either 2.5 mcg or 5.0 mcg at the mouthpiece of the AAD Delivery System for which they are labeled for use. Each inhalation treatment requires one single-use ampule. For each inhalation session, the entire contents of one opened ampule of Ventavis should be transferred into either the I-neb���AAD System or the Prodose AAD System medication chamber (2 mL ampule only) immediately before use. After each inhalation session, any solution remaining in the medication chamber should be discarded. Use of the remaining solution will result in unpredictable dosing. Patients should follow the manufacturer's instructions for cleaning the I-neb���AAD System or the Prodose AAD System components after each dose administration.<br/>Preparation: Should patients deteriorate on this treatment, alternative treatments should be considered. Several patients whose status deteriorated while on Ventavis were successfully switched to intravenous epoprostenol.<br/>Dosage and Administration in Hepatic Impairment: Because iloprost elimination is reduced in patients with impaired liver function , caution should be exercised during iloprost therapy in patients with at least Child Pugh Class B hepatic impairment.<br/>Dosage and Administration in Renal Impairment: Dose adjustment is not required in patients not on dialysis. The effect of dialysis on iloprost is unknown. Use caution in treating patients on dialysis .
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iloprost
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Ventavis (Solution)
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Ventavis is indicated for the treatment of pulmonary arterial hypertension (WHO Group I) in patients with NYHA Class III or IV symptoms. In controlled trials, it improved a composite endpoint consisting of exercise tolerance, symptoms (NYHA Class), and lack of deterioration (see CLINICAL PHARMACOLOGY, Clinical Trials).
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Ventavis