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A triple combination therapy used for treating severe pulmonary arterial hypertension (PAH). This combination targets multiple pathways involved in PAH pathophysiology: ambrisentan blocks endothelin receptor type A, tadalafil inhibits phosphodiesterase type 5, and treprostinil acts as a prostacyclin analogue promoting vasodilation and inhibiting platelet aggregation. Clinical studies have shown significant improvements in hemodynamics, right ventricular structure and function, and functional status in patients with severe PAH.
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