Table 1:  Drugs currently available (post-2010)
or under clinical trials for PAH.
| 
   Drug Name  | 
  
   Type of Drug  | 
  
   Stage  | 
  
   Route of Delivery  | 
  
   Working Mechanism  | 
  
   Work on animal Models  | 
 
| 
   Amlodipine  | 
  
   Calcium Channel Blocker  | 
  
   Currently Available  | 
  
   Oral  | 
  
   CCBs prevent Ca2+ entry into cells, Ca2+
  will not serve as an intracellular messenger. CCBs will act as a
  smooth-muscle dilator.  | 
  
   Tested in rats [25].  | 
 
| 
   Epoprostenol  | 
  
   Prostanoid  | 
  
   Currently Available  | 
  
   I.V.  | 
  
   Acts as a selective IP-prostacyclin receptor agonist.
  This will promote vasodilation and inhibition of vascular smooth muscle
  cells.  | 
  |
| 
   Treprostinil  | 
  
   Prostanoid  | 
  
   Clinical Trial (phase 3)  | 
  
   I.V. or Inhaled  | 
  
   Acts as a selective IP-prostacyclin receptor agonist.
  This will promote vasodilation and inhibition of vascular smooth muscle
  cells.  | 
  
   Tested in male and female rat models [6].  | 
 
| 
   Macitentan  | 
  
   Endothelian Receptor Antagonist  | 
  
   Clinical Trial (phase 2)  | 
  
   Oral  | 
  
   ERAs will either interact with ERA-A or ERB. When the
  antagonist interacts with either of these receptors, it will either promote
  vasoconstriction or vasodilation – respectively.   | 
  |
| 
   Ambrisentan  | 
  
   Endothelian Receptor Antagonist  | 
  
   Currently Available  | 
  
   Oral  | 
  
   ERAs will either interact with ERA-A or ERB. When the
  antagonist interacts with either of these receptors, it will either promote
  vasoconstriction or vasodilation – respectively.  | 
  
   Work in rat models [16].  | 
 
| 
   Riociguat  | 
  
   Phosphodiesterase-5 (PDE5) Inhibitors  | 
  
   Currently Available  | 
  
   Oral  | 
  
   Prevents hydrolysis of cGMP. cGMP prevents vasoconstriction.
  Nitric oxide is release as a mediator which will promote vasodilation.  | 
  |
| 
   Sildenafil  | 
  
   Soluble Guanylyl Cyclase stimulants  | 
  
   Currently Available  | 
  
   Oral  | 
  
   sGC stimulator will promote NO binding
  on heme group. Allows for cGMP
  synthesis, which will interact with the Nitric oxide cycle and promote
  vasodilation.  |