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Molecule

Ensifentrine

Phosphodiesterase 3 Inhibitor
Available on requestRespiratory
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Ensifentrine is a phosphodiesterase 3 inhibitor indicated for the maintenance treatment of chronic obstructive pulmonary disease (COPD) in adult patients. It is available as inhalation suspension. MedsAcross supplies Ensifentrine for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Phosphodiesterase 3 Inhibitor, Phosphodiesterase 4 Inhibitor, Phosphodiesterase 3 Inhibitors, Phosphodiesterase 4 Inhibitors
ATC classification
R03BX Asthma and COPD medicines, subgroup R03B, subgroup R03BX · Asthma and COPD medicines, subgroup R03B
US FDA first approval
26 June 2024
EU status
Application withdrawn
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Inhalation
Dosage forms
Inhalation suspension
Identifiers
UNII 3E3D8T1GIXCAS 1884461-72-6DrugBank DB16157Q135257708

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

OHTUVAYRE is indicated for the maintenance treatment of chronic obstructive pulmonary disease (COPD) in adult patients. OHTUVAYRE is a phosphodiesterase 3 (PDE3) inhibitor and phosphodiesterase 4 (PDE4) inhibitor indicated for the maintenance treatment of chronic obstructive pulmonary disease (COPD) in adult patients.

Source: US FDA prescribing information

How it works

Ensifentrine is a small molecule that is an inhibitor of the PDE3 and PDE4 enzymes. PDE3 primarily hydrolyzes the second-messenger molecule cyclic adenosine monophosphate (cAMP) but is also capable of hydrolyzing cyclic guanosine monophosphate (cGMP). PDE4 hydrolyzes cAMP only. Inhibition of PDE3 and PDE4 results in accumulation of intracellular levels of cAMP and/or cGMP, resulting in various downstream signaling effects.

Source: US FDA prescribing information

Dosing overview

The recommended dosage of OHTUVAYRE is 3 mg (one unit-dose ampule) twice daily, once in the morning and once in the evening, administered by oral inhalation using a standard jet nebulizer with a mouthpiece. Recommended Dosage: 3 mg (one ampule) twice daily administered by oral inhalation using a standard jet nebulizer with a mouthpiece. See full prescribing information for administration instructions. Administration Instructions Remove OHTUVAYRE unit-dose ampule from foil pouch only immediately before use. For pouches of 5 ampules, remove one ampule and place the remaining ampules back into the pouch in an upright orientation until next use. Once the foil pouch is opened, discard ampules if not used within 14 days. Shake OHTUVAYRE ampule vigorously. Squeeze and completely empty contents of the ampule into the nebulizer cup for administration of OHTUVAYRE by oral inhalation.

Source: US FDA prescribing information

Contraindications

OHTUVAYRE is contraindicated in patients with hypersensitivity to ensifentrine or any component of this product.

Source: US FDA prescribing information

Warnings and precautions

Should not use OHTUVAYRE to treat acute symptoms of bronchospasm. If paradoxical bronchospasm occurs, discontinue OHTUVAYRE and institute alternative therapy. An increase in psychiatric adverse reactions, including suicidality, were reported with use of OHTUVAYRE. Carefully weigh the risks and benefits of treatment with OHTUVAYRE in patients with a history of depression and/or suicidal thoughts or behavior.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are described elsewhere in the labeling: Paradoxical Bronchospasm Psychiatric Events Including Suicidality Most common adverse reactions (incidence greater and equal to 1% and more common than placebo) include back pain, hypertension, urinary tract infection, and diarrhea.

Source: US FDA prescribing information

Storage

Store at controlled room temperature (68°F to 77°F [20°C to 25°C], excursions permitted from 59ºF to 86ºF [15ºC to 30ºC]). Do not freeze. Store OHTUVAYRE in the protective foil pouch. Protect from direct sunlight and excessive heat. Do not store upside down.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Ensifentrine, sorted by availability.

MedicineManufacturerRegisterAvailability
Ohtuvayre 3 mg/2.5 mL inhalation suspensionInhalationMerck Sharp & DohmeUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 26 June 2024Drugs@FDA
EU (EMA)Application withdrawnEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Ensifentrine available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Ensifentrine and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Ensifentrine have?

The catalogue lists 1 brand names for Ensifentrine, including Ohtuvayre.

Is Ensifentrine approved by the US FDA?

Yes. The US FDA first approved Ensifentrine on 26 June 2024, according to Drugs@FDA.

Does Ensifentrine need cold chain shipping?

No listed presentation of Ensifentrine is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Ensifentrine in?

Ensifentrine is classified under ATC code R03BX (Asthma and COPD medicines, subgroup R03B, subgroup R03BX).

References

  1. Ohtuvayre prescribing information (Merck Sharp & Dohme). U.S. National Library of Medicine, DailyMed. Retrieved 13 October 2026

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