Riociguat is primarily used for managing Pulmonary Arterial Hypertension (PAH) and Chronic Thromboembolic Pulmonary Hypertension (CTEPH). It belongs to the class of medicines known as soluble guanylate cyclase (sGC) stimulators.
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Riociguat is a soluble guanylate cyclase (sGC) stimulator. It works works by activating a specific molecule in the body called soluble guanylate cyclase (sGC), which helps control how blood vessels behave. When riociguat stimulates this molecule, it increases the production of another substance called cGMP. This cGMP helps relax and widen the blood vessels, making it easier for blood to flow and lowering blood pressure. Notably, riociguat does this without needing nitric oxide, a common signaling molecule involved in blood vessel regulation.signalling
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Riociguat is available in film-coated tablet form for oral administration.
Riociguat is meant for adults.
This medicine is contraindicated in patients with idiopathic interstitial pneumonia. It is also contraindicated in patients who are hypersensitive to Riociguat.
This medicine can interact with certain antifungals (e.g., itraconazole, ketoconazole), HIV protease inhibitors (e.g., ritonavir), medications for seizures (e.g., carbamazepine, phenobarbital, phenytoin), and medications for high blood pressure.
Overdosing on Riociguat may induce symptoms like severe hypotension and fainting. If you suspect an overdose, it is important to seek immediate medical attention.
If you miss a dose of this medicine, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule.
Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.
For mild cases of dizziness or lightheadedness resulting from low blood pressure, try to stand up slowly when rising from a sitting or lying position.
If you experience nausea or vomiting, try eating smaller frequent meals throughout the day instead of larger ones.
Increase your water intake if you experience diarrhoea to prevent dehydration.
Riociguat may cause side effects like dizziness or lightheadedness which can affect your ability to drive or operate machinery. It is advised to avoid such tasks until you know how the medicine affects you.
This medicine is not recommended during pregnancy and breastfeeding unless recommended by a healthcare professional. It is advised to consult your doctor before using this medicine during these periods.
Patients with renal or hepatic impairment should exercise caution when taking Riociguat. Dose adjustments may be necessary based on the severity of the impairment.
Patients with pulmonary veno-occlusive disease should also exercise caution, as Riociguat may worsen this condition.
Regular monitoring of blood pressure is advised for patients taking Riociguat.
Limiting salt intake may help manage symptoms of pulmonary arterial hypertension.
Regular walking and low-intensity aerobic exercises can help improve cardiovascular fitness and vascular health.
Frequently asked questions
No, Riociguat is not a steroid. It belongs to a class of medicines known as soluble guanylate cyclase (sGC) stimulators.
Riociguat generally does not directly affect sleep. However, side effects like dizziness may disrupt your regular sleep patterns. If you notice any changes in your sleep routine, consult your doctor.
Riociguat is not directly associated with affecting fertility. However, women of childbearing potential should use effective contraception during treatment due to the potential for fetal harm.
Yes, it is safe to take Riociguat daily as long as it is taken under the supervision and prescription of a doctor. The dosing regimen may vary depending on your specific condition and response to therapy.
Improvements in pulmonary hypertension symptoms are typically observed within 4-8 weeks of starting Riociguat treatment. However, full effects may take up to 12 weeks to become evident. Consult your doctor for specific guidance.
The best time to take Riociguat would be as per your doctor's prescription, as timing may depend on your individual disease state and treatment regimen.
Riociguat is not associated with affecting mood. However, some people may experience mood changes indirectly due to the improvement in their symptoms and quality of life.
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