Hepatic impairment
Uptravi should not be administered in patients with severe liver impairment (Child-Pugh class C; see
section 4.4). For patients with moderate hepatic impairment (Child-Pugh class B), the starting dose of
Uptravi should be 200 micrograms once daily, and increased at weekly intervals by increments of
200 micrograms given once daily until adverse reactions, reflecting the mode of action of selexipag,
that cannot be tolerated or medically managed are experienced. No adjustment to the dose regimen is
needed in patients with mild hepatic impairment (Child-Pugh class A)