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. 2019 May 15;8(10):e011306. doi: 10.1161/JAHA.118.011306

Table 1.

Overview of Medicines Available for Use in PAH for Adults and Children

Class of Products Product Authorization for Adults Authorization for Children
EU United States Canada EU United States Canada
Prostacyclin analogue Treprostinil No Yes Yes No No No
Selexipag Yes Yes Yes No No No
Treprostinil diethanolamine No Yes No No No No
Iloprost Yes Yes No No No No
Epoprostenol Yes Yes Yes No No No
Endothelin receptors Antagonist Bosentan Yes Yes Yes Pharmacokinetics data Yes Pharmacokinetics data
Ambrisentan Yes Yes Yes No No No
Macitentan Yes Yes Yes No No No
Phosphodiesterase type 5 inhibitor Sildenafil Yes Yes Yes Yes No No
Tadalafil Yes Yes Yes No No No
Guanylate cyclase stimulators Riociguat Yes Yes Yes No No No

Pediatric indications have not been granted; however, results of pharmacokinetic studies in the different pediatric age groups are summarized in the Summary of Product Characteristics, with a comparison to adults. Uncertainties caused by limited experience are also stated. EU indicates European Union; PAH, pulmonary arterial hypertension.