Selective endothelin A receptor antagonist

Atrasentan (أتراسنتان)

Atrasentan is a medicine that reduces protein in the urine in adults with IgA nephropathy who are at risk of the disease getting worse. It has conditional approval based on lowering urine protein, and its benefit on kidney function is still being confirmed. It can seriously harm an unborn baby.

This medicine is used under close medical supervision, usually by a specialist. Never start, stop or change it without your doctor.

What it is used for

  • Reducing urine protein in adults with primary IgA nephropathy at risk of rapid worsening
  • Added to usual supportive kidney care, such as kidney-protecting blood pressure medicines

How it is used

  • Take it only as prescribed by your kidney specialist, swallowing the tablet with water
  • Women who could become pregnant need pregnancy tests before and during treatment as the doctor arranges
  • Attend regular liver, blood and kidney tests
  • Continue your other kidney medicines unless your doctor says otherwise

Possible side effects

  • Swelling of the feet and ankles from fluid retention
  • Anaemia
  • Raised liver enzymes
  • Headache or dizziness

Who should not use it

  • Pregnancy
  • Severe liver disease
  • Allergy to atrasentan or any ingredient of the tablet

Before and while using it

  • It can cause serious birth defects; use effective contraception during treatment and for a period after stopping set by your doctor
  • Rapid weight gain, swelling or breathlessness can mean fluid retention; tell your doctor
  • Yellow skin or eyes, dark urine or abdominal pain can mean a liver problem
  • It may reduce sperm count in men
  • Tell your doctor if you have heart disease

Medicine interactions

  • Some medicines, such as ciclosporin and strong liver-enzyme inhibitors, can raise its level
  • Liver-enzyme inducers such as rifampicin can reduce its effect
  • Tell your doctor about all your medicines and herbal products

Pregnancy and breastfeeding

  • It must not be used in pregnancy; tell your doctor at once if you become pregnant
  • Breastfeeding is not recommended during treatment

How to store it

  • Keep the tablets in the original pack out of the reach of children

Get medical help straight away if

  • Your face, lips or tongue swell, or you find it hard to breathe.
  • You get a severe rash, blistering or peeling skin.
  • A side effect worries you or doesn’t go away: contact your doctor or pharmacist.

Questions about this medicine?

Talk to a doctor by video, or send your question by text.

Source: Standard international medicine references

This guide is general information and doesn’t replace advice from your doctor or pharmacist. Don’t start, stop or change a medicine without asking them, and always read the leaflet in the pack.