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Drug interactions

Bosentan + Vinblastine

Severity: Minor

Bosentan and Vinblastine: minor 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 is a moderate CYP3A4 inducer, and vinblastine is metabolized by CYP3A. Induction could lower vinblastine exposure and possibly reduce efficacy.

What this interaction means in plain words

Bosentan and Vinblastine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Bosentan belongs to Miscellaneous; Vinblastine belongs to Oncology.

Evidence level: Low

Why it happens

Bosentan induction of CYP3A4 may increase hepatic metabolism of vinblastine.

What to do

No routine dose change is needed; monitor treatment response if the combination is unavoidable.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Vinblastine?

MediHelp rates the interaction as minor. Bosentan and Vinblastine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Bosentan is a moderate CYP3A4 inducer, and vinblastine is metabolized by CYP3A. Induction could lower vinblastine exposure and possibly reduce efficacy.

How serious is the interaction between Bosentan and Vinblastine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine dose change is needed; monitor treatment response if the combination is unavoidable.

What other medicines interact with Vinblastine?

MediHelp also lists interactions of Vinblastine with, for example, Adenovirus types 4 and 7 live, Apalutamide, Atazanavir. The full list is on the Vinblastine page.

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

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