Tracleer Bosentan Tablets
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For patients with pulmonary arterial hypertension (PAH, WHO Group I)
WHO Class II, III, IV


Diagnose pulmonary arterial hypertension early


Accurate and early diagnosis is critical


Review the 4 main steps of making the pulmonary arterial hypertension (PAH) diagnosis

 Suspect PAH in at-risk or symptomatic patients
 Investigate and screen with echocardiography
 Confirm PAH with right heart catheterization
 Determine functional class status


Tracleer is indicated for the treatment of pulmonary arterial hypertension (PAH, WHO Group I) in patients with WHO Class II-IV symptoms, to improve exercise ability and decrease the rate of clinical worsening. Patients with WHO Class II symptoms showed reduction in the rate of clinical deterioration and a trend for improvement in walk distance. Physicians should consider whether these potential benefits are sufficient to offset liver injury in WHO Class II patients, which may preclude future use as their disease progresses.

Important safety information

Because of the associated risks, Tracleer may be prescribed only through the Tracleer Access Program.

Potential for serious liver injury (including, after prolonged treatment, rare cases of liver failure and unexplained hepatic cirrhosis in a setting of close monitoring)—Liver monitoring of all patients is essential prior to initiation of treatment and monthly thereafter.

High potential for major birth defects—Pregnancy must be excluded and prevented through the use of reliable forms of birth control; monthly pregnancy tests should be obtained.

Contraindicated for use with cyclosporine A and glyburide.

Please see full prescribing information including BOXED WARNING.




  1. Humbert M, Sitbon O, Chaouat A, et al. Pulmonary arterial hypertension in France. Results from a national registry. Am J Respir Crit Care Med. 2006;173:1023-1030.
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