Basic Information
EMA regulatory identification and product classification information
EMA Identifiers
Special Designations
EMA special regulatory designations and classifications
Overview Summary
Comprehensive product overview and regulatory summary
Ambrisentan Mylan is a medicine that is used alone or combined with other medicines to treat adults with pulmonary arterial hypertension (PAH).
PAH is abnormally high blood pressure in the arteries of the lungs. Ambrisentan Mylan is used in patients with class II or III disease. The ‘class’ reflects the severity of the disease: ‘class II’ involves slight limitation of physical activity and ‘class III’ involves marked limitation of physical activity. Ambrisentan Mylan is effective in PAH with no identified cause and in PAH caused by connective tissue disease.
Ambrisentan Mylan contains the active substance ambrisentan and is a ‘generic medicine’. This means that Ambrisentan Mylan contains the same active substance and works in the same way as a ‘reference medicine’ already authorised in the EU called Volibris.
Active Substances (1)
ambrisentan
Documents (13)
Ambrisentan Mylan : EPAR - Medicine overview
July 15, 2019
OVERVIEW_DOCUMENT
Ambrisentan Mylan : EPAR - Risk-management-plan summary
July 15, 2019
RISK_MANAGEMENT_PLAN_SUMMARY
Ambrisentan Mylan : EPAR - Procedural steps taken and scientific information after the authorisation
March 20, 2020
CHANGES_SINCE_INITIAL_AUTHORISATION
Ambrisentan Mylan : EPAR - Public assessment report
July 15, 2019
INITIAL_MARKETING_AUTHORISATION_DOCUMENTS
CHMP summary of positive opinion for Ambrisentan Mylan
April 26, 2019
INITIAL_MARKETING_AUTHORISATION_DOCUMENTS
Ambrisentan Mylan : EPAR - All authorised presentations
July 15, 2019
AUTHORISED_PRESENTATIONS
Ambrisentan Viatris : EPAR - All authorised presentations
July 15, 2019
AUTHORISED_PRESENTATIONS
Ambrisentan Mylan : EPAR - Product Information
July 15, 2019
DRUG_PRODUCT_INFORMATION
CHMP summary of positive opinion for Ambrisentan Mylan
April 26, 2019
CHANGES_SINCE_INITIAL_AUTHORISATION
Ambrisentan Viatris : EPAR - Procedural steps taken and scientific information after the authorisation
March 20, 2020
CHANGES_SINCE_INITIAL_AUTHORISATION
Ambrisentan Mylan : EPAR - Public assessment report
July 15, 2019
CHANGES_SINCE_INITIAL_AUTHORISATION
Ambrisentan Viatris : EPAR - Medicine overview
July 15, 2019
OVERVIEW_DOCUMENT
Ambrisentan Viatris : EPAR - Product Information
July 15, 2019
DRUG_PRODUCT_INFORMATION
Overview Q&A (13)
Question
How is Ambrisentan Mylan used?
Answer
Ambrisentan Mylan can only be obtained with a prescription and treatment must be started by a doctor who has experience in the treatment of PAH.
Ambrisentan Mylan is available as tablets (5 and 10 mg). Treatment is started at a dose of 5 mg daily and the doctor may increase it to 10 mg daily depending on response and any side effects experienced by the patient. The dose is increased to 10 mg daily when the medicine is used with tadalafil (another medicine for PAH). When taken with ciclosporin (a medicine that reduces the activity of the immune system) the dose of Ambrisentan Mylan should be 5 mg daily and the patient should be closely monitored by their doctor.
For more information about using Ambrisentan Mylan, see the package leaflet or contact your doctor or pharmacist.
Question
How does Ambrisentan Mylan work?
Answer
PAH is a debilitating disease where there is severe narrowing of the blood vessels of the lungs. It causes high blood pressure in the vessels taking blood from the heart to the lungs and reduces the flow of blood to the lungs. As a result, the amount of oxygen that can get into the blood in the lungs is reduced, making physical activity more difficult. The active substance in Ambrisentan Mylan, ambrisentan, blocks the receptors (targets) for a hormone called endothelin, which causes blood vessels to become narrow. By blocking the effect of endothelin, Ambrisentan Mylan prevents the vessels becoming too narrow helping to lower the blood pressure and improving symptoms.
Question
What are the benefits and risks of Ambrisentan Mylan?
Answer
Because Ambrisentan Mylan is a generic medicine and is bioequivalent to the reference medicine, its benefits and risks are taken as being the same as the reference medicine’s.
Question
Why is Ambrisentan Mylan authorised in the EU?
Answer
The European Medicines Agency concluded that, in accordance with EU requirements, Ambrisentan Mylan has been shown to have comparable quality and to be bioequivalent to Volibris. Therefore, the Agency’s view was that, as for Volibris, the benefit of Ambrisentan Mylan outweighs the identified risk and it can be authorised for use in the EU.
Question
What measures are being taken to ensure the safe and effective use of Ambrisentan Mylan?
Answer
The company that markets Ambrisentan Mylan will provide a patient card containing important information on the medicine’s side effects and the need to avoid pregnancy during treatment.
Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Ambrisentan Mylan have also been included in the summary of product characteristics and the package leaflet.
As for all medicines, data on the use of Ambrisentan Mylan are continuously monitored. Side effects reported with Ambrisentan Mylan are carefully evaluated and any necessary action taken to protect patients.
Question
How has Ambrisentan Mylan been studied?
Answer
Studies on the benefits and risks of the active substance in the authorised use have already been carried out with the reference medicine, Volibris, and do not need to be repeated for Ambrisentan Mylan.
As for every medicine, the company provided studies on the quality of Ambrisentan Mylan. The company also carried out a study that showed that it is ‘bioequivalent’ to the reference medicine. Two medicines are bioequivalent when they produce the same levels of the active substance in the body and are therefore expected to have the same effect.
Question
How is Ambrisentan Viatris used?
Answer
Ambrisentan Viatris can only be obtained with a prescription and treatment must be started by a doctor who has experience in the treatment of PAH.
Ambrisentan Viatris is available as tablets. It is taken once a day and the dose may be increased depending on the patient’s response to treatment and side effects.
For more information about using Ambrisentan Viatris, see the package leaflet or contact your doctor or pharmacist.
Question
How does Ambrisentan Viatris work?
Answer
PAH is a debilitating disease where there is severe narrowing of the blood vessels of the lungs. It causes high blood pressure in the vessels taking blood from the heart to the lungs and reduces the flow of blood to the lungs. As a result, the amount of oxygen that can get into the blood in the lungs is reduced, making physical activity more difficult. The active substance in Ambrisentan Viatris, ambrisentan, blocks the receptors (targets) for a hormone called endothelin, which causes blood vessels to become narrow. By blocking the effect of endothelin, Ambrisentan Viatris prevents the vessels becoming too narrow helping to lower the blood pressure and improving symptoms.
Question
How has Ambrisentan Viatris been studied?
Answer
Studies on the benefits and risks of the active substance in the authorised use have already been carried out with the reference medicine, Volibris, and do not need to be repeated for Ambrisentan Viatris.
As for every medicine, the company provided studies on the quality of Ambrisentan Viatris. The company also carried out a study that showed that it is ‘bioequivalent’ to the reference medicine. Two medicines are bioequivalent when they produce the same levels of the active substance in the body and are therefore expected to have the same effect.
Question
What are the benefits and risks of Ambrisentan Viatris?
Answer
Because Ambrisentan Viatris is a generic medicine and is bioequivalent to the reference medicine, its benefits and risks are taken as being the same as the reference medicine’s.
Question
Why is Ambrisentan Viatris authorised in the EU?
Answer
The European Medicines Agency concluded that, in accordance with EU requirements, Ambrisentan Viatris has been shown to have comparable quality and to be bioequivalent to Volibris. Therefore, the Agency’s view was that, as for Volibris, the benefits of Ambrisentan Viatris outweigh the identified risks and it can be authorised for use in the EU.
Question
What measures are being taken to ensure the safe and effective use of Ambrisentan Viatris?
Answer
Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Ambrisentan Viatris have been included in the summary of product characteristics and the package leaflet. Any additional measures in place for Volibris, such as a patient card with key safety information, also apply to Ambrisentan Viatris where appropriate.
As for all medicines, data on the use of Ambrisentan Viatris are continuously monitored. Side effects reported with Ambrisentan Viatris are carefully evaluated and any necessary action is taken to protect patients.
Question
Other information about Ambrisentan Viatris
Answer
Ambrisentan Mylan received a marketing authorisation valid throughout the EU on 20 June 2019.
The name of the medicine was changed to Ambrisentan Viatris on 15 October 2024.