Bosentan, also known and sold under the trade name of Tracleer, is a product which is used in the treatment of high blood pressure in the lungs (pulmonary arterial hypertension). This condition is considered to be caused by increased levels of a certain natural substance, known as endothielin-1.
This medication is considered to work by blocking the effects of endothielin-1, and thereby decreasing the blood pressure in the lungs, decreasing the symptoms of the disease, and improving your ability to exercise. This medication is available in the form of a tablet, for oral use.
As with many medications, there are several potential side effects associated with Tracleer. These side effects do not occur within all patients, also they could be mild or more serious.
However, it is essential to get informed about the potential side effects so that you would be able to notice their presence and contact the doctor as soon as possible for further directions.
Common side effects – dizziness, flushing, upset stomach, or tiredness may occur. These are common side effects, which are not considered as serious. However, if their presence persists or worsens, it is important to inform the doctor as soon as possible.
Serious side effects – fast/pounding heartbeat, extreme tiredness, swelling of the ankles/feet, sudden/unexplained weight gain, fainting, coughing up blood, shortness of breath. These are serious side effects, whose presence must be reported to the doctor right away.
A very serious allergic reaction to this medication is not common. However, if you notice any of the following symptoms, contact the doctor as soon as possible – skin rash, itching/swelling of the face/tongue/hands/feet, trouble breathing, or severe dizziness.
3 What to Know Before Using
Before using Tracleer, you must know all about the risks and complications associated with it. For this decision to be made, the beneficial effects must outweigh the potential risks. This is a decision that you and your doctor, together, will have to make.
During the consultations, it is important to inform the doctor about:
Allergies – Inform the doctor about any allergic reactions to any kind of medications, prescribed or no prescribed. Also, inform the healthcare professional about any allergic reactions to any specific kind of food, dye, fabric and etc.
Pediatric – There are no studies done that would confirm the safety of this medication to be used in pediatric patients. This medication is not recommended to be used in pediatric patients. However, it could be used only in cases where the beneficial effects outweigh the potential risks.
Geriatric – Proper studies done have confirmed that this medication is safe to be sued within geriatric patients, as well as, that there are no age-related risks and problems when this medication has been used in geriatric patients. However, due to increased sensitivity within the elderly, this medication must be used with extra caution.
Pregnancy – Inform the doctor if you are currently pregnant or have any plans about pregnancy in the near future. Proper studies done have confirmed that this medication affects the fetus, causing abnormalities. Because of this, the medication must not be used during pregnancy.
Breastfeeding – Inform the doctor if you are currently breastfeeding. There are no studies done that would confirm the safety of this medication to be used in nursing mothers. It is unknown if it is extracted in the milk, or how would it affect the infant. This medication is not recommended to be used in nursing mothers.
However, it could be used only in cases where the beneficial effects outweigh the potential risks.
Drug interactions – Inform the doctor if you are currently using any other medications, prescribed or no prescribed, even vitamins and herbal tea. This is important because certain medications are not recommended to be used in a combination with others, due to the possibility that certain interactions could occur.
However, the doctor may decide to use a certain type of a combination, including two or more medications, if he or she considers that combination to prove as beneficial regarding your condition.
Other interactions – Certain medications are not recommended to be used in a combination with specific type of food, tobacco, and alcohol. Because of this, it is important to get informed if there is a need for you to follow a specific type of diet and discontinue your use of tobacco and/or alcohol during the treatment.
Other medical problems – Inform the doctor about your medical history, any other medical problems and conditions from the past or at the moment. Especially, inform the doctor if there are any of the following conditions present – edema, heart failure, lung problems, or liver disease.
4 Proper Usage
To use Tracleer properly, you must follow all instructions given by your doctor. This medication is available in the form of a tablet, for oral use. Swallow the tablet whole, with or without food, as directed by the doctor.
Do not crush, break or chew the tablet. The dose is individual for every patient, prescribed by the doctor and based on your condition and the prognosis of the treatment. The usual dose is one tablet, twice a day.
In order to get the most beneficial effects from its use, it is important to take each dose regularly. If you forget to take a dose, take it as soon as you remember. Do not double to catch up.
This medication is harmful in case of an overdose. If an overdose is suspected, contact the doctor as soon as possible for further directions.
Before using Tracleer, there are some precautions you must take. Visit your doctor regularly, at your scheduled appointments, so that he or she would be able to track your condition and make any adjustments if needed.
These adjustments may refer to the dose – e.g. the doctor may decide to increase or decrease the dose, or to the treatment itself – the doctor may decide to discontinue your treatment if there are any serious side effects present, which would worsen your condition, or if your condition does not improve.
Inform the doctor about any allergic reactions to any kind of medications, prescribed or no prescribed. This is important because this medication may contain inactive substances that could cause certain interactions to occur. Inform the doctor if you are currently pregnant or have any plans about pregnancy in the near future.
This medication must not be used during pregnancy, due to the studies were done that confirm the harmful effects that this medication has on the fetus. At least two forms of birth control must be used during the treatment, in order to help prevent pregnancy.
Inform the doctor if you are currently breastfeeding. This medication is not recommended to be used within nursing mothers, due to the lack of studies that would confirm the safety of this medication to be used in nursing mothers.
This medication may cause dizziness to occur. Avoid driving and any other activities which require alertness during the treatment.
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