Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Opsumit (Macitentan).
Anemia: Opsumit (Macitentan) may cause low levels of red blood cells. If you experience symptoms of reduced red blood cell count (anemia) such as shortness of breath, feeling unusually tired or pale skin, contact your doctor as soon as possible.
Kidney function: Kidney Disease or reduced kidney function may cause Opsumit (Macitentan) to build up in the body, causing side effects. If you have reduced kidney function or kidney disease, discuss with your doctor how Opsumit (Macitentan) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Opsumit (Macitentan), and whether any special monitoring is needed.
Liver function: Opsumit (Macitentan) may reduce liver function. If you have liver problems, discuss with your doctor how Opsumit (Macitentan) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Opsumit (Macitentan), and whether any special monitoring is needed. Your doctor may want to test your liver function regularly with blood tests while you are taking Opsumit (Macitentan). People with severely reduced liver function should not use Opsumit (Macitentan).
Pregnancy: Opsumit (Macitentan) may cause harm or death to the developing baby and mother if it is taken during pregnancy. Women must not become pregnant while taking Opsumit (Macitentan) or for at least one month after stopping the medication. Your doctor may routinely perform pregnancy tests while you are taking Opsumit (Macitentan) to confirm the safety of continuing to take Opsumit (Macitentan).
Women who may become pregnant must not take Opsumit (Macitentan) until pregnancy is ruled out. If you become pregnant while taking Opsumit (Macitentan), contact your doctor immediately.
Breast-feeding: It is not known if Opsumit (Macitentan) passes into breast milk. If you are a breast-feeding mother and are taking Opsumit (Macitentan), it may affect your baby. Women should not breast-feed while taking Opsumit (Macitentan).
Children: The safety and effectiveness of using Opsumit (Macitentan) have not been established for children less than 18 years of age.