Bosentan

بوسنتان

⚠ Unverified

❤️ Cardiovascular SystemEndothelin receptor antagonist

Market / country: 🇺🇸 USA

Tracleer (US)

🧮 Dose calculator

Pulmonary arterial hypertension (PAH) · Regimen source: FDA Tracleer · 2.2, Table 1

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🛡️ Safety & information

Contraindications

Warnings

  • • Boxed warning: hepatotoxicity — liver enzymes before starting and monthly; available only through REMS. FDA Tracleer · Boxed WarningFDA Tracleer · 2.1
  • • Boxed warning: embryo-fetal toxicity — contraindicated in pregnancy; pregnancy test before and monthly, effective contraception until 1 month after stopping (REMS). FDA Tracleer · Boxed Warning
  • • Fluid retention; pulmonary oedema with veno-occlusive disease; decreased sperm counts; haemoglobin decrease. FDA Tracleer · 5

Formulations

👥 Special populations

  • 🤰 PregnancyContraindicated

    Label: contraindicated in pregnancy. FDA Tracleer · 4

    “Hypersensitivity ( 4.4 ). 4.1 Pregnancy Use of TRACLEER is contraindicated in females who are pregnant [see Boxed Warning , Dosage and Administration (2.1) , Warnings and Precautions (5.3) , Use in Specific Populations (8.1) ] . 4.2 Use with Cyclosporine A Co-administration of cyclosporine A and bosentan resulted in …”
  • 🤱 BreastfeedingDangerous / avoid

    Label: breastfeeding not recommended, or choose between the drug and breastfeeding. FDA Tracleer · 8.2

    “Because of the potential for serious adverse reactions, such as fluid retention and hepatotoxicity, in breastfed infants from TRACLEER, advise women not to breastfeed during treatment with TRACLEER.”
  • 👶 ChildrenUse with caution

    The label has conditions, age limits or notes for children; the label sentence is quoted below. FDA Tracleer · 8.4

    “The efficacy of TRACLEER in patients <18 years is supported by data from an uncontrolled trial in which 19 pediatric patients were treated with TRACLEER.”
  • 👴 Older adultsUse with caution

    Label: use with caution in older adults, usually starting at the low end of the dose range. FDA Tracleer · 8.5

    “Clinical studies of TRACLEER did not include sufficient numbers of subjects aged 65 and older to determine whether they respond differently from younger subjects.”
  • ⚥ Females & males of reproductive potentialUse with caution

    Label has advice on pregnancy testing, contraception or fertility for females and males. FDA Tracleer · 8.3

    “Contraception Drug interaction studies show that bosentan reduces serum levels of the estrogen and progestin in oral contraceptives.”

📚 Reference status for this drug

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