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Letairis
Ambrisentan
$3825.00
5mg · 3 × 30 tablets · 3 months supply
BrandBranded medicine· By GSK
$1275.00 per month
Strength
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Annual cost
$15300a year at this pack size
Prescription required
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5mg
10mg
FDA boxed warningEmbryo-fetal toxicity
Letairis is contraindicated for use during pregnancy because it may cause major birth defects if used by pregnant patients, based on studies in animals.
Therefore, for females of reproductive potential, exclude pregnancy before the initiation of treatment with Letairis. Advise use of effective contraception before initiation, during treatment, and for one month after treatment with Letairis. When pregnancy is detected, discontinue Letairis as soon as possible.
Based on animal data Letairis may cause fetal harm if used during pregnancy.
Females of reproductive potential: Exclude pregnancy before the start of treatment. Use effective contraception prior to initiation of treatment, during treatment, and for one month after treatment with Letairis
About Letairis
Overview
Letairis contains ambrisentan, an endothelin receptor antagonist. It is used in adults with pulmonary arterial hypertension (PAH, WHO Group 1) to improve exercise ability and delay worsening of the condition. It can also be used with tadalafil to reduce the risks of disease progression and hospitalization for worsening PAH, and to improve exercise ability. It works by blocking endothelin-A receptors, which mediate blood vessel narrowing and cell growth in blood vessel walls.
What it treats
- Pulmonary arterial hypertension (PAH, WHO Group 1) in adults, to improve exercise ability and delay clinical worsening. - In combination with tadalafil for adult PAH, to reduce the risks of disease progression and hospitalization for worsening PAH, and to improve exercise ability.
Safety information
Side effects
Common side effects of Letairis include swelling, particularly in the arms or legs, nasal congestion, sinusitis and flushing. When taken with tadalafil, common side effects also include headache, cough, anemia, indigestion and bronchitis. Serious risks include fluid retention that may require treatment, fluid buildup in the lungs, harm to an unborn baby, decreased sperm count and reduced hemoglobin, which can cause anemia. Contact a doctor if swelling develops or worsens, and seek urgent medical attention for sudden breathing difficulty, which may indicate fluid buildup in the lungs. Contact your doctor promptly if you become pregnant. Hemoglobin can fall within the first few weeks of treatment. Blood tests are needed before starting Letairis, after one month and periodically during treatment.
FDA boxed warning
Embryo-fetal toxicity
Letairis is contraindicated for use during pregnancy because it may cause major birth defects if used by pregnant patients, based on studies in animals.
Therefore, for females of reproductive potential, exclude pregnancy before the initiation of treatment with Letairis. Advise use of effective contraception before initiation, during treatment, and for one month after treatment with Letairis. When pregnancy is detected, discontinue Letairis as soon as possible.
Based on animal data Letairis may cause fetal harm if used during pregnancy.
Females of reproductive potential: Exclude pregnancy before the start of treatment. Use effective contraception prior to initiation of treatment, during treatment, and for one month after treatment with Letairis
A boxed warning is the strongest warning the US Food and Drug Administration requires on a medicine label. Text is taken from the official label, with internal section references removed.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
Do not take Letairis (ambrisentan) if you are pregnant or have idiopathic pulmonary fibrosis. It is not recommended for people with moderate or severe liver impairment. If you are breastfeeding, a choice must be made between taking Letairis and breastfeeding. Letairis can cause fluid retention that may need treatment. If acute fluid buildup in the lungs develops when treatment begins, the prescriber should consider underlying pulmonary veno-occlusive disease and stop treatment if necessary. Decreased sperm counts have been observed in people taking endothelin receptor antagonists. Hemoglobin levels may fall within the first few weeks of treatment. Hemoglobin should be checked before starting treatment, after one month and periodically thereafter.
Interactions
Cyclosporine can approximately double the amount of ambrisentan in the body. Tell your doctor if you take cyclosporine, as your ambrisentan dose will need to be limited.
Using Letairis
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store below 25°C in a dry place, in the original pack, away from direct light and moisture. Do not keep it in a bathroom. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label LETAIRIS (AMBRISENTAN) TABLET, FILM COATED [GILEAD SCIENCES, INC.] (DailyMed, retrieved 19 September 2026).
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