Drug interactions
Bosentan + Iloperidone
Severity: Moderate
Bosentan and Iloperidone: 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 may reduce iloperidone exposure through CYP3A4 induction, potentially lessening antipsychotic effect. Iloperidone is a weak CYP3A inhibitor and could modestly raise bosentan levels, though the relevance is uncertain.
What this interaction means in plain words
Bosentan and Iloperidone 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; Iloperidone belongs to Central Nervous System.
Why it happens
Bosentan induces CYP3A4, increasing iloperidone clearance, while iloperidone may weakly inhibit CYP3A4 metabolism of bosentan.
What to do
Monitor psychiatric symptom control and bosentan adverse effects such as hypotension and liver enzyme rise.
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?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Bosentan and Iloperidone, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 7 days on the web. No card needed.
Other interactions of Bosentan
- Bosentan + Cyclosporin Contraindicated
- Bosentan + Glibenclamide Contraindicated
- Bosentan + Glyburide-metformin Contraindicated
- Bosentan + Lonafarnib Contraindicated
- Bosentan + Sparsentan Contraindicated
- Artemether / lumefantrine + Bosentan Major
Other interactions of Iloperidone
- Iloperidone + Thioridazine Contraindicated
- Alfuzosin + Iloperidone Major
- Amiodarone + Iloperidone Major
- Amisulpride + Iloperidone Major
- Amitriptyline + Iloperidone Major
- Anagrelide + Iloperidone Major
Frequently asked questions
Can I take Bosentan with Iloperidone?
MediHelp rates the interaction as moderate. Bosentan and Iloperidone 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 may reduce iloperidone exposure through CYP3A4 induction, potentially lessening antipsychotic effect. Iloperidone is a weak CYP3A inhibitor and could modestly raise bosentan levels, though the relevance is uncertain.
How serious is the interaction between Bosentan and Iloperidone?
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 psychiatric symptom control and bosentan adverse effects such as hypotension and liver enzyme rise.
What other medicines interact with Bosentan?
MediHelp also lists interactions of Bosentan with, for example, Cyclosporin, Glibenclamide, Glyburide-metformin. The full list is on the Bosentan page.
Full monographs, dosing and an interaction checker in the MediHelp app
Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.
