Chronic heart failure

Active Ingredient: Vericiguat

Indication for Vericiguat

Population group: only adults (18 years old or older)
Therapeutic intent: Curative procedure

Vericiguat is indicated for the treatment of symptomatic chronic heart failure in adult patients with reduced ejection fraction who are stabilised after a recent decompensation event requiring IV therapy.

For this indication, competent medicine agencies globally authorize below treatments:

2.5-10 mg once daily

Route of admnistration

Oral

Defined daily dose

2.5 - 10 mg

Dosage regimen

From 2.5 To 10 mg once every day

Detailed description

Vericiguat is administered in conjunction with other heart failure therapies.

Before starting vericiguat, care should be taken to optimise volume status and diuretic therapy to stabilise patients after the decompensation event, particularly in patients with very high NT-proBNP levels.

The recommended starting dose is 2.5 mg vericiguat once daily. The dose should be doubled approximately every 2 weeks to reach the target maintenance dose of 10 mg once daily, as tolerated by the patient.

If patients experience tolerability issues (symptomatic hypotension or systolic blood pressure [SBP] less than 90 mmHg), temporary down-titration or discontinuation of vericiguat is recommended.

Treatment should not be initiated in patients with SBP <100 mmHg.

Missed dose

If a dose is missed, it should be taken as soon as the patient remembers on the same day of the missed dose. Patients should not take two doses of vericiguat on the same day.

Dosage considerations

Vericiguat should be taken with food.

Active ingredient

Vericiguat

Vericiguat is a stimulator of soluble guanylate cyclase (sGC). Heart failure is associated with impaired synthesis of nitric oxide (NO) and decreased activity of its receptor, sGC. The pharmacodynamic effects of vericiguat are consistent with the mode of action of a sGC stimulator resulting in smooth muscle relaxation and vasodilation.

Read more about Vericiguat

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