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Riociguat

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965:(WHO) functional class II or III) evaluated the safety and tolerability, and the effects on hemodynamics, exercise capacity and functional class. Riociguat was given three times daily for 12 weeks. Doses were titrated at 2-week intervals from 1.0 mg three times daily to a maximum of 2.5 mg three times daily. Riociguat had a favourable safety profile, and also significantly improved exercise capacity and hemodynamic parameters such as pulmonary vascular resistance, cardiac output and pulmonary arterial pressure compared to baseline values. 560: 537: 31: 40: 869:). In patients with pulmonary arterial hypertension eNOS levels are reduced. This results in overall lower levels of endothelial cell-derived NO and reduced vasodilation of smooth muscle cells. NO also reduces pulmonary smooth muscle cell growth and antagonises platelet inhibition, factors which play a key role in the pathogenesis of PAH. In contrast to NO- and haem-independent sGC activators like 3493: 1066:(20 mg thrice daily) in a non-randomized uncontrolled trial. The study showed potentially unfavorable safety signals with sildenafil plus riociguat and no evidence of a positive benefit/risk ratio. Therefore, the concomitant use of riociguat with phosphodiesterase-5 inhibitors is contraindicated. 1038:
rial (PATENT) was a randomized, placebo-controlled trial that investigated the efficacy and safety of riociguat in PAH patients. After a 12-week treatment the patient's exercise capacity was evaluated by measuring the change in the 6-MWT. Patients having completed PATENT-1 were invited to enter the
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derivative, was described in 1978. The characterisation 20 years later demonstrated that as well as increasing sGC activity, YC-1 acted in synergy with NO to stimulate sGC. However, YC-1 was a relatively weak vasodilator and had side effects. Therefore, the search began for novel indazole compounds
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rial (CHEST) was a randomized, placebo-controlled trial aimed to analyse the efficacy and safety of riociguat in CTEPH patients. After a 16-week riociguat treatment the patient's exercise capacity were evaluated by measuring the change in the six-minute walk test (6-MWT). Patients having completed
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This randomized, double blind, placebo controlled Phase I study investigated the effect of riociguat, administered as 2.5 mg immediate-release (IR)-tablets twice daily over 14 days, on the bone metabolism. Effects on bone formation had been seen in growing, juvenile and adolescent rats. In
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that were more potent and more specific sGC stimulators. The result was the identification of BAY 41-2272 and BAY 41–8543. Both compounds were tested in various preclinical studies on different animal models and appeared to improve systemic arterial oxygenation. To improve the pharmacologic and
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stimulates in a dose-dependent manner sGC activity up to 73-fold. In addition, it acts synergistically with diethylamine/NO, the donor of NO, to increase sGC activity in vitro up to 112-fold. A phase I study showed that riociguat is rapidly absorbed, and maximum plasma concentration is reached
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The phase III trials on riociguat are multi-center studies. The study program included large randomized, double-blind, placebo-controlled pivotal trial phase (CHEST-1 and PATENT-1), and open-label extensions of these studies (CHEST-2 and PATENT-2). Details of these studies are reported on
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of single oral doses of riociguat (0.25–5 mg). 58 healthy male subjects were given riociguat orally (oral solution or immediate-release tablet) in a randomised, placebo-controlled trial. Doses of riociguat were increased stepwise, and riociguat was well tolerated up to 2.5 mg.
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extension trial, PATENT-2. The first interim analysis of PATENT-2 showed that at one year, long-term riociguat was well tolerated in patients with PAH and showed sustained benefits in 6MWD and WHO FC. The safety profile of riociguat in PATENT-2 was similar to that observed in PATENT-1.
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between 0.5 and 1.5 h. The mean elimination half-life appears to be 5–10 hours. Riociguat plasma concentrations have been also shown to be quite variable between patients, indicating that for clinical use it is probably necessary to titrate the drug specifically for each individual.
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juvenile rats, the changes consisted of thickening of trabecular bone and hyperostosis and remodeling of metaphyseal and diaphyseal bone, whereas in adolescent rats an overall increase of bone mass was observed. On the other hand, no such effects were observed in adult rats.
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Frey R, Mück W, Unger S, Artmeier-Brandt U, Weimann G, Wensing G (December 2008). "Pharmacokinetics, pharmacodynamics, tolerability, and safety of the soluble guanylate cyclase activator cinaciguat (BAY 58-2667) in healthy male volunteers".
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profile an additional 1000 compounds were screened leading to the discovery of riociguat. Riociguat was tested in mouse and rat disease models, where it effectively reduced pulmonary hypertension and reversed the associated
1976: 1563:"[Studies on heterocyclic compounds. XXXVI. Synthesis of furo[3,2-c]pyrazole derivatives. (4) Synthesis of 1,3-diphenylfuro[3,2-c]pyrazole-5-carboxaldehyde and its derivatives (author's transl)]" 1061:
This study investigated safety, tolerability, pharmacokinetics and the impact on pulmonary and systemic haemodynamics of single doses of 0.5 and 1 mg of riociguat in patients with PAH and stable treatment of
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Lung Center, was the first small study (in 4 PAH patients) to investigate safety, tolerability, pharmacokinetics and efficacy parameters. The drug was well tolerated and superior to NO in efficacy and duration.
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CHEST-1 were invited to enter the extension trial, CHEST-2. The first interim analysis of CHEST-2 showed that riociguat was well tolerated, with a good long-term safety profile in patients with CTEPH.
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for "Impact of Multiple Doses of BAY 63-2521 on Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Patients With Interstitial Lung Disease (ILD) Associated Pulmonary Hypertension" at
203: 2181: 1969: 873:, the sGC stimulator riociguat directly stimulates sGC activity independent of NO and also acts in synergy with NO to produce anti-aggregatory, anti-proliferative, and vasodilatory effects. 1223: 1962: 158: 690: 1748: 807:) increase the hypotensive (blood pressure lowering) effect of riociguat. Combining such drugs is therefore contraindicated. Riociguat levels in the blood are reduced by 2174: 3513: 1602:
Stasch JP, Becker EM, Alonso-Alija C, Apeler H, Dembowsky K, Feurer A, et al. (March 2001). "NO-independent regulatory site on soluble guanylate cyclase".
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InChI=1S/C20H19FN8O2/c1-28(20(30)31-2)15-16(22)25-18(26-17(15)23)14-12-7-5-9-24-19(12)29(27-14)10-11-6-3-4-8-13(11)21/h3-9H,10H2,1-2H3,(H4,22,23,25,26)
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consisting of a larger alpha-subunit and a smaller haem-binding beta-subunit. The synthesised cGMP acts as a secondary messenger and activates
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Several clinical trials have been undertaken to investigate and evaluate diverse aspects of riociguat, and some of them are still ongoing.
1669:"Discovery of riociguat (BAY 63-2521): a potent, oral stimulator of soluble guanylate cyclase for the treatment of pulmonary hypertension" 768:(PH-IIP). A clinical trial testing riociguat for this purpose was prematurely terminated because it increased severe adverse effects and 2943: 1245: 3369: 3528: 2628: 765: 738:(PAH). Riociguat constitutes the first drug of the class of sGC stimulators. The drug has a half-life of 12 hours and will decrease 666: 2794: 1954: 2981: 2307: 1752: 2598: 735: 347: 188: 88: 2703: 3383: 2042: 836: 1185: 1891:
for "A Study to Evaluate Efficacy and Safety of Oral BAY63-2521 in Patients With Pulmonary Arterial Hypertension (PAH)" at
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An open-label, non-controlled phase II trial of riociguat in 75 adult patients (42 with CTEPH and 33 with PAH, all in
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In addition, a phase II study of riociguat is underway in patients with other forms of PH such as associated with
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for "Interaction Study in Patients With Pulmonary Hypertension and Stable Treatment of Sildenafil 20 mg TID" at
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for "BAY63-2521 - Long-term Extension Study in Patients With Chronic Thromboembolic Pulmonary Hypertension" at
2848: 1302: 1300: 1265:"Reduced expression of endothelial nitric oxide synthase in the lungs of patients with pulmonary hypertension" 784:
Serious adverse effects in clinical trials included bleeding. Hypotension (low blood pressure), headache, and
405: 3140: 2971: 2838: 1309:"NO-independent stimulators and activators of soluble guanylate cyclase: discovery and therapeutic potential" 3400: 3011: 2928: 2660: 2472: 2348: 2128: 1361:"First acute haemodynamic study of soluble guanylate cyclase stimulator riociguat in pulmonary hypertension" 954: 922: 918: 144: 3300: 3207: 2956: 2688: 1457:
Schermuly RT, Stasch JP, Pullamsetti SS, Middendorff R, Müller D, Schlüter KD, et al. (October 2008).
555: 3397: 3101: 3047: 2910: 2897: 2655: 2358: 1986: 796: 727: 256: 3016: 2618: 2588: 1246:"Adempas not for use in patients with pulmonary hypertension caused by idiopathic interstitial pneumonia" 1084:"FDA-sourced list of all drugs with black box warnings (Use Download Full Results and View Query links.)" 3324: 3006: 2821: 2608: 1830: 1710: 1647: 1492: 1394: 396: 2961: 2665: 2613: 2437: 2432: 3246: 2843: 2583: 2452: 2442: 3523: 2858: 2853: 2683: 2670: 2623: 2447: 2373: 2363: 1611: 1083: 772:
in patients with pulmonary hypertension caused by idiopathic interstitial pneumonia when compared to
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Stasch JP, Hobbs AJ (2009). "NO-independent, haem-dependent soluble guanylate cyclase stimulators".
835:. NO binds to soluble guanylate cyclase (sGC) and mediates the synthesis of the secondary messenger 532: 3518: 3334: 3264: 865:, which results in vasodilation. NO is produced by the enzyme endothelial nitric oxide synthetase ( 376: 151: 2282: 1667:
Mittendorf J, Weigand S, Alonso-Alija C, Bischoff E, Feurer A, Gerisch M, et al. (May 2009).
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for "BAY63-2521:Long-term Extension Study in Patients With Pulmonary Arterial Hypertension" at
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Ghofrani HA, D'Armini AM, Grimminger F, Hoeper MM, Jansa P, Kim NH, et al. (July 2013).
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Grimminger F, Weimann G, Frey R, Voswinckel R, Thamm M, Bölkow D, et al. (April 2009).
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for "A Study to Evaluate Efficacy and Safety of Oral BAY63-2521 in Patients With CTEPH" at
465: 3497: 3404: 3075: 2863: 2698: 2462: 913: 866: 808: 266: 246: 1459:"Expression and function of soluble guanylate cyclase in pulmonary arterial hypertension" 559: 536: 1736: 1615: 3424: 3083: 2976: 2873: 2573: 2560: 2547: 2193: 2143: 2075: 1693: 1668: 1333: 1308: 936:
One of the first studies was designed to test the safety profile, pharmacokinetics and
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The substance is also contraindicated in pulmonary hypertension in combination with
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Evgenov OV, Pacher P, Schmidt PM, Haskó G, Schmidt HH, Stasch JP (September 2006).
900: 840: 832: 828: 171: 166: 30: 1941: 1923: 1905: 1887: 1869: 1851: 1767: 1113:"Prescription medicines: registration of new chemical entities in Australia, 2014" 39: 1579: 1562: 1424: 1189: 1172: 80: 3455: 3226: 3150: 2759: 2754: 2639: 2480: 2378: 2222: 2050: 1281: 1264: 299: 3428: 3408: 3342: 2996: 2413: 2408: 2297: 2277: 2112: 2083: 2065: 2060: 1786:"Riociguat for the treatment of chronic thromboembolic pulmonary hypertension" 1475: 1458: 1377: 1360: 1063: 882: 870: 816: 715: 608: 436: 290: 1531: 3414: 3373: 3236: 3231: 2088: 2027: 2012: 848: 831:(NO) acts as a signaling molecule on vascular smooth muscle cells to induce 332: 320: 74: 1822: 1813: 1702: 1684: 1631: 1539: 1484: 1443: 1386: 1342: 3448:
cGMP preferring PDE inhibitors (e.g., sildenafil, paraxanthine, tadalafil)
1804: 1418:. Handbook of Experimental Pharmacology. Vol. 191. pp. 277–308. 1290: 22: 3435: 3391: 3377: 3292: 3194: 2883: 2774: 2321: 2212: 2148: 2133: 2055: 2022: 1588: 908: 416: 102: 425: 3355: 3221: 2734: 2729: 2678: 2497: 2492: 2418: 2338: 2327: 2138: 851: 773: 739: 3451: 3347: 3241: 2804: 1623: 859: 812: 326: 283: 279: 275: 271: 1324: 485: 855: 769: 758: 719: 631: 622: 496: 3329: 3256: 2830: 904: 476: 225: 2163: 1958: 210: 97: 1091: 521: 197: 129: 761:
harm and is therefore contraindicated in pregnant women.
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CGMP: Generators, Effectors and Therapeutic Implications
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Nitroxyl anion (NO; oxonitrate(1-), hyponitrite anion)
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Riociguat at concentration between 0.1 and 100 
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Methylamine hexamethylene methylamine/NO (MAHMA/NO)
2320: 2240: 2231: 2203: 2121: 2097: 2074: 2041: 2002: 907:-dependent sGC stimulator, YC-1, a synthetic benzyl 654:
c14ncccc4c(-c(nc2N)nc(N)c2N(C)C(=O)OC)nn1Cc3ccccc3F
620: 607: 571: 566: 547: 515: 495: 475: 455: 435: 415: 404: 395: 375: 338: 319: 306: 289: 265: 255: 245: 237: 187: 182: 157: 143: 117: 87: 69: 61: 51: 46: 2518:Amyl nitrite (isoamyl nitrite, isopentyl nitrite) 1751:. American Thoracic Society. 2009. Archived from 1728: 1726: 742:associated with pulmonary arterial hypertension. 1927:for "Effect of Riociguat on Bone Metabolism" at 2379:Naproxcinod (nitronaproxen; AZD-3582, HCT-3012) 384: 2795:N-Acetyl-N-acetoxy-4-chlorobenzenesulfonamide 2354:Ethylene glycol dinitrate (EGDN; nitroglycol) 2175: 1970: 1354: 1352: 732:chronic thromboembolic pulmonary hypertension 8: 106: 21: 1166: 1164: 1162: 1160: 2826: 2817: 2237: 2182: 2168: 2160: 1977: 1963: 1955: 1561:Yoshina S, Tanaka A, Kuo SC (March 1978). 985:, a register of studies maintained by the 558: 535: 444: 2538:Isobutyl nitrite (2-methylpropyl nitrite) 2448:Nitroglycerin (glyceryl trinitrate (GTN)) 1812: 1692: 1578: 1474: 1423: 1376: 1332: 1280: 464: 811:and strong inducers of the liver enzyme 726:(sGC). It is used to treat two forms of 3488: 2614:S-Nitrosocysteine (SNC, CysNO, SNO-Cys) 2604:S-Nitroso-N-valerylpenicillamine (SNVP) 1075: 671: 651: 531: 424: 352: 2599:S-Nitroso-N-acetylpenicillamine (SNAP) 2473:Sodium trioxodinitrate (Angeli's salt) 1985:Medications used in the management of 1828: 1708: 1645: 1512: 1510: 1508: 1490: 1392: 1117:Therapeutic Goods Administration (TGA) 1048:Effect of riociguat on bone metabolism 549: 363:-pyrazolopyridin-3-yl]-5-pyrimidinyl]- 20: 3514:Soluble guanylate cyclase stimulators 1171: 504: 315:12 h (patients); 7 h (healthy people) 79: 7: 3434:non-selective PDE inhibitors (e.g., 2218:Nitric oxide (NO; nitrogen monoxide) 854:ion concentration. This changes the 170: 2458:Pentaerithrityl tetranitrate (PETN) 2344:Diethylene glycol dinitrate (DEGDN) 1793:The New England Journal of Medicine 1269:The New England Journal of Medicine 1212:"2022 First Generic Drug Approvals" 484: 3363:Indirect/downstream NO modulators: 3131:Asymmetric dimethylarginine (ADMA) 1835:: CS1 maint: overridden setting ( 1715:: CS1 maint: overridden setting ( 1652:: CS1 maint: overridden setting ( 1497:: CS1 maint: overridden setting ( 1399:: CS1 maint: overridden setting ( 1188:. Bayer HealthCare. Archived from 1005:mbolic Pulmonary Hypertension sGC- 14: 3161:Nitroarginine methyl ester (NAME) 2624:S-Nitrosoglutathione (GSNO, SNOG) 2594:S-Nitroso-N-acetylcysteine (SNAC) 2468:Propylene glycol dinitrate (PGDN) 2223:Nitrosonium (NO; nitrosyl cation) 1226:from the original on 30 June 2023 1173:FDA Professional Drug Information 1057:Interaction study with sildenafil 823:Chemistry and mechanism of action 766:idiopathic interstitial pneumonia 3491: 1520:Journal of Clinical Pharmacology 1463:The European Respiratory Journal 1365:The European Respiratory Journal 592: 589: 583: 38: 29: 2689:Diethylenetriamine/NO (DETA/NO) 2043:Endothelin receptor antagonists 1987:pulmonary arterial hypertension 1143:European Medicines Agency (EMA) 847:(protein kinase G) to regulate 736:pulmonary arterial hypertension 679:Key:WXXSNCNJFUAIDG-UHFFFAOYSA-N 2889:N-(1-Iminoethyl)-L-ornithine ( 1749:"ATS International conference" 1313:Nature Reviews. Drug Discovery 1263:Giaid A, Saleh D (July 1995). 837:cyclic guanosine monophosphate 598: 577: 298:-desmethylriociguat (active), 1: 3472:Receptor/signaling modulators 3141:Guanidinoethyldisulfide (GED) 2359:Isosorbide mononitrate (ISMN) 2349:Erythritol tetranitrate (ETN) 987:National Institutes of Health 845:cGMP-dependent protein kinase 2609:S-Nitrosocaptopril (SNO-Cap) 2438:Nitroflurbiprofen (HCT-1026) 2433:Nitroatorvastatin (NCX-6560) 1580:10.1248/yakushi1947.98.3_272 1425:10.1007/978-3-540-68964-5_13 1218:Food and Drug Administration 801:phosphodiesterase inhibitors 710:, sold under the brand name 3084:Aminoguanidine (pimagedine) 2977:Aminoguanidine (pimagedine) 2874:Aminoguanidine (pimagedine) 2638:N-Nitroso compounds (e.g., 2453:Nitropravastatin (NCX-6550) 2364:Isosorbide dinitrate (ISDN) 1282:10.1056/NEJM199507273330403 3555: 3370:AT-II receptor antagonists 3115:Nitroarginine (NNA, NOARG) 2952:1-Amino-2-hydroxyguanidine 2924:Nitroarginine (NNA, NOARG) 2671:Sodium nitroprusside (SNP) 815:, and increased by strong 786:gastrointestinal disorders 567:Chemical and physical data 3465: 1476:10.1183/09031936.00114407 1378:10.1183/09031936.00039808 1250:European Medicines Agency 976:Phase III clinical trials 970:interstitial lung disease 963:World Health Organization 724:soluble guanylate cyclase 687: 662: 642: 343: 37: 28: 3529:Drugs developed by Bayer 2849:3-Chloro-5-nitroindazole 2684:Diethylamine/NO (DEA/NO) 2656:Metal nitrosyl complexes 2584:S-Nitrosoalbumin (SNALB) 2278:Cinaciguat (BAY 58-2667) 2129:Calcium channel blockers 1532:10.1177/0091270008322906 945:Phase II clinical trials 827:In healthy individuals, 722:that is a stimulator of 3441:PDE9 inhibitors (e.g., 2929:Pentamidine isethionate 2839:3-Bromo-7-nitroindazole 2726:Heterocyclic compounds: 2250:Activators/stimulators: 953:study, reported by the 932:Phase I clinical trials 923:ventricular remodelling 919:right heart hypertrophy 3398:L-Type calcium channel 1939:Clinical trial number 1921:Clinical trial number 1903:Clinical trial number 1885:Clinical trial number 1867:Clinical trial number 1849:Clinical trial number 1765:Clinical trial number 1685:10.1002/cmdc.200900014 1186:"Background Riociguat" 728:pulmonary hypertension 3002:Cindunistat (SD-6010) 2957:2-Ethylaminoguanidine 2714:Spermine/NO (SPER/NO) 2511:O-Nitroso compounds ( 1805:10.1056/NEJMoa1209657 745:It is available as a 3388:receptor antagonists 3061:Ronopterin (VAS-203) 2760:Molsidomine (SIN-10) 2681:(diazeniumdiolates): 2661:Roussin's black salt 2374:Mannitol hexanitrate 1755:on 30 December 2009. 1034:sion sGC-Stimulator 955:University of Gießen 757:Riociguat can cause 2755:Linsidomine (SIN-1) 2652:Nitrosyl compounds: 2619:S-Nitrosodiclofenac 2589:S-Nitrosated AR545C 2574:S-Nitroso compounds 1616:2001Natur.410..212S 367:-methyl-carbaminate 206:(Prescription only) 134: X (High risk) 25: 2666:Roussin's red salt 2523:Cyclohexyl nitrite 2414:Nipradilol (K-351) 2122:Adjunctive therapy 1947:ClinicalTrials.gov 1929:ClinicalTrials.gov 1911:ClinicalTrials.gov 1893:ClinicalTrials.gov 1875:ClinicalTrials.gov 1857:ClinicalTrials.gov 1773:ClinicalTrials.gov 1733:ClinicalTrials.gov 1145:. 20 December 2007 983:ClinicalTrials.gov 903:(NO) independent, 839:(cGMP). sGC forms 747:generic medication 3534:Pyrazolopyridines 3479: 3478: 3304: 3295: 3278: 3277: 3211: 3189: 3188: 3109: 3105: 3096: 3092: 3089:N-(1-Iminoethyl)- 3055: 3051: 3042: 3038: 3035:N-(1-Iminoethyl)- 3029: 3025: 3022:N-(1-Iminoethyl)- 2962:2-Iminopiperidine 2918: 2914: 2905: 2901: 2892: 2814: 2543:Isopropyl nitrite 2489:Nitroso compounds 2331: 2316: 2315: 2157: 2156: 1435:978-3-540-68960-7 753:Contraindications 705: 704: 633:Interactive image 517:CompTox Dashboard 229: 214: 201: 133: 100: 16:Chemical compound 3546: 3496: 3495: 3494: 3487: 3405:dihydropyridines 3305:-arginine (NOHA) 3302: 3293: 3247:alpha aminoacids 3217:chlorogenic acid 3212:-arginine (NOHA) 3209: 3107: 3103: 3094: 3090: 3053: 3049: 3040: 3036: 3027: 3023: 2916: 2912: 2903: 2899: 2890: 2844:3-Chloroindazole 2827: 2818: 2808: 2506: 2505: 2443:Nitrofluvastatin 2427: 2426: 2369:Itramin tosilate 2325: 2238: 2184: 2177: 2170: 2161: 1979: 1972: 1965: 1956: 1949: 1937: 1931: 1919: 1913: 1901: 1895: 1883: 1877: 1865: 1859: 1847: 1841: 1840: 1834: 1826: 1816: 1790: 1781: 1775: 1763: 1757: 1756: 1745: 1739: 1730: 1721: 1720: 1714: 1706: 1696: 1664: 1658: 1657: 1651: 1643: 1624:10.1038/35065611 1599: 1593: 1592: 1582: 1558: 1552: 1551: 1514: 1503: 1502: 1496: 1488: 1478: 1454: 1448: 1447: 1427: 1411: 1405: 1404: 1398: 1390: 1380: 1356: 1347: 1346: 1336: 1304: 1295: 1294: 1284: 1260: 1254: 1253: 1242: 1236: 1235: 1233: 1231: 1222:. 3 March 2023. 1208: 1202: 1201: 1199: 1197: 1182: 1176: 1175: 1168: 1155: 1154: 1152: 1150: 1135: 1129: 1128: 1126: 1124: 1109: 1103: 1102: 1100: 1098: 1088:nctr-crs.fda.gov 1080: 951:proof-of-concept 938:pharmacodynamics 701: 700: 693: 635: 615: 600: 594: 591: 585: 579: 562: 551: 540: 539: 525: 523: 508: 488: 468: 448: 428: 408: 388: 311: 227: 224: 219: 212: 209: 199: 196: 174: 131: 128: 110: 99: 96: 83: 42: 33: 26: 24: 3554: 3553: 3549: 3548: 3547: 3545: 3544: 3543: 3539:Organofluorides 3504: 3503: 3502: 3492: 3490: 3482: 3480: 3475: 3461: 3425:PDE5 inhibitors 3387: 3351: 3338: 3274: 3251: 3185: 3119: 3070: 2938: 2864:7-Nitroindazole 2859:6-Nitroindazole 2854:5-Nitroindazole 2807: 2799: 2576:(thionitrites): 2504: 2501: 2500: 2499: 2463:Propatylnitrate 2425: 2422: 2421: 2420: 2324: 2312: 2227: 2199: 2188: 2158: 2153: 2117: 2093: 2076:PDE5 inhibitors 2070: 2037: 1998: 1983: 1953: 1952: 1938: 1934: 1920: 1916: 1902: 1898: 1884: 1880: 1866: 1862: 1848: 1844: 1827: 1788: 1783: 1782: 1778: 1764: 1760: 1747: 1746: 1742: 1731: 1724: 1707: 1666: 1665: 1661: 1644: 1610:(6825): 212–5. 1601: 1600: 1596: 1569:(in Japanese). 1567:Yakugaku Zasshi 1560: 1559: 1555: 1526:(12): 1400–10. 1516: 1515: 1506: 1489: 1456: 1455: 1451: 1436: 1413: 1412: 1408: 1391: 1358: 1357: 1350: 1325:10.1038/nrd2038 1306: 1305: 1298: 1262: 1261: 1257: 1252:. 24 June 2016. 1244: 1243: 1239: 1229: 1227: 1210: 1209: 1205: 1195: 1193: 1192:on 18 July 2011 1184: 1183: 1179: 1169: 1158: 1148: 1146: 1137: 1136: 1132: 1122: 1120: 1111: 1110: 1106: 1096: 1094: 1082: 1081: 1077: 1072: 1059: 1050: 1045: 1020: 995: 978: 947: 934: 914:pharmacokinetic 897: 892: 879: 825: 809:tobacco smoking 805:PDE5 inhibitors 794: 788:also occurred. 782: 780:Adverse effects 755: 696: 694: 691:(what is this?) 688: 683: 680: 675: 670: 669: 658: 655: 650: 649: 638: 613: 603: 597: 588: 582: 543: 519: 511: 491: 471: 451: 431: 411: 391: 371: 368: 351: 350: 330: 309: 257:Protein binding 247:Bioavailability 239:Pharmacokinetic 233: 217: 178: 146: 139: 120: 113: 17: 12: 11: 5: 3552: 3550: 3542: 3541: 3536: 3531: 3526: 3521: 3516: 3506: 3505: 3501: 3500: 3477: 3476: 3466: 3463: 3462: 3460: 3459: 3449: 3446: 3439: 3432: 3422: 3412: 3395: 3385: 3381: 3366:ACE inhibitors 3359: 3358: 3353: 3349: 3345: 3340: 3336: 3332: 3327: 3322: 3317: 3308: 3307: 3298: 3286: 3284: 3280: 3279: 3276: 3275: 3273: 3272: 3267: 3261: 3259: 3253: 3252: 3250: 3249: 3244: 3239: 3234: 3229: 3224: 3219: 3214: 3205: 3199: 3197: 3191: 3190: 3187: 3186: 3184: 3183: 3178: 3173: 3168: 3163: 3158: 3153: 3148: 3143: 3138: 3133: 3127: 3125: 3121: 3120: 3118: 3117: 3112: 3099: 3086: 3080: 3078: 3072: 3071: 3069: 3068: 3063: 3058: 3045: 3032: 3019: 3014: 3009: 3004: 2999: 2994: 2989: 2984: 2979: 2974: 2969: 2964: 2959: 2954: 2948: 2946: 2940: 2939: 2937: 2936: 2931: 2926: 2921: 2908: 2895: 2886: 2881: 2876: 2871: 2866: 2861: 2856: 2851: 2846: 2841: 2835: 2833: 2824: 2815: 2801: 2800: 2798: 2797: 2792: 2787: 2782: 2777: 2768: 2767: 2762: 2757: 2752: 2737: 2722: 2721: 2716: 2711: 2706: 2701: 2696: 2691: 2686: 2674: 2673: 2668: 2663: 2648: 2647: 2631: 2626: 2621: 2616: 2611: 2606: 2601: 2596: 2591: 2586: 2581: 2569:-Butyl nitrite 2563: 2561:Pentyl nitrite 2558: 2556:-Butyl nitrite 2550: 2548:Methyl nitrite 2545: 2540: 2535: 2530: 2525: 2520: 2513:alkyl nitrites 2502: 2484: 2483: 2478: 2475: 2470: 2465: 2460: 2455: 2450: 2445: 2440: 2435: 2430: 2423: 2416: 2411: 2406: 2401: 2396: 2391: 2386: 2381: 2376: 2371: 2366: 2361: 2356: 2351: 2346: 2334: 2332: 2318: 2317: 2314: 2313: 2311: 2310: 2301: 2300: 2295: 2290: 2285: 2280: 2275: 2270: 2265: 2260: 2255: 2246: 2244: 2235: 2229: 2228: 2226: 2225: 2220: 2215: 2209: 2207: 2201: 2200: 2189: 2187: 2186: 2179: 2172: 2164: 2155: 2154: 2152: 2151: 2146: 2144:Oxygen therapy 2141: 2136: 2131: 2125: 2123: 2119: 2118: 2116: 2115: 2110: 2104: 2102: 2095: 2094: 2092: 2091: 2086: 2080: 2078: 2072: 2071: 2069: 2068: 2063: 2058: 2053: 2047: 2045: 2039: 2038: 2036: 2035: 2030: 2025: 2020: 2015: 2009: 2007: 2000: 1999: 1984: 1982: 1981: 1974: 1967: 1959: 1951: 1950: 1932: 1914: 1896: 1878: 1860: 1842: 1776: 1758: 1740: 1722: 1659: 1594: 1553: 1504: 1449: 1434: 1406: 1348: 1296: 1255: 1237: 1203: 1177: 1156: 1139:"Adempas EPAR" 1130: 1119:. 21 June 2022 1104: 1074: 1073: 1071: 1068: 1058: 1055: 1049: 1046: 1044: 1041: 1019: 1016: 994: 991: 977: 974: 946: 943: 933: 930: 896: 893: 891: 888: 878: 875: 824: 821: 793: 790: 781: 778: 754: 751: 703: 702: 685: 684: 682: 681: 678: 676: 673: 665: 664: 663: 660: 659: 657: 656: 653: 645: 644: 643: 640: 639: 637: 636: 628: 626: 618: 617: 611: 605: 604: 601: 595: 586: 580: 575: 569: 568: 564: 563: 553: 545: 544: 542: 541: 533:DTXSID50978109 528: 526: 513: 512: 510: 509: 501: 499: 493: 492: 490: 489: 481: 479: 473: 472: 470: 469: 461: 459: 453: 452: 450: 449: 441: 439: 433: 432: 430: 429: 421: 419: 413: 412: 410: 409: 401: 399: 393: 392: 390: 389: 381: 379: 373: 372: 370: 369: 354: 346: 345: 344: 341: 340: 336: 335: 323: 317: 316: 313: 304: 303: 293: 287: 286: 269: 263: 262: 259: 253: 252: 249: 243: 242: 235: 234: 232: 231: 222: 207: 193: 191: 185: 184: 180: 179: 177: 176: 163: 161: 155: 154: 149: 147:administration 141: 140: 138: 137: 135: 125: 123: 115: 114: 112: 111: 93: 91: 85: 84: 77: 67: 66: 63: 59: 58: 55: 49: 48: 44: 43: 35: 34: 15: 13: 10: 9: 6: 4: 3: 2: 3551: 3540: 3537: 3535: 3532: 3530: 3527: 3525: 3522: 3520: 3517: 3515: 3512: 3511: 3509: 3499: 3489: 3485: 3474: 3473: 3470: 3464: 3457: 3453: 3450: 3447: 3444: 3440: 3437: 3433: 3430: 3426: 3423: 3420: 3416: 3413: 3410: 3406: 3402: 3399: 3396: 3393: 3389: 3382: 3379: 3375: 3371: 3367: 3364: 3361: 3360: 3357: 3354: 3352: 3346: 3344: 3341: 3339: 3333: 3331: 3328: 3326: 3323: 3321: 3318: 3316: 3313: 3310: 3309: 3306: 3299: 3297: 3291: 3288: 3287: 3285: 3281: 3271: 3268: 3266: 3265:Calmidazolium 3263: 3262: 3260: 3258: 3254: 3248: 3245: 3243: 3240: 3238: 3235: 3233: 3230: 3228: 3225: 3223: 3220: 3218: 3215: 3213: 3206: 3204: 3201: 3200: 3198: 3196: 3192: 3182: 3179: 3177: 3174: 3172: 3169: 3167: 3164: 3162: 3159: 3157: 3154: 3152: 3149: 3147: 3144: 3142: 3139: 3137: 3134: 3132: 3129: 3128: 3126: 3122: 3116: 3113: 3111: 3100: 3098: 3087: 3085: 3082: 3081: 3079: 3077: 3073: 3067: 3064: 3062: 3059: 3057: 3046: 3044: 3033: 3031: 3020: 3018: 3015: 3013: 3010: 3008: 3005: 3003: 3000: 2998: 2995: 2993: 2990: 2988: 2985: 2983: 2980: 2978: 2975: 2973: 2970: 2968: 2965: 2963: 2960: 2958: 2955: 2953: 2950: 2949: 2947: 2945: 2941: 2935: 2932: 2930: 2927: 2925: 2922: 2920: 2909: 2907: 2896: 2894: 2887: 2885: 2882: 2880: 2877: 2875: 2872: 2870: 2867: 2865: 2862: 2860: 2857: 2855: 2852: 2850: 2847: 2845: 2842: 2840: 2837: 2836: 2834: 2832: 2828: 2825: 2823: 2819: 2816: 2812: 2806: 2802: 2796: 2793: 2791: 2788: 2786: 2783: 2781: 2778: 2776: 2773: 2770: 2769: 2766: 2763: 2761: 2758: 2756: 2753: 2751: 2748: 2746: 2741: 2738: 2736: 2733: 2731: 2727: 2724: 2723: 2720: 2717: 2715: 2712: 2710: 2707: 2705: 2702: 2700: 2697: 2695: 2692: 2690: 2687: 2685: 2682: 2680: 2676: 2675: 2672: 2669: 2667: 2664: 2662: 2659: 2657: 2653: 2650: 2649: 2646: 2643: 2641: 2635: 2632: 2630: 2627: 2625: 2622: 2620: 2617: 2615: 2612: 2610: 2607: 2605: 2602: 2600: 2597: 2595: 2592: 2590: 2587: 2585: 2582: 2580: 2577: 2575: 2570: 2568: 2564: 2562: 2559: 2557: 2555: 2551: 2549: 2546: 2544: 2541: 2539: 2536: 2534: 2533:Hexyl nitrite 2531: 2529: 2528:Ethyl nitrite 2526: 2524: 2521: 2519: 2516: 2514: 2508: 2496: 2494: 2490: 2486: 2485: 2482: 2479: 2476: 2474: 2471: 2469: 2466: 2464: 2461: 2459: 2456: 2454: 2451: 2449: 2446: 2444: 2441: 2439: 2436: 2434: 2431: 2429: 2417: 2415: 2412: 2410: 2407: 2405: 2402: 2400: 2397: 2395: 2392: 2390: 2387: 2385: 2382: 2380: 2377: 2375: 2372: 2370: 2367: 2365: 2362: 2360: 2357: 2355: 2352: 2350: 2347: 2345: 2342: 2340: 2336: 2335: 2333: 2329: 2323: 2319: 2309: 2306: 2303: 2302: 2299: 2296: 2294: 2291: 2289: 2286: 2284: 2281: 2279: 2276: 2274: 2271: 2269: 2266: 2264: 2261: 2259: 2256: 2254: 2251: 2248: 2247: 2245: 2243: 2239: 2236: 2234: 2230: 2224: 2221: 2219: 2216: 2214: 2211: 2210: 2208: 2206: 2202: 2198: 2195: 2192: 2185: 2180: 2178: 2173: 2171: 2166: 2165: 2162: 2150: 2147: 2145: 2142: 2140: 2137: 2135: 2132: 2130: 2127: 2126: 2124: 2120: 2114: 2111: 2109: 2106: 2105: 2103: 2100: 2096: 2090: 2087: 2085: 2082: 2081: 2079: 2077: 2073: 2067: 2064: 2062: 2059: 2057: 2054: 2052: 2049: 2048: 2046: 2044: 2040: 2034: 2031: 2029: 2026: 2024: 2021: 2019: 2016: 2014: 2011: 2010: 2008: 2005: 2001: 1996: 1992: 1988: 1980: 1975: 1973: 1968: 1966: 1961: 1960: 1957: 1948: 1944: 1943: 1936: 1933: 1930: 1926: 1925: 1918: 1915: 1912: 1908: 1907: 1900: 1897: 1894: 1890: 1889: 1882: 1879: 1876: 1872: 1871: 1864: 1861: 1858: 1854: 1853: 1846: 1843: 1838: 1832: 1824: 1820: 1815: 1814:10044/1/19669 1810: 1806: 1802: 1799:(4): 319–29. 1798: 1794: 1787: 1780: 1777: 1774: 1770: 1769: 1762: 1759: 1754: 1750: 1744: 1741: 1738: 1734: 1729: 1727: 1723: 1718: 1712: 1704: 1700: 1695: 1690: 1686: 1682: 1679:(5): 853–65. 1678: 1674: 1670: 1663: 1660: 1655: 1649: 1641: 1637: 1633: 1629: 1625: 1621: 1617: 1613: 1609: 1605: 1598: 1595: 1590: 1586: 1581: 1576: 1572: 1568: 1564: 1557: 1554: 1549: 1545: 1541: 1537: 1533: 1529: 1525: 1521: 1513: 1511: 1509: 1505: 1500: 1494: 1486: 1482: 1477: 1472: 1469:(4): 881–91. 1468: 1464: 1460: 1453: 1450: 1445: 1441: 1437: 1431: 1426: 1421: 1417: 1410: 1407: 1402: 1396: 1388: 1384: 1379: 1374: 1371:(4): 785–92. 1370: 1366: 1362: 1355: 1353: 1349: 1344: 1340: 1335: 1330: 1326: 1322: 1319:(9): 755–68. 1318: 1314: 1310: 1303: 1301: 1297: 1292: 1288: 1283: 1278: 1275:(4): 214–21. 1274: 1270: 1266: 1259: 1256: 1251: 1247: 1241: 1238: 1225: 1221: 1219: 1213: 1207: 1204: 1191: 1187: 1181: 1178: 1174: 1167: 1165: 1163: 1161: 1157: 1144: 1140: 1134: 1131: 1118: 1114: 1108: 1105: 1093: 1089: 1085: 1079: 1076: 1069: 1067: 1065: 1056: 1054: 1047: 1043:Other studies 1042: 1040: 1037: 1033: 1030:rterial Hyper 1029: 1025: 1017: 1015: 1012: 1008: 1004: 1001:ronic Thrombo 1000: 992: 990: 988: 984: 975: 973: 971: 966: 964: 959: 956: 952: 944: 942: 939: 931: 929: 926: 924: 920: 915: 910: 906: 902: 894: 889: 887: 884: 876: 874: 872: 868: 864: 863:contractility 861: 857: 853: 850: 846: 842: 838: 834: 830: 822: 820: 818: 814: 810: 806: 802: 798: 791: 789: 787: 779: 777: 775: 771: 767: 762: 760: 752: 750: 748: 743: 741: 737: 733: 729: 725: 721: 717: 713: 709: 699: 692: 686: 677: 672: 668: 661: 652: 648: 641: 634: 630: 629: 627: 624: 619: 612: 610: 606: 576: 574: 570: 565: 561: 557: 554: 552: 550:ECHA InfoCard 546: 538: 534: 530: 529: 527: 518: 514: 507: 503: 502: 500: 498: 494: 487: 483: 482: 480: 478: 474: 467: 463: 462: 460: 458: 454: 447: 443: 442: 440: 438: 434: 427: 423: 422: 420: 418: 414: 407: 403: 402: 400: 398: 394: 387: 383: 382: 380: 378: 374: 366: 362: 358: 353: 349: 342: 337: 334: 328: 324: 322: 318: 314: 312: 305: 301: 297: 294: 292: 288: 285: 281: 277: 273: 270: 268: 264: 260: 258: 254: 250: 248: 244: 240: 236: 230: Rx-only 223: 220: 208: 205: 195: 194: 192: 190: 186: 181: 173: 168: 165: 164: 162: 160: 156: 153: 150: 148: 142: 136: 127: 126: 124: 122: 116: 109: 104: 95: 94: 92: 90: 86: 82: 78: 76: 72: 68: 64: 60: 56: 54: 50: 47:Clinical data 45: 41: 36: 32: 27: 19: 3468: 3467: 3443:paraxanthine 3419:beta blocker 3362: 3311: 3289: 3093:-ornithine ( 3026:-ornithine ( 2771: 2750:Feprosidnine 2745:Sydnonimines 2743: 2728: 2725: 2677: 2654: 2651: 2640:nitrosamines 2637: 2572: 2566: 2553: 2510: 2487: 2337: 2304: 2292: 2283:GSK-2181236A 2249: 2191:Nitric oxide 2107: 2033:Treprostinil 2018:Epoprostenol 2004:Prostacyclin 1940: 1935: 1922: 1917: 1904: 1899: 1886: 1881: 1868: 1863: 1850: 1845: 1831:cite journal 1796: 1792: 1779: 1766: 1761: 1753:the original 1743: 1711:cite journal 1676: 1672: 1662: 1648:cite journal 1607: 1603: 1597: 1573:(3): 272–9. 1570: 1566: 1556: 1523: 1519: 1493:cite journal 1466: 1462: 1452: 1415: 1409: 1395:cite journal 1368: 1364: 1316: 1312: 1272: 1268: 1258: 1240: 1228:. Retrieved 1215: 1206: 1194:. Retrieved 1190:the original 1180: 1147:. Retrieved 1142: 1133: 1121:. Retrieved 1116: 1107: 1095:. Retrieved 1087: 1078: 1060: 1051: 1035: 1031: 1027: 1023: 1021: 1010: 1006: 1002: 998: 996: 979: 967: 960: 948: 935: 927: 901:nitric oxide 898: 880: 877:Pharmacology 841:heterodimers 833:vasodilation 829:nitric oxide 826: 819:inhibitors. 795: 792:Interactions 783: 763: 756: 744: 734:(CTEPH) and 711: 707: 706: 695:   689:   364: 360: 356: 308:Elimination 295: 189:Legal status 183:Legal status 89:License data 18: 3524:Pyrimidines 3456:simvastatin 3290:Precursors: 3227:epicatechin 3151:Indospicine 3106:-arginine ( 3052:-arginine ( 2987:AR-C 102222 2915:-arginine ( 2902:-arginine ( 2765:Sydnonimine 2498:Nitrite (NO 2481:Trolnitrate 2477:Tenitramine 2419:Nitrate (NO 2305:Inhibitors: 2288:Praliciguat 2268:BAY 60-4552 2263:BAY 41-8543 2258:BAY 41-2272 2101:stimulators 2051:Ambrisentan 1942:NCT00680654 1924:NCT00855660 1906:NCT00863681 1888:NCT00810693 1870:NCT00910429 1852:NCT00855465 1768:NCT00694850 1673:ChemMedChem 1196:15 December 803:(including 616: g·mol 556:100.169.606 506:CHEBI:76018 386:625115-55-1 339:Identifiers 331:48–59% via 325:33–45% via 300:glucuronide 291:Metabolites 65:BAY 63-2521 62:Other names 53:Trade names 3519:Carbamates 3508:Categories 3429:sildenafil 3409:nifedipine 3312:Cofactors: 3301:N-Hydroxy- 3208:N-Hydroxy- 2997:Canavanine 2992:BYK-191023 2811:inhibitors 2740:REC15/2739 2719:V-PYRRO/NO 2409:Nicorandil 2298:Vericiguat 2197:modulators 2113:Vericiguat 2084:Sildenafil 2066:Sitaxentan 2061:Macitentan 1170:Riociguat 1097:22 October 1070:References 1064:sildenafil 1009:timulator 972:(PH-ILD). 899:The first 871:cinaciguat 817:cytochrome 716:medication 621:3D model ( 609:Molar mass 466:RU3FE2Y4XI 437:ChemSpider 397:IUPHAR/BPS 377:CAS Number 348:IUPAC name 302:(inactive) 267:Metabolism 3469:See also: 3415:Nebivolol 3374:captopril 3296:-Arginine 3237:norvaline 3232:ornithine 3146:GW-273629 3102:N-Methyl- 3048:N-Methyl- 3039:-lysine ( 2911:N-Propyl- 2898:N-Methyl- 2879:ARL-17477 2772:Unsorted: 2322:NO donors 2293:Riociguat 2273:BI-703704 2253:Ataciguat 2194:signaling 2134:Diuretics 2108:Riociguat 2089:Tadalafil 2028:Selexipag 2013:Beraprost 2006:analogues 1737:Riociguat 1548:206433961 1149:10 August 1026:ulmonary 895:Discovery 849:cytosolic 770:mortality 708:Riociguat 333:bile duct 321:Excretion 310:half-life 145:Routes of 119:Pregnancy 108:Riociguat 81:Monograph 75:Drugs.com 23:Riociguat 3498:Medicine 3436:caffeine 3401:blockers 3392:bosentan 3378:losartan 3195:Arginase 3181:VAS-2381 3176:ONO-1714 3124:Unsorted 2884:Indazole 2790:FR146881 2785:FR144220 2775:Cimlanod 2730:Furoxans 2709:PROLI/NO 2679:NONOates 2629:SNO-t-PA 2493:nitrites 2404:NCX-4215 2399:NCX 4040 2394:NCX-4016 2389:NCX-2216 2339:Nitrates 2328:prodrugs 2149:Warfarin 2056:Bosentan 2023:Iloprost 1823:23883377 1703:19263460 1632:11242081 1540:18779378 1485:18550612 1444:19089334 1387:19129292 1343:16955067 1224:Archived 1123:10 April 909:indazole 797:Nitrates 698:(verify) 417:DrugBank 159:ATC code 152:By mouth 121:category 103:DailyMed 3454:(e.g., 3452:Statins 3427:(e.g., 3403:(e.g., 3390:(e.g., 3372:(e.g., 3222:ginseng 3171:NXN-462 3166:NCX-456 3156:KD-7040 3136:CKD-712 2869:A-84643 2735:Furoxan 2634:SNO-vWF 2384:NCX-466 2233:Targets 2139:Digoxin 1694:3313366 1640:4402074 1612:Bibcode 1334:2225477 1291:7540722 1230:30 June 989:(NIH). 890:History 852:calcium 774:placebo 740:dyspnea 714:, is a 712:Adempas 614:422.424 573:Formula 446:9479719 426:DB08931 355:Methyl 221:Rx-only 218:WARNING 175:) 169: ( 167:C02KX05 105::  57:Adempas 3484:Portal 3283:Others 3242:lysine 2805:Enzyme 2780:FK-409 2694:GLO/NO 2645:SIN-1A 1821:  1701:  1691:  1638:  1630:  1604:Nature 1589:650406 1587:  1546:  1538:  1483:  1442:  1432:  1385:  1341:  1331:  1289:  1018:PATENT 860:myosin 813:CYP3A4 730:(PH): 647:SMILES 486:D09572 327:kidney 284:CYP2J2 280:CYP2C8 276:CYP3A4 272:CYP1A1 215: 202: 101:  3315:NADPH 3110:-NMA) 3097:-NIO) 3056:-NMA) 3043:-NIL) 3030:-NIO) 2972:AEITU 2967:1400W 2919:-NPA) 2906:-NMA) 2893:-NIO) 2579:LA810 2205:Forms 1789:(PDF) 1636:S2CID 1544:S2CID 1220:(FDA) 1216:U.S. 993:CHEST 856:actin 759:fetal 720:Bayer 667:InChI 623:JSmol 497:ChEBI 3330:Heme 3257:CAMK 3076:eNOS 3066:TRIM 3017:MITU 3012:IPTU 3007:EITU 2944:iNOS 2934:TRIM 2831:nNOS 2699:JS-K 2567:tert 1837:link 1819:PMID 1717:link 1699:PMID 1654:link 1628:PMID 1585:PMID 1536:PMID 1499:link 1481:PMID 1440:PMID 1430:ISBN 1401:link 1383:PMID 1339:PMID 1287:PMID 1232:2023 1198:2009 1151:2024 1125:2023 1099:2023 1022:The 997:The 921:and 905:haem 867:eNOS 799:and 477:KEGG 457:UNII 406:5257 241:data 71:AHFS 3343:CaM 3325:FMN 3320:FAD 3270:W-7 3203:ABH 2982:AMT 2822:NOS 2308:ODQ 2242:sGC 2099:sGC 1995:C02 1991:B01 1809:hdl 1801:doi 1797:369 1689:PMC 1681:doi 1620:doi 1608:410 1575:doi 1528:doi 1471:doi 1420:doi 1373:doi 1329:PMC 1321:doi 1277:doi 1273:333 1092:FDA 1032:ten 718:by 522:EPA 359:--1 261:95% 251:94% 172:WHO 3510:: 3407:: 3384:ET 3376:, 3356:Ca 3335:BH 2742:; 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Index

Skeletal formula of riociguat
Ball-and-stick model of riociguat
Trade names
AHFS
Drugs.com
Monograph
License data
DailyMed
Riociguat
Pregnancy
category

Routes of
administration

By mouth
ATC code
C02KX05
WHO
Legal status
S4
WARNING
Pharmacokinetic
Bioavailability
Protein binding
Metabolism
CYP1A1
CYP3A4
CYP2C8
CYP2J2
Metabolites
glucuronide
Elimination half-life
Excretion

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