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I’ve been diagnosed since April 2022 and haven’t responded to Revatio, then Tadalafil, an attempt to take Letairis but worsened anemia, and now trying Uptravi. I haven’t started yet and so am interested in others’ experiences. Thanks

August 14
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A myPHteam Member

Yes I have been on uptravi since 2022. And yes I did have to deal with alot of nasty side effects when I started it. Very bad leg pain, jaw pain, all over muscle weakness, severe diarrhea and nausea. Every time I had to increase doze it was horrible. Then with my Drs permission I asked him if I could stay on a dose longer so my body could adjust to it. And he said that would be fine. And it really helped with the side effects. So if you would have trouble with side effects I would see what your Drs says. But I have improved alot with the meds. I am also on sildenafil, opsumit. Winrevair is a miracle drug also. I was on that but they took me of because of a stomach bleed. Well good luck and Gid bless! 🙏🏻

August 14
myPHteam

What a journey you've been on since your 2022 diagnosis — trying multiple treatments takes real persistence, and it makes complete sense to want to know what to expect before starting Uptravi (selexipag).

Uptravi belongs to a class called prostacyclin receptor agonists. It works by relaxing and widening the blood vessels Show Full Answer

What a journey you've been on since your 2022 diagnosis — trying multiple treatments takes real persistence, and it makes complete sense to want to know what to expect before starting Uptravi (selexipag).

Uptravi belongs to a class called prostacyclin receptor agonists. It works by relaxing and widening the blood vessels in the lungs, which helps reduce the workload on the heart. Some side effects are fairly common, especially when first starting or increasing the dose. These can include:

- Headaches
- Jaw pain
- Nausea or diarrhea
- Flushing (redness/warmth in the face)
- Muscle or limb pain
- Low blood pressure

Many people find these side effects are most noticeable during dose increases and can ease over time. Starting low and going slow with dosing is typically how doctors manage this. Other myPHteam members have shared their experiences with Uptravi (Orenitram, a related prostacyclin). One myPHteam member noted asking others directly: *"How has Orenitram worked for you?"* — showing this is a very common and relatable question in the community.

It's worth keeping a symptom journal once you start, so you can track changes and discuss them clearly with your doctor. Wishing you the very best as you take this next step! 💙

August 14

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