I am suffering from severe pulmonary hypertension. i cannot use Floland, Ventavis or Tracleer. Please suggest -

Patients should be encouraged to avoid circumstances that may increase pulmonary artery pressure and decrease cardiac output. One stimulus that may exacerbate pulmonary hypertension is high altitudes. Patients with cardiopulmonary disease should be treated with oxygen for low oxygen levels, and cigarette smoking should be avoided. Drugs that have vasoconstrictive actions should also be avoided. So should barbiturates and other drugs that depress the heart function. Women that are of childbearing age should consult with a doctor before getting pregnant. Blood thinners may be given to patients to help reduce the risk of blood clotting and enable the blood to travel through the lung circulation better. Vasodilators such as sublingual isoproterenol, phentolamine, hydralazine, diazoxide, nifedipine, captopril, nitrates and prostaglandin inhibitors have been used for many years. These medications should be used cautiously and under medical supervision. Approved pulmonary vasodilator medications currently available in the United States for PPH are as follows (medications you listed have been deleted from the list): Treprostinil (Remodulin) - Intravenous or subcutaneous, parenteral (see Medication); prostacyclin analogue, sometimes referred to as a quot;prostanoidquot; Ambrisentan (Letairis) - Oral; endothelin antagonist, or ERA Sildenafil (Revatio) - Oral As always, your physician is the best one to discuss treatment with, as he/she knows your entire medical history. I hope you find what works soon, God bless.