OpenClaim

Macitentan Side Effects

The most commonly reported side effects of macitentan include dyspnoea, headache, and death, based on 67,011 FDA adverse event reports from 2012 to 2025.

Macitentan side effects

Percentages show how often each reaction appears relative to total reports for macitentan.

1
Dyspnoea17.5%11,705
2
Headache12.0%8,068
3
Death10.9%7,286
4
Diarrhoea9.6%6,411
5
Nausea8.7%5,829
6
Fatigue7.3%4,878
7
Pneumonia6.7%4,474
8
Dizziness6.5%4,387
9
Hospitalisation6.0%4,045
10
Fluid Retention5.7%3,789
11
Cough5.6%3,785
12
Malaise5.3%3,538
13
Hypotension5.3%3,525
14
Pulmonary Arterial Hypertension4.8%3,240
15
Vomiting4.7%3,121

These are voluntary reports and do not establish that macitentan caused these reactions.

Report severity

71.4%Serious47,821 reports
49.6%Hospitalizations33,240 reports
18.5%Fatal12,404 reports

Seriousness is determined by the reporter, not by OpenClaim.

Macitentan drug interactions

Other drugs that appear in adverse event reports alongside macitentan. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Treprostinil27.2%18,258
2
Selexipag10.7%7,156
3
Riociguat5.4%3,641
4
Tadalafil4.8%3,188
5
Epoprostenol-sodium4.7%3,155
6
Sildenafil-citrate3.1%2,091
7
Sotatercept-csrk1.5%992
8
Iloprost1.0%671
9
Bosentan0.8%553
10
Ambrisentan0.8%520
11
Acetaminophen0.6%407
12
Furosemide0.6%379
13
Warfarin0.5%312
14
Apixaban0.4%274
15
Rivaroxaban0.4%271

Taken alongside

1
Sildenafil-citrate17.5%11,724
2
Tadalafil16.7%11,204
3
Furosemide12.5%8,345
4
Oxygen8.5%5,723
5
Warfarin8.3%5,530
6
Riociguat8.1%5,403
7
Spironolactone7.7%5,153
8
Treprostinil7.2%4,826
9
Apixaban5.6%3,737
10
Aspirin5.6%3,729
11
Acetaminophen5.5%3,690
12
Albuterol4.9%3,317
13
Ergocalciferol4.9%3,285
14
Potassium-chloride4.9%3,279
15
Levothyroxine-sodium4.6%3,061

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports macitentan side effects

72.8% of macitentan adverse event reports involve female patients and 23.9% involve male patients. The largest age group is adult at 50%. These figures reflect who reports side effects, not underlying risk.

Sex

Female72.8%
Male23.9%
Unknown3.2%

Age group

< 20.3%
2–110.4%
12–170.8%
18–6450.1%
65+48.4%

What is macitentan used for

Conditions and purposes for which patients were taking macitentan when the adverse event was reported.

Accidental Exposure To ProductAccidental Exposure To Product By ChildAtrial Septal DefectAtrial Septal Defect RepairAtrioventricular Septal DefectAdverse Drug ReactionAtrioventricular Septal DefectBlood Pressure AbnormalBronchopulmonary AspergillosisBack PainCardiac DisorderCardiac FailureCardiac Failure CongestiveCardiac Function Test AbnormalCardiac Output Decreased

Showing 15 of 214 indications

Macitentan brand names and reporting trend

Macitentan is sold under the brand name Opsumit.

Brand names

Opsumit7,605

Quarterly reports (20122025)

20122016202020242025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking macitentan with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.