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 disorderEndothelin-1P05305T2507610564099; 11230754; 12713865; 15185300
Liver disorderNitric oxide synthase, endothelialP29474T0604610564099; 11230754; 12713865; 15185300
Liver injuryBile salt export pumpO95342T3396911309550; 12127422; 11557132
Lung disorderEndothelin-1P05305T2507610564099; 11230754; 12713865; 15185300
Lung disorderNitric oxide synthase, endothelialP29474T0604610564099; 11230754; 12713865; 15185300
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Endophthalmitis11.01.06.003; 06.04.05.009--
Eosinophil count increased13.01.06.0040.000671%Not Available
Eosinophilia01.02.04.001--
Epilepsy17.12.03.002--Not Available
Epistaxis22.04.03.001; 24.07.01.005--
Erysipelas23.09.01.002; 11.02.06.0010.000117%Not Available
Erythema23.03.06.001--Not Available
Erythema multiforme23.03.01.003; 10.01.03.015--
Eye disorder06.08.03.001--Not Available
Eye haemorrhage24.07.05.002; 06.07.02.0010.000671%Not Available
Eye infection11.01.06.001; 06.04.05.0070.001118%
Eye irritation06.04.05.003--Not Available
Eye swelling06.08.03.003--Not Available
Facial bones fracture15.08.04.001; 12.04.05.0020.000894%Not Available
Facial paralysis17.04.03.008--Not Available
Faeces discoloured07.01.03.002--Not Available
Failure to thrive19.07.05.001; 18.04.01.003; 14.03.02.008--Not Available
Fatigue08.01.01.002--
Feeling abnormal08.01.09.014--Not Available
Feeling hot08.01.09.009--Not Available
Femoral neck fracture15.08.03.002; 12.04.01.0020.000671%Not Available
Femur fracture15.08.03.003; 12.04.01.003--Not Available
Fibrin D dimer increased13.01.02.0360.000447%Not Available
Fibrosis08.03.01.0010.000447%Not Available
Flatulence07.01.04.002--
Fluid overload14.05.06.001; 02.05.04.0040.008942%Not Available
Fluid retention20.01.02.003; 14.05.06.0020.026827%Not Available
Flushing24.03.01.002; 23.06.05.003; 08.01.03.025--
Food poisoning12.03.01.024; 11.07.02.001; 07.11.01.0070.000671%Not Available
Foot fracture15.08.03.012; 12.04.01.0120.003800%Not Available
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