“…In fact, the intravenous administration of epoprostenol (PGI 2 ) is currently the most effective approach for the treatment of PAH, not only because it can ameliorate symptoms of severe PAH, but because it also prolongs life expectancy [16,17]. One major drawback of PGI 2 is that it is very unstable in blood [18,19], meaning that epoprostenol must be intravenously infused on a continuous basis, thereby drastically decreasing the quality of life (QOL) of patients due to problems associated with cosmetic appearance, transportation of an infusion pump and risk of infection [14,20]. For these reasons, stable PGI 2 analogues such as beraprost sodium (BPS) formulated for various routes of administration (oral, subcutaneous and inhalation) have been developed [5,18].…”