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Transition from intravenous treprostinil to enteral selexipag in an infant with pulmonary arterial hypertension

Published online by Cambridge University Press:  05 August 2019

Rachel Koo
Affiliation:
Department of Pediatrics, Loma Linda University Children’s Health, Loma Linda, CA, USA
Jennifer Lo
Affiliation:
Division of Pediatric Cardiology, Loma Linda University Children’s Health, Loma Linda, CA, USA
Matthew J. Bock*
Affiliation:
Division of Pediatric Cardiology, Loma Linda University Children’s Health, Loma Linda, CA, USA
*
Author for correspondence: Matthew J Bock, MD, Loma Linda University Medical Center, 11234 Anderson St., MC-4434, Loma Linda, CA 92354, USA. Tel: 909-558-8083; Fax: 888-365-2421; E-mail: [email protected]

Abstract

Selexipag is an enteral, selective prostacyclin IP receptor agonist approved for pulmonary hypertension in adults. There are few reports of its use in children and none in infants. We report the first transition of an infant (11.5 months, 8.6 kg) from intravenous treprostinil (40 ng/kg/minute) to enteral selexipag (400 mcg twice daily) with a good response and no adverse effects.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

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References

Ferdman, DJ, Rosenzweig, EB, Zuckerman, WA, Krishnan, U. Subcutaneous treprostinil for pulmonary hypertension in chronic lung disease of infancy. Pediatrics 2014; 134: e274e278.CrossRefGoogle ScholarPubMed
Levy, M, Del Cerro, MJ, Nadaud, S, et al. Safety, efficacy and management of subcutaneous treprostinil infusions in the treatment of severe pediatric pulmonary hypertension. Int J Cardiol 2018; 264: 153157.CrossRefGoogle ScholarPubMed
McIntyre, CM, Hanna, BD, Rintoul, N, Ramsey, EZ. Safety of epoprostenol and treprostinil in children less than 12 months of age. Pulm Circ 2013; 3: 862869.CrossRefGoogle ScholarPubMed
Sitbon, O, Channick, R, Chin, KM, et al. Selexipag for the treatment of pulmonary arterial hypertension. N Engl J Med 2015; 373: 25222533.CrossRefGoogle ScholarPubMed
Geerdink, LM, Bertram, H, Hansmann, G. First-in-child use of the oral selective prostacyclin IP receptor agonist selexipag in pulmonary arterial hypertension. Pulm Circ 2017; 7: 551554.CrossRefGoogle ScholarPubMed
Gallotti, R, Drogalis-Kim, DE, Satou, G, Alejos, J. Single-center experience using selexipag in a pediatric population. Pediatr Cardiol 2017; 38: 14051409.CrossRefGoogle Scholar
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