Bosentan 125 mg Uses, Dosage, Side Effects & Mechanism

Sep 19, 2025

Bosentan 125 mg is a vital medication prescribed for managing pulmonary arterial hypertension (PAH), helping improve patients’ quality of life by easing symptoms and enhancing exercise capacity. BOSENTIME 125, a trusted brand by Steris Healthcare, offers an effective bosentan 125 mg tablet that stands out for its quality and patient-focused formulation.

What is Bosentan 125 mg?

Bosentan 125 mg works through its mechanism of action by blocking endothelin receptors in the blood vessels. Endothelin is a substance that causes blood vessels to narrow, increasing blood pressure in the lungs. By blocking these receptors, bosentan helps relax and widen the pulmonary arteries, reducing pressure and improving blood flow. Understanding the bosentan structure reveals why it efficiently targets these receptors, making it an essential option for PAH treatment.

Bosentan Mechanism of Action

Bosentan works by competitively blocking endothelin-1 (ET-1) from binding to endothelin receptors type A (ETA) and type B (ETB) located on vascular smooth muscle cells and endothelial cells in the pulmonary arteries. Endothelin-1 is a potent vasoconstrictor that contributes to narrowing and remodeling of blood vessels, significantly increasing vascular resistance and pressure. By antagonizing these receptors, bosentan prevents ET-1-induced vasoconstriction and cellular proliferation. This leads to dilation of pulmonary blood vessels, decreased pulmonary arterial pressure, and improved blood flow and oxygen delivery to tissues.

Bosentan Structure

Bosentan is a synthetic compound classified as a dual endothelin receptor antagonist. Its chemical structure is composed of a sulfonamide group attached to a biphenyl system with an imidazole ring, which allows it to bind selectively to endothelin receptors ETA and ETB. This selective binding interferes with the endothelin signaling pathway—a key factor in pulmonary arterial constriction and vascular remodeling. The structure facilitates high receptor affinity and antagonist activity, making bosentan effective in reducing pulmonary hypertension.

Bosentan 125 mg Uses

Bosentan 125 mg tablet is primarily used to treat pulmonary arterial hypertension (PAH), a condition characterized by high blood pressure in the arteries of the lungs. This can lead to heart strain and reduced oxygen supply to the body. BOSENTIME 125 helps by:

  • Improving exercise ability and physical activity tolerance

  • Reducing symptoms such as shortness of breath, fatigue, and chest pain

  • Slowing down the progression of pulmonary vascular disease

  • Treating PAH associated with connective tissue diseases (e.g., scleroderma)

  • Managing PAH due to congenital heart defects or idiopathic causes

By addressing these factors, bosentan 125 mg improves patients’ overall quality of life and functional capacity.

Dosage and Administration

  • Treatment usually starts with a lower dose (62.5 mg twice daily) for 4 weeks, followed by bosentan 125 mg twice daily as maintenance therapy.

  • Take the medicine regularly at the same time each day, with or without food.

  • Do not stop the medicine suddenly unless advised by your doctor.

Side Effects of Bosentan 125 mg

Like all medications, tab bosentan 125 mg can cause side effects. Most are mild, but some require medical monitoring.

Common side effects:

  • Headache

  • Flushing

  • Stomach discomfort

  • Swelling in legs or ankles

Serious side effects (require immediate medical attention):

  • Liver function problems

  • Low hemoglobin (anemia)

  • Difficulty breathing or chest pain

Regular blood tests are necessary to monitor liver health and hemoglobin levels during treatment.

Precautions Before Taking Bosentan 125 mg

  • Avoid use during pregnancy and breastfeeding.

  • Inform your doctor about liver disease or any ongoing medications.

  • Bosentan can interact with medicines like cyclosporine, warfarin, and hormonal contraceptives.

  • Avoid excessive alcohol consumption.

Why Choose Steris Healthcare?

When it comes to life-saving treatments like BOSENTIME 125, trust is crucial. Steris Healthcare ensures:

  • WHO-GMP certified manufacturing for international quality standards.

  • Affordable treatment options to make advanced therapies accessible.

  • Nationwide supply chain for easy availability.

  • Patient-first approach ensuring safety, effectiveness, and reliability.

Steris Healthcare’s mission is to provide high-quality medicines that empower patients to live healthier, longer lives.

Frequently Asked Questions

Q1. What is bosentan used for?
Bosentan is used for treating pulmonary arterial hypertension (PAH) to improve exercise ability and slow disease progression.

Q2. How long should I take bosentan 125 mg tablet?
The duration depends on your condition and doctor’s advice. Many patients require long-term therapy.

Q3. Can I take bosentan with food?
Yes, bosentan 125 mg can be taken with or without food.

Q4. Is bosentan safe for long-term use?
Yes, under regular medical supervision and liver function monitoring, bosentan can be used long term.

Q5. What tests should I do while on bosentan?
Regular liver function tests and blood counts are essential to ensure safety during treatment.

Conclusion

Bosentan 125 mg is a proven and effective therapy for patients suffering from pulmonary arterial hypertension. By blocking the harmful effects of endothelin-1, it helps blood vessels relax, improves exercise tolerance, and eases the burden on the heart.

For patients, this means the ability to breathe easier, regain stamina, and enjoy an improved quality of life. However, because it is a prescription-only medicine, it requires close monitoring and regular follow-ups with your healthcare provider.

Choosing Steris Healthcare’s BOSENTIME 125 ensures you are receiving a medicine that is safe, effective, affordable, and manufactured under global standards. It is not just a treatment—it is a step toward living life with more strength and less limitation.

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