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Molecule

Selexipag

Prostacyclin Receptor Agonist
Available on requestOrphanCold chainHaematology
Presentations
20
Brands
2
Manufacturers
1
Available from stock
0

Selexipag is a prostacyclin receptor agonist indicated for the treatment of pulmonary arterial hypertension (PAH, WHO Group I), among other approved uses. It is available as tablets, kits and powder for injection for oral and intravenous use. MedsAcross supplies Selexipag 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
Prostacyclin Receptor Agonist, Prostacyclin Receptor Agonists
ATC classification
B01AC27 Selexipag · Antithrombotic, subgroup B01AC
US FDA first approval
21 December 2015
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral, Intravenous
Dosage forms
Tablet, Kit, Powder for injection
Identifiers
UNII 5EXC0E384LRxCUI 1729002CAS 475086-01-2DrugBank DB11362Q15424759

Clinical information

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

Uses

UPTRAVI is a prostacyclin receptor agonist indicated for the treatment of pulmonary arterial hypertension (PAH, WHO Group I): In adults to delay disease progression and reduce the risk of hospitalization for PAH. In pediatric patients aged 2 years and older. UPTRAVI reduces NT-proBNP and is expected to delay disease progression and reduce the risk of hospitalization for PAH.

Source: US FDA prescribing information

How it works

Selexipag is a prostacyclin receptor (IP receptor) agonist that is structurally distinct from prostacyclin. Selexipag is hydrolyzed by carboxylesterase 1 to yield its active metabolite, which is approximately 37-fold as potent as selexipag. Selexipag and the active metabolite are selective for the IP receptor versus other prostanoid receptors (EP 1–4, DP, FP, and TP).

Source: US FDA prescribing information

Dosing overview

Adult patients: UPTRAVI tablets starting dose: 200 mcg orally twice daily. Increase the dose by 200 mcg orally twice daily at weekly intervals to the highest tolerated dose up to 1,600 mcg orally twice daily. Pediatric patients: See Full Prescribing Information for recommended starting dose, titration increments, and maximum allowed dose based on body weight category. Maintenance dose is determined by tolerability. Moderate hepatic impairment: Starting dose once daily, increase in increments of the starting dose once daily at weekly intervals to the maximum allowed or highest tolerated dose. Adult patients: UPTRAVI for injection dose is determined by the patient's current dose of UPTRAVI tablets. Administer UPTRAVI for injection by intravenous infusion, twice daily. See Full Prescribing Information for instructions on preparation and administration.

Source: US FDA prescribing information

Contraindications

Hypersensitivity to the active substance or to any of the excipients. Concomitant use of strong inhibitors of CYP2C8 (e.g., gemfibrozil). Concomitant use with strong CYP2C8 inhibitors.

Source: US FDA prescribing information

Warnings and precautions

Pulmonary edema in patients with pulmonary veno-occlusive disease. If confirmed, discontinue treatment. Pulmonary Edema with Pulmonary Veno-Occlusive Disease Should signs of pulmonary edema occur, consider the possibility of associated pulmonary veno-occlusive disease. If confirmed, discontinue UPTRAVI.

Source: US FDA prescribing information

Side effects

Adverse reactions in adult and pediatric patients occurring more frequently (≥5%) on UPTRAVI compared to placebo are headache, diarrhea, jaw pain, nausea, myalgia, vomiting, pain in extremity, and flushing. Additional adverse reaction occurring in pediatric patients more frequently (≥5%) on UPTRAVI compared to placebo is abdominal pain.

Source: US FDA prescribing information

Interactions

Moderate CYP2C8 inhibitors (e.g., clopidogrel, deferasirox and teriflunomide) increase exposure to the active metabolite of UPTRAVI. Reduce the dosing of UPTRAVI to once daily. CYP2C8 inducers (e.g., rifampin) decrease exposure to the active metabolite. Increase up to twice the dose of UPTRAVI.

Source: US FDA prescribing information

Storage

Store at 20 °C to 25 °C (68 °F to 77 °F). Excursions are permitted between 15 °C and 30 °C (59 °F and 86 °F). Storage conditions for UPTRAVI for injection: Store the original carton containing glass vial in a refrigerator at 2 °C to 8 °C (36 ºF to 46 ºF) until use in order to protect from light. Recommended storage for UPTRAVI 100 mcg and 150 mcg tablets: Store and dispense in the original package to protect from moisture.

Source: US FDA prescribing information

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

All presentations

20 presentations of Selexipag, sorted by availability.

MedicineManufacturerRegisterAvailability
Selexipag 200 mcg tabletOralGeneric name—US FDAAvailable on request
Selexipag 1000 mcg tabletOralGeneric name—US FDAAvailable on request
Selexipag 1200 mcg tabletOralGeneric name—US FDAAvailable on request
Selexipag 1400 mcg tabletOralGeneric name—US FDAAvailable on request
Selexipag 1600 mcg tabletOralGeneric name—US FDAAvailable on request
Selexipag 400 mcg tabletOralGeneric name—US FDAAvailable on request
Selexipag 600 mcg tabletOralGeneric name—US FDAAvailable on request
Selexipag 800 mcg tabletOralGeneric name—US FDAAvailable on request
Uptravi 200 mcg tabletOral Cold chainActelion PharmaceuticalsUS FDAAvailable on request
Uptravi 100 mcg tabletOral Cold chainActelion PharmaceuticalsUS FDAAvailable on request
Uptravi 1000 mcg tabletOral Cold chainActelion PharmaceuticalsUS FDAAvailable on request
Uptravi 1200 mcg tabletOral Cold chainActelion PharmaceuticalsUS FDAAvailable on request
Uptravi 1400 mcg tabletOral Cold chainActelion PharmaceuticalsUS FDAAvailable on request
Uptravi 150 mcg tabletOral Cold chainActelion PharmaceuticalsUS FDAAvailable on request
Uptravi 1600 mcg tabletOral Cold chainActelion PharmaceuticalsUS FDAAvailable on request
Uptravi 1800 mcg/10 mL powder for injectionIntravenous Cold chainActelion PharmaceuticalsUS FDAAvailable on request
Uptravi 400 mcg tabletOral Cold chainActelion PharmaceuticalsUS FDAAvailable on request
Uptravi 600 mcg tabletOral Cold chainActelion PharmaceuticalsUS FDAAvailable on request
Uptravi 800 mcg tabletOral Cold chainActelion PharmaceuticalsUS FDAAvailable on request
UPTRAVI Titration Pack kit Cold chainActelion PharmaceuticalsUS FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

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 21 December 2015Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Selexipag in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Selexipag available for export from India?

Yes, on request. MedsAcross lists 20 presentations of Selexipag and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Selexipag have?

The catalogue lists 2 brand names for Selexipag, including Uptravi, UPTRAVI Titration Pack.

Is Selexipag approved by the US FDA?

Yes. The US FDA first approved Selexipag on 21 December 2015, according to Drugs@FDA.

Is Selexipag authorised in the European Union?

Yes. Selexipag has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Selexipag need cold chain shipping?

At least one listed presentation of Selexipag must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

Which ATC class is Selexipag in?

Selexipag is classified under ATC code B01AC27 (Selexipag).

References

  1. UPTRAVI prescribing information (Actelion Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 28 May 2026
  2. Uptravi: European public assessment report (EPAR). European Medicines Agency. Retrieved 19 February 2026

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