Managing pulmonary arterial hypertension (PAH) can be overwhelming, but taking an active role in your treatment can make a world of difference. For many patients, such as Mike from Florida, making informed choices about medications and fostering open communication are key to living well with PAH. Over time, Mike has learned how to engage in proactive conversations with his doctor, especially when discussing his goals and possible treatment plan adjustments.
Knowing When It’s Time for a Change
Mike’s story began with a heart defect discovered in childhood, but it wasn’t until the age of 52 that he was diagnosed with PAH. At the time, he experienced severe water retention and fatigue. This led him to seek medical attention, and he was eventually diagnosed with PAH. After his diagnosis, Mike and his doctor tried various medications to manage his PAH. It took two years of trial and error before he found his way to the treatment options that were right for him. When Mike shared his water weight gain with his doctors, they ran tests and noticed he couldn’t walk as far as before. This prompted discussions about adding a medication to his existing treatment plan.
They discussed the types of PAH treatments and how they worked. PAH medications work in different ways to help fix one of several possible imbalances in natural substances. In the right amount and balance, each of these natural substances plays an important role in keeping the small vessels of the lungs healthy. Mike’s doctor suggested they add a medication to treat his PAH another way.
Mike’s doctor also provided him with several administration options to choose from. Today, PAH medications are available in oral (pills), inhaled, or injectable forms or through pump via subcutaneous or intravenous (IV) line. They discussed how each form had its pros and cons. The doctor ultimately left it to Mike to decide which would best fit his lifestyle. “The decision was in my hands,” Mike said.


