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Is there a permanent cure for pulmonary hypertension?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have been suffering from rheumatoid arthritis for the past 15 years, which has now affected my whole body. For one and a half years, I have been getting shortness of breath and cough. Last year, when I was admitted to the hospital to get this treated, my doctor advised me to use external oxygen for the long term. Since then, I have been using an oxygen concentrator. Over a month, my shortness of breath and cough have increased, and I am finding difficulty even in speaking.

Please help.
Answered by Dr. Amol Kumar Wasudeorao Diwan

Education:

MBBS

Professional Bio:

Dr. Amol Kumar Wasudeorao Diwan is a qualified Specialist in Pulmonary Medicine, Tuberculosis, and Respiratory Diseases with extensive years of clinical experience. He has a vast network of professional contacts in the medical field, an outstanding ability to provide healthcare with an emphasis on holistic approach, treating the patients as a physical, emotional, and social being, has an excellent bedside manner, and an admirable ability to establish rapport with the patient. He also has exceptional skills in imparting health related teachings for a complete and speedy recovery of his patients and has an incomparable critical thinking and analytical skills.

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Hi,

Welcome to icliniq.com.

Both rheumatoid arthritis and pulmonary hypertension are chronic diseases. As there is no permanent cure for it, treatment in such cases aims to control symptoms only. Medicines help only to control the symptoms. You are a known rheumatoid arthritis patient and now have developed idiopathic pulmonary hypertension. Now, to manage breathlessness, you are using long-term oxygen support.

This is just the progression of both diseases, which makes it difficult to manage. At present, you are taking the tablet Sildenafil 20 mg twice daily. I would like to recommend the tablet Ambrisentan (Pulmonext) 5 mg once daily with the tablet Tadalafil 20 mg daily if the liver function test is normal. I strongly suggest you discuss these drugs with your pulmonologist and make sure you are taking the tablet under his guidance only.

Continuous oxygen supplementation should be given to keep oxygen saturation above 95%. Close monitoring of all vital parameters is very important. Regular checkups with the cardiologist for monitoring pulmonary artery pressure are recommended. These medications will help to reduce the need for oxygen to some extent and help to improve exercise intolerance.

As I said, the treatment of PAH (pulmonary arterial hypertension) is very complex and runs long. So, close supervision with a pulmonologist is very important. Monitoring liver and renal function along with the use of these drugs is necessary to avoid side effects. I hope I have addressed your concerns. Feel free to reach out if you have any further questions.

I hope this helps.

Medically reviewed by Dr. K. Shobana
Published At April 6, 2016
Reviewed At September 24, 2025

Education:

MBBS

Professional Bio:

Dr. Amol Kumar Wasudeorao Diwan is a qualified Specialist in Pulmonary Medicine, Tuberculosis, and Respiratory Diseases with extensive years of clinical experience. He has a vast network of professional contacts in the medical field, an outstanding ability to provide healthcare with an emphasis on holistic approach, treating the patients as a physical, emotional, and social being, has an excellent bedside manner, and an admirable ability to establish rapport with the patient. He also has exceptional skills in imparting health related teachings for a complete and speedy recovery of his patients and has an incomparable critical thinking and analytical skills.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

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Decision Helper
Pulmonary Hypertension Management Decision Helper

Navigating Pulmonary Hypertension Treatment?

This quick check helps you understand your current situation and guides you on when to discuss treatment adjustments with your doctor.

  • Understand the chronic nature of pulmonary hypertension.
  • Identify key symptoms and their progression.
  • Learn when to consult your pulmonologist.

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance. Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.
Dr. Amol Kumar Wasudeorao Diwan
Dr. Amol Kumar Wasudeorao Diwan

Allergy Specialist

Education:

MBBS

Professional Bio:

Dr. Amol Kumar Wasudeorao Diwan is a qualified Specialist in Pulmonary Medicine, Tuberculosis, and Respiratory Diseases with extensive years of clinical experience. He has a vast network of professional contacts in the medical field, an outstanding ability to provide healthcare with an emphasis on holistic approach, treating the patients as a physical, emotional, and social being, has an excellent bedside manner, and an admirable ability to establish rapport with the patient. He also has exceptional skills in imparting health related teachings for a complete and speedy recovery of his patients and has an incomparable critical thinking and analytical skills.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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