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A myPHteam Member asked a question 💭
Leesburg, VA
5 days ago
 · 
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A myPHteam Member

Ask your doctor about Adempas. It has fewer side effects. Tadalafil is a generic and is cheaper it is usually prescribed first. Adempas is very expensive but most people can get grants for it.

2 days ago
A myPHteam Member

@A myPHteam Member it doesn't sound like it for now.

3 days ago
A myPHteam Member

@A myPHteam Member are you going to replace Tadalafil with Adempas? That might work better for you.

3 days ago
A myPHteam Member

Hi, I started taking Macitentan (Opsumit) first, and from the very first dose i experienced the side effects like stuffy nose, flushing and a mild headache, these subsided a couple days later. I then added Tadalafil a week later and the first dose or 2 it wasn't much more than what i experienced when I started Macitentan. Followed by a week of horrible side effects. My headaches became migraines, leg cramps, nausea, flu like symptoms. It was rough. While the side effects let up some, I didn't do well on it. Then I started getting ringing in my ears off and on, and the Tadalafil was immediately stopped.
I can't say for sure how long it takes either drug to fully take affect, but I do know the pharmacist on my team told me it could take a couple weeks to fully be out of my system.
Not sure if any of that helps answer your question tho.

4 days ago
myPHteam

That's a great question, and one worth discussing with your doctor since everyone's experience can vary. The combination of Opsumit (macitentan) and tadalafil works through two different pathways to help reduce pressure in the pulmonary arteries.

Here's how each component works:

- Macitentan (Opsumit) blocks a substance Show Full Answer

That's a great question, and one worth discussing with your doctor since everyone's experience can vary. The combination of Opsumit (macitentan) and tadalafil works through two different pathways to help reduce pressure in the pulmonary arteries.

Here's how each component works:

- Macitentan (Opsumit) blocks a substance called endothelin-1, which causes blood vessels to narrow — helping to slow disease progression
- Tadalafil relaxes the blood vessels in the lungs to improve blood flow and make it easier for the heart to pump

Generally speaking, PDE5 inhibitors like tadalafil may show some effects relatively quickly, while endothelin receptor antagonists like macitentan tend to show benefits over a longer period of consistent use.

Most clinical improvements — like better exercise ability — are typically measured over weeks to months of treatment. It's important to keep taking the medication as prescribed even if you don't feel immediate changes.

Always check in with your healthcare provider if you have concerns about whether your treatment is working, as they can monitor your progress and adjust as needed.

5 days ago

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Fall River, KS

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