Endothelin receptor antagonist
Ambrisentan (brand name Letairis) is a prescription medicine used to treat pulmonary arterial hypertension (PAH) in adults. It works by blocking certain receptors in the body to help improve exercise ability and slow the progression of the disease.
How it worksAmbrisentan works by blocking endothelin receptors (ET-A and ET-B). This helps prevent the narrowing of blood vessels in the lungs, which is common in people with pulmonary arterial hypertension.
Brand names:LETAIRIS
How to take
Adults usually start with 5 mg once daily. Depending on how you tolerate it, a doctor may increase the dose to 10 mg once daily after 4 weeks. Do not crush, chew, or split the tablets.
Take once daily. Do not split, crush, or chew the tablets.
Key warnings
Ambrisentan can cause serious birth defects and is not to be used during pregnancy. Females of reproductive potential should use effective birth control before, during, and for one month after treatment.
- ·Ambrisentan can cause serious birth defects and is not to be used during pregnancy. Females of reproductive potential should use effective birth control before, during, and for one month after treatment.
- ·Can cause severe fluid retention.
- ·May cause decreased sperm count in men.
- ·May cause a decrease in hemoglobin levels.
- ·Risk of serious birth defects if used during pregnancy.
Do not use if
- ·Pregnancy
- ·Idiopathic Pulmonary Fibrosis (IPF)
Side effects
Common
Serious
- ·Fluid retention
- ·Fluid buildup in the lungs (pulmonary edema)
- ·Decreased sperm count
- ·Changes in hemoglobin levels
Seek help if
- ·pregnancy
- ·fluid_retention
- ·sperm_count
- ·hemoglobin_changes
Interactions
- ·Cyclosporine: Taking this with Ambrisentan can double the amount of drug in your system; the Ambrisentan dose should be limited to 5 mg once daily.
- ·TRYVIO
- ·OPSUMIT
- ·TRACLEER
- ·JUXTAPID
Special populations
PregnancyAmbrisentan should not be used during pregnancy because it may cause major birth defects or fetal death. Women who can become pregnant should have a pregnancy test before starting and use effective birth control during and for one month after treatment.
PediatricThe safety and effectiveness of Ambrisentan in children have not been established.
GeriatricElderly patients (65 and older) may see less improvement in walking distance compared to younger patients and may experience more swelling (edema).
Talk to your doctor
Monitor
- ·Fluid retention/swelling
- ·Hemoglobin levels
- ·Sperm count
- ·Pregnancy status
Questions to ask
- ·How often should my hemoglobin be checked?
- ·What should I do if I notice swelling in my legs?
- ·Is it safe to take cyclosporine while on Ambrisentan?
- ·What birth control should I use while on this medication?
Pharmacokinetics
Practical
OverdoseThere is no specific experience with overdosing on Ambrisentan. High doses in studies caused headache, flushing, dizziness, nausea, and nasal congestion. Very large doses could cause dangerously low blood pressure.
Ingredients
Allergens
Inactive
Educational summary derived from FDA labeling, AI-assisted. Not medical advice — consult a healthcare professional. Updated 2026-04-25.
