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Atrial SeptostomyIf medications don’t control your pulmonary hypertensionthis open heart surgery might be an optionIn an atrial septostomya surgeon will create an opening between the upper left and right chambers of your heartatriato relieve the pressure on the right side of your heartLung TransplantationIn some casesa lung or heart lung transplant might be an optionespecially for younger people who have idiopathic pulmonary arterial hypertension.

Blood vessel dilatorsvasodilatorsVasodilators open narrowed blood vesselsThey are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenolFlolanVeletriThe drawback to epoprostenol is that the effect lasts only for few minutesThis drug is continuously injected through an intravenousIVcatheter via a small pump that you wear in a pack on your belt or shoulderVentavisAnother form of the drugiloprostVentaviscan be inhaled six to nine times a day through a nebulizera machine that vaporizes your medicationBecause it’s inhaledit goes directly to the lungsTreprostinilTyvasoRemodulinOrenitramIt is another form of the drugwhich can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injectionEndothelin receptor antagonistsThese medications reverse the effect of endothelina substance in the walls of blood vessels that causes them to narrowThese drugs may improve your energy level and symptomsHoweverthese drugs shouldn’t be taken if you’re pregnantAlsothese drugs can damage your liver and you may need monthly liver monitoringSildenafil and tadalafilSildenafilRevatioViagraand tadalafilCialisAdcircaare sometimes used to treat pulmonary hypertensionThese drugs work by opening the blood vessels in the lungs to allow blood to flow through more easilyHigh-dose calcium channel blockersThese drugs help relax the muscles in the walls of your blood vesselsThey include medicationssuch as amlodipineNorvascdiltiazemCardizemTiazacothersand nifedipineProcardiaothersAlthough calcium channel blockers can be effectiveonly a small number of people with pulmonary hypertension respond to themSoluble guanylate cyclaseSGCstimulatorSoluble guanylate cyclaseSGCstimulatorsAdempasinteract with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteriesThese medications should not be taken if you’re pregnantThey can sometimes cause dizziness or nausea.

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