The Rapid Initiation, Titration, and Transition from Intravenous to Oral Treprostinil in a Patient with Severe Pulmonary Arterial Hypertension
Joint Authors
Gleason, James Benjamin
Dolan, Justin
Piran, Pirouz
Rahaghi, Franck Farzad
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-09-17
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
In patients who require urgent initiation of pulmonary arterial hypertension medications due to disease progression, it is customary to start intravenous prostacyclin therapy, typically during a hospital admission.
If there are complicating factors or relative contraindications to intravenous and subcutaneous prostanoids, oral treprostinil provides another pathway to prostanoid therapy, but this usually requires a prolonged titration.
We describe the case of a thirty-six-year-old male with severe pulmonary arterial hypertension and contraindication to intravenous and subcutaneous prostanoid therapy due to congenital deafness and the risk of not hearing the intravenous pump alarms.
Intravenous treprostinil was initiated, titrated to high dose, and then rapidly transitioned to oral treprostinil.
A rapid initiation, titration, and transition from intravenous to oral treprostinil can be safely performed under watchful supervision in order to achieve higher and more efficacious doses of oral treprostinil in a timely manner.
American Psychological Association (APA)
Gleason, James Benjamin& Dolan, Justin& Piran, Pirouz& Rahaghi, Franck Farzad. 2015. The Rapid Initiation, Titration, and Transition from Intravenous to Oral Treprostinil in a Patient with Severe Pulmonary Arterial Hypertension. Case Reports in Pulmonology،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1059878
Modern Language Association (MLA)
Gleason, James Benjamin…[et al.]. The Rapid Initiation, Titration, and Transition from Intravenous to Oral Treprostinil in a Patient with Severe Pulmonary Arterial Hypertension. Case Reports in Pulmonology No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1059878
American Medical Association (AMA)
Gleason, James Benjamin& Dolan, Justin& Piran, Pirouz& Rahaghi, Franck Farzad. The Rapid Initiation, Titration, and Transition from Intravenous to Oral Treprostinil in a Patient with Severe Pulmonary Arterial Hypertension. Case Reports in Pulmonology. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1059878
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059878