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Drug interactions

Bosentan + Dasatinib

Severity: Moderate

Bosentan and Dasatinib: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Bosentan induces CYP3A4 and may lower dasatinib concentrations, risking reduced efficacy. Dasatinib may in turn raise bosentan levels slightly.

What this interaction means in plain words

Bosentan and Dasatinib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Bosentan belongs to Miscellaneous; Dasatinib belongs to Oncology.

Evidence level: Moderate

Why it happens

CYP3A4 induction by bosentan increases dasatinib clearance.

What to do

Monitor response to dasatinib and consider a dasatinib dose increase if response is inadequate. Watch for bosentan hepatotoxicity and fluid retention.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Bosentan with Dasatinib?

MediHelp rates the interaction as moderate. Bosentan and Dasatinib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Bosentan induces CYP3A4 and may lower dasatinib concentrations, risking reduced efficacy. Dasatinib may in turn raise bosentan levels slightly.

How serious is the interaction between Bosentan and Dasatinib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor response to dasatinib and consider a dasatinib dose increase if response is inadequate. Watch for bosentan hepatotoxicity and fluid retention.

What other medicines interact with Dasatinib?

MediHelp also lists interactions of Dasatinib with, for example, Saquinavir, Thioridazine, Adagrasib. The full list is on the Dasatinib page.

Full monographs, dosing and an interaction checker in the MediHelp app

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