Drugs >  Bosentan
Bosentan
Pronunciation
Brand Names
Therapeutic Categories
What key warnings should I know about before taking this medicine?
Reasons not to take this medicine
What is this medicine used for?
How does it work?
How is it best taken?
What do I do if I miss a dose?
What are the precautions when taking this medicine?
What are the common side effects of this medicine?
What should I monitor?
Reasons to call healthcare provider immediately
How should I store this medicine?
General statements

Pronunciation
(boe SEN tan)

Brand Names
Tracleer™

Therapeutic Categories
Endothelin Antagonist

What key warnings should I know about before taking this medicine?

This medicine may cause severe liver damage. Do not take this medicine if you are pregnant. You cannot obtain this medicine from your pharmacy. It is available only through the company which makes it.


Reasons not to take this medicine
  • If you have an allergy to bosentan or any other part of this medicine.
  • Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.
  • If you have liver disease.
  • If you are taking any of the following medicines: Cyclosporine or glyburide.
  • If you are pregnant or may be pregnant.
  • If you are breast-feeding.

  • What is this medicine used for?
  • This medicine is used to treat increased pressure in the lungs.

  • How does it work?
  • Bosentan blocks endothelin, a chemical in the blood that causes blood vessels to narrow.

  • How is it best taken?
  • To gain the most benefit, do not miss doses.
  • Take this medicine with or without food. Take with food if it causes an upset stomach.

  • What do I do if I miss a dose?
  • Take a missed dose as soon as possible.
  • If it is almost time for the next dose, skip the missed dose and return to your regular schedule.
  • Do not take a double dose or extra doses.
  • Do not change dose or stop medicine. Talk with healthcare provider.

  • What are the precautions when taking this medicine?
  • Check medicines with healthcare provider. This medicine may not mix well with other medicines.
  • Avoid grapefruit and grapefruit juice.
  • Avoid or limit alcohol intake (includes wine, beer, and liquor) to less than 3 drinks a day. Drinking too much alcohol may increase the risk of liver disease.
  • Birth control pills and other hormone-based birth control may not work to prevent pregnancy. Use other forms of birth control while taking this medicine.

  • What are the common side effects of this medicine?
  • Headache. Mild pain medicine may help.
  • Liver damage can rarely occur.

  • What should I monitor?
  • Change in condition being treated. Is it better, worse, or about the same?
  • If you are a female of childbearing age, take a pregnancy test before starting this medicine.
  • If you are a female of childbearing age, take a monthly pregnancy test.
  • Check blood work (liver function, hemoglobin, hematocrit). Talk with healthcare provider.
  • Follow up with healthcare provider.

  • Reasons to call healthcare provider immediately
  • If you suspect an overdose, call your local poison control center immediately or dial 911.
  • Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.
  • Severe belly pain.
  • Severe nausea or vomiting.
  • Not hungry.
  • Dark urine or yellow skin or eyes.
  • Feeling extremely tired or weak.
  • Any rash.
  • For females, if you become pregnant while taking this medicine.
  • No improvement in condition or feeling worse.

  • How should I store this medicine?
  • Store at room temperature.
  • Protect from light.
  • Protect from moisture. Do not store in a bathroom or kitchen.

  • General statements
  • Do not share your medicine with others and do not take anyone else's medicine.
  • Keep all medicine out of the reach of children and pets.
  • Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant).
  • Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins.

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