Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Bosentan
Drug ID BADD_D00285
Description Bosentan is a dual endothelin receptor antagonist marketed under the trade name Tracleer by Actelion Pharmaceuticals. Bosentan is used to treat pulmonary hypertension by blocking the action of endothelin molecules that would otherwise promote narrowing of the blood vessels and lead to high blood pressure.
Indications and Usage Used in the treatment of pulmonary arterial hypertension (PAH), to improve exercise ability and to decrease the rate of clinical worsening (in patients with WHO Class III or IV symptoms).
Marketing Status Prescription
ATC Code C02KX01
DrugBank ID DB00559
KEGG ID D01227
MeSH ID D000077300
PubChem ID 104865
TTD Drug ID D0U4CE
NDC Product Code 68382-447; 68180-387; 46708-881; 65162-873; 49884-058; 66215-103; 0054-0521; 65162-874; 0591-2512; 47781-271; 65015-770; 66215-101; 68382-446; 49884-059; 53104-7703; 47335-039; 0054-0520; 82245-0104; 0591-2511; 14501-0041; 66215-232; 47335-038; 70771-1018; 66215-102; 70771-1017; 66039-870; 47781-270; 68180-386; 65015-753
Synonyms Bosentan | 4-t-Butyl-N-(6-(2-hydroxyethoxy)-5-(2-methoxyphenoxy)-2,2'-bipyrimidin-4-yl)benzenesulfonamide | Bosentan Monohydrate | Tracleer | Bosentan Anhydrous | Ro 47-0203 | Ro 47 0203 | Ro 470203 | Ro-47-0203
Chemical Information
Molecular Formula C27H29N5O6S
CAS Registry Number 147536-97-8
SMILES CC(C)(C)C1=CC=C(C=C1)S(=O)(=O)NC2=C(C(=NC(=N2)C3=NC=CC=N3)OCCO)OC4=CC=CC=C4OC
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
HyperphosphatasaemiaBile salt export pumpO95342T3396911309550; 12127422; 11557132
Liver disorderNitric oxide synthase, endothelialP29474T0604610564099; 11230754; 12713865; 15185300
Liver disorderEndothelin-1P05305T2507610564099; 11230754; 12713865; 15185300
Liver injuryBile salt export pumpO95342T3396911309550; 12127422; 11557132
Lung disorderNitric oxide synthase, endothelialP29474T0604610564099; 11230754; 12713865; 15185300
Lung disorderEndothelin-1P05305T2507610564099; 11230754; 12713865; 15185300
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Bacteraemia11.01.11.0010.001118%
Basal cell carcinoma23.08.02.001; 16.03.02.001--Not Available
Basedow's disease05.02.02.003; 10.04.08.004; 06.09.04.0030.000447%Not Available
Bilirubin conjugated increased13.03.01.0070.000447%Not Available
Bladder cancer20.03.04.001; 16.08.01.001--Not Available
Bladder pain20.02.02.001--Not Available
Blindness17.17.01.003; 06.02.02.001--Not Available
Blindness unilateral17.17.01.016; 06.02.02.0090.000671%Not Available
Blood albumin increased13.09.01.0020.000447%Not Available
Blood bilirubin increased13.03.01.0080.007377%
Blood calcium decreased13.11.01.002--Not Available
Blood creatine increased13.13.01.0010.000447%Not Available
Blood creatine phosphokinase increased13.04.01.001--
Blood creatinine abnormal13.13.01.0020.000447%Not Available
Blood creatinine increased13.13.01.004--
Blood glucose abnormal13.02.02.0080.000447%Not Available
Blood glucose decreased13.02.02.0010.002459%Not Available
Blood glucose increased13.02.02.002--Not Available
Blood immunoglobulin G increased13.06.05.0040.000447%Not Available
Blood iron decreased13.11.01.0060.001341%Not Available
Blood lactate dehydrogenase increased13.04.02.002--
Blood magnesium decreased13.11.01.0080.001118%Not Available
Blood potassium abnormal13.11.01.0240.000447%Not Available
Blood potassium decreased13.11.01.0100.004471%Not Available
Blood potassium increased13.11.01.0110.002683%Not Available
Blood pressure abnormal13.14.03.0010.000894%Not Available
Blood pressure decreased13.14.03.002--Not Available
Blood pressure increased13.14.03.005--Not Available
Blood pressure systolic decreased13.14.03.007--Not Available
Blood sodium abnormal13.11.01.0250.000671%Not Available
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