
bosentan oral brand names and other generic formulations include:
guanfacine oral brand names and other generic formulations include:
Intuniv ER Oral, Tenex Oral
bosentan oral and guanfacine oral
bosentan oral will decrease the level or effect of guanfacine oral by altering drug metabolism. Blood levels of guanfacine may decrease. More frequent dosing of immediate release guanfacine may be required to achieve or maintain the desired blood pressure response. For ADHD,the dose of ER guanfacine may need to be doubled.
bosentan oral and guanfacine oral
bosentan oral will decrease the level or effect of guanfacine oral by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Strong or moderate CYP3A4 inducers significantly reduce guanfacine plasma concentrations and elimination half-life. If coadministered, more frequent dosing of the IR product may be required to achieve or maintain the desired hypotensive response. For patients with ADHD, FDA-approved labeling for ER guanfacine recommends that, if coadministered, doubling the recommended dose of guanfacine should be considered.
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Drug Interaction Categories
Contraindicated
Never use this combination of drugs because of high risk for dangerous interaction
Serious
Potential for serious interaction; regular monitoring by your doctor required or alternate medication may be needed
Significant
Potential for significant interaction (monitoring by your doctor is likely required)
Minor
Interaction is unlikely, minor, or nonsignificant