Regularly monitor blood pressure, specifically pulmonary arterial pressure (PAP), using echocardiography or right heart catheterization. Target PAP reduction should guide dosage adjustments. Aim for a clinically meaningful reduction in PAP and improvement in symptoms like shortness of breath and exercise tolerance.
Assessing Response to Sildenafil
Evaluate patients’ response at 4-8 weeks post-initiation. Document changes in exercise capacity using the 6-minute walk test. Track symptom scores using validated questionnaires, such as the Borg dyspnea scale. Consider adjusting the dosage based on individual responses, always working closely with your physician. Regular blood tests should monitor for potential side effects, including liver function and visual changes.
Long-Term Management Strategies
Continue regular monitoring of PAP and symptoms even after achieving a stable response. Lifestyle modifications, including dietary adjustments and regular exercise (as tolerated), play a significant role in long-term management. Address potential drug interactions promptly. Maintain open communication with your healthcare provider to address any concerns or adjustments needed throughout treatment. Long-term adherence to the prescribed medication schedule is key. Patients should be educated on early recognition of potential side effects and immediately report them to their doctor.
