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Bosmon 62.5mg Tablet 7.0 ‘S

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Contains :Bosentan Monohydrate 62.5 mg
Company:Hilton Pharma
Quantity

Bosmon 62.5mg Tablet 7.0 ‘S contains Bosentan Monohydrate as an active ingredient.

Bosmon 62.5mg Tablet 7.0 ‘S is used to manage high blood pressure in the lungs.

Take this medication orally with or without meals as directed by your doctor, usually twice daily.

The dosage is based on the medical condition, weight, and response to treatment of the patient.

About

Pulmonary arterial hypertension (PAH) is a diverse medical condition that may be due to several reasons including chronic lung or heart disease, connective tissue disorder, or pulmonary thromboembolism, the common outcome of which is stricture of blood vessels causing the buildup of pressure inside, manifested as high blood pressure and difficulty in breathing even on mild physical exertion. Bosmon 62.5mg Tablet 7.0 ‘S is a drug that belongs to a class of medicines known as endothelin 1 antagonist. This drug is prescribed to patients with high blood pressure resulting from PAH which not only relieves blood pressure but also improves other symptoms resulting due to PAH such as limited physical labor.

Bosmon 62.5mg Tablet 7.0 ‘S works by blocking the action of endothelins, peptides with strong action on blood vessels whose levels are found to be high in patients with PAH. When endothelin binds to their most abundant receptors in the lungs, they bring about changes in the blood vessels causing them to narrow down which creates pressure inside the vessels manifested as high blood pressure. Moreover, it also causes constriction of airways (bronchioles) which makes it difficult for patients to breathe. By antagonizing the action of endothelin all this is reversed, lowering blood pressure and opening up airways for easy breathing.

Bosmon 62.5mg Tablet 7.0 ‘S is available in form of oral tablets to be swallowed with water two times a day, with or without a meal. The starting doses are kept low and increased after an observation period of four weeks to a higher dose. Bosmon 62.5mg Tablet 7.0 ‘S is not considered safe for pregnant and lactating mothers but safely prescribed to children 3 years and above. Contraception is advised when you are using Bosmon 62.5mg Tablet 7.0 ‘S to avoid getting pregnant. Abrupt cessation of the drug is not advised. Most common side effects observed with Bosmon 62.5mg Tablet 7.0 ‘S include dizziness, flushing, cough, and chest pain among others.

Indications

Bosmon 62.5mg Tablet 7.0 ‘S is prescribed for the management of:

  • Pulmonary Arterial Hypertension (WHO class 3 and 4 symptoms)

How Does Bosmon 62.5mg Tablet 7.0 ‘S Work?

Bosmon 62.5mg Tablet 7.0 ‘S is chemically composed of Bonesman, and endothelin 1 antagonist. It shows its therapeutic effects by blocking the action of endothelins, peptides with strong action on blood vessels commonly occurring in 3 different forms scattered through different tissues in the lungs, kidneys, heart muscles, etc. their levels are found to be high in patients with PAH. When endothelin binds to their most abundant receptors in the lungs, they bring about changes in the blood vessels causing them to narrow down which creates pressure inside the vessels manifested as high blood pressure. Moreover, it also causes constriction of airways (bronchioles) which makes it difficult for patients to breathe. By antagonizing the action of endothelin all this is reversed, lowering blood pressure, and opening up airways for easy breathing.

How to use Bosmon 62.5mg Tablet 7.0 ‘S?

Bosmon 62.5mg Tablet 7.0 ‘S is available in the form of oral tablets to be swallowed with a glass of water through the mouth with or without a meal, twice daily. Taking Bosmon 62.5mg Tablet 7.0 ‘S with a meal is optional. The dosage at the beginning is set as the lowest available potency (62.5 mg) which is increased to the maximum safe dose as per need after 4 weeks. When treatment is intended to stop, the dose is cut down to an incremental dose of 62.5 mg over 1 week before stopping it completely.

It is advised that the drug is taken at the same time each day, an alarm can be placed to remind patients to take Bosmon 62.5mg Tablet 7.0 ‘S at the proper time each day. If the patient misses a dose of Bosmon 62.5mg Tablet 7.0 ‘S, they should take it immediately but if the time for the next dose of the drug is near then it’s beneficial for patients to skip the missed dose and take the tablets as per schedule, doubling of doses has proven to cause severe side effects.

Available Potency and forms of Bosmon 62.5mg Tablet 7.0 ‘S 

Tablet – 62.5 mg

Tablet – 125 mg

Dosage

Adult Dosage

One tablet of Bosmon 62.5mg Tablet 7.0 ‘S is prescribed to be taken orally twice daily (morning and evening)

The starting dose is on the lower side: 62.5 mg

After a therapy period of 4 weeks,

Maintenance Dose: 125 mg to be taken orally twice daily (morning and evening)

Child Dosage

Children above 3 years of age and adolescents can be given Bosmon 62.5mg Tablet 7.0 ‘S in the following recommended dose. Always consult a doctor for the right amount you can take.

3 to 12 years (per kg of body weight):

4 kg to 8 kg: 16 mg orally twice a day

Greater than 8 kg to 16 kg: 32 mg orally twice a day

Greater than 16 kg to 24 kg: 48 mg orally twice a day

Greater than 24 kg to 40 kg: 64 mg orally twice a day

*Following 4 weeks, the maintenance dose of each category (by weight) remains the same as starting dose

Above 12 years of age (per kg of body weight):

Less than 40 kg: 62.5 mg orally twice a day

Greater than 40 kg: 62.5 mg orally twice a day for 4 weeks, followed by a maintenance dose of 125 mg orally twice a day

Elderly Dosage

For patients aged 65 years and above, due to decreased kidney and liver function, Bosmon 62.5mg Tablet 7.0 ‘S may not be effectively removed from the body and so, in such cases the doctor may prescribe an altered dose of the Bosmon 62.5mg Tablet 7.0 ‘S which must be strictly followed.

Pregnancy use and lactation

Bosmon 62.5mg Tablet 7.0 ‘S falls under FDA pregnancy category X which means it should not be taken during pregnancy due to potentially harmful effects on unborn babies. Therefore, if you are pregnant, or are planning to conceive a baby, please do discuss Bosmon 62.5mg Tablet 7.0 ‘S with your doctor.

If you are breastfeeding an infant, ask your doctor first for the amount of medicine secreted into breast milk is unclear. With regards to safety please make sure to consult your doctor to avoid any possible side effects for the baby.

Contraindications

Please inform your doctor if you have a history of any before using Bosmon 62.5mg Tablet 7.0 ‘S:

  • Allergy to Bosmon 62.5mg Tablet 7.0 ‘S
  • Pregnancy or trying to conceive
  • Liver impairment
  • Currently taking cyclosporine A
  • Currently taking glyburide

Precautions‌ ‌

Please‌ ‌tell‌ ‌your‌ ‌doctor‌ ‌about‌ ‌any‌ ‌of‌ ‌the‌ ‌following‌ ‌conditions‌ before starting or during the treatment with ‌Bosmon 62.5mg Tablet 7.0 ‘S:‌

  • If there is a history of allergy to medicines or products that are maybe like ‌Bosmon 62.5mg Tablet 7.0 ‘S. Carefully read the contents of this product to avoid any future inconvenience
  • ‌Bosmon 62.5mg Tablet 7.0 ‘S is likely to cause damage to your liver, based on your Liver function tests if there is an indication of an already compromised function, ‌Bosmon 62.5mg Tablet 7.0 ‘S must be avoided. Baseline levels are determined before the treatment (check aminotransferase) to determine the suitability of this drug. These levels should be checked regularly every month
  • Signs of liver injury should be kept under check such as pale skin, vomiting, loss of appetite, a general feeling of sickness and fatigue
  • Pregnant females or those trying to conceive must not use ‌Bosmon 62.5mg Tablet 7.0 ‘S. Strict contraception is advised while under treatment with ‌Bosmon 62.5mg Tablet 7.0 ‘S up to at least 1 month after the end of therapy. The contraception method must be reliable without fail, ask your doctor
  • Frequent pregnancy tests at home (every month) must also be conducted to rule out the condition
  • ‌Bosmon 62.5mg Tablet 7.0 ‘S can cause a drop in blood hemoglobin and hematocrit, the reason being unclear. It is advised to check these values after 1 to 3 months of therapy and afterward every 3 months to ensure the levels
  • ‌Bosmon 62.5mg Tablet 7.0 ‘S can cause accumulation of extra fluid in tissue spaces (edema) of the body which should be managed by appropriate treatment modality. This is particularly of concern in patients with chronic heart failure
  • If you have phenylketonuria (PKU) make sure to read the contents of this medicine to rule out the presence of aspartame
  • Bosmon 62.5mg Tablet 7.0 ‘S must not be stopped abruptly, there should be a gradual reduction in dose over 2 weeks to allow your body to adjust properly
  • Fertility issues must be discussed before starting the therapy. Bosmon 62.5mg Tablet 7.0 ‘S has been reported to decrease the sperm count in semen
  • Ask about the amount of fluid you can take from your doctor. Patients with PAH are sometimes put on limited fluids in the diet
  • If your child is taking Bosmon 62.5mg Tablet 7.0 ‘S, closely monitor him/her for the signs of puberty and tell your doctor once puberty starts

Interaction with other medications

Certain medications could interact with Bosmon 62.5mg Tablet 7.0 ‘S and may increase or decrease its absorption. Make sure to inform your doctor about all the drugs you’re currently taking, in which case, your doctor might alter the treatment.

  • Anticonvulsants like carbamazepine, phenytoin, phenobarbital
  • Anticoagulants Warfarin
  • Cyclosporine
  • Anti-diabetes like glyburide
  • Antifungals like Ketoconazole, fluoconazole
  • Erythromycin
  • Contraceptives
  • Tacrolimus
  • Simvastatin
  • Rifampicin
  • Sildenafil
  • Tadalafil
  • Antiviral like ritonavir, lopinavirr, etc.

Adverse effects

Like most medicines, Bosmon 62.5mg Tablet 7.0 ‘S has some side effects which include:

Common Side Effects

  • Constipation or Diarrhea
  • Headache
  • Vomiting
  • Abdominal pain
  • Edema
  • Fatigue
  • Flushing
  • Low blood pressure

Less Common Side Effects

  • Anaphylactic reaction
  • Anxiety
  • Wheezing
  • Chest pain
  • Hypotension
  • Sinusitis
  • Anemia
  • Decrease sperm count
  • Tachycardia
  • Dyspnea
  • Joint pain
  • Muscular weakness

List Of How to Deal With Adverse Effects

  • Allergic Reactions – Allergic reactions to the drug may be mild to severe or potentially could be life-threatening. If allergy is suspected immediately take anti-allergy (antihistamine) medicine which will stop the mild reaction. If a serious allergic reaction is suspected, rush to the nearby hospital and avoid Bosmon 62.5mg Tablet 7.0 ‘S and drugs with similar compounds in the future.
  • Headaches – In which case make sure you rest and drink plenty of fluids. Avoid the use of alcohol. Take a prescribed painkiller. Consult your doctor if the headaches last longer than a week or are severe
  • Constipation – Can be combated by adding more fibers to the patient’s diet, asking the patient to drink plenty of fluids, and increasing their physical activity to trigger contractions in the intestines.
  • Feeling or being sick (nausea or vomiting) or diarrhea – Avoid eating rich or spicy food. It might help to take medication after food. If you’re sick, try drinking small, frequent sips of water.
  • Feeling dizzy (lightheaded) or weak – If the medication makes you feel dizzy or weak, stop what you’re doing and sit or lie down until you feel better, and do not rise too fast or immediately from a sitting or lying down position to a standing posture. Do not drive or use tools or machinery in case of any of these effects.
  • Dehydration- Patients are recommended to always care around a water bottle with them wherever they go and periodically keep sipping to prevent thirst and extremely dry mouth. Ice pops in hot weather and energy drinks (verified by the doctor) help combat dehydration

FAQs

#1. HOW IS Bosmon 62.5mg Tablet 7.0 ‘S SUPPOSED TO BE TAKEN?

Bosmon 62.5mg Tablet 7.0 ‘S is to be ingested orally twice daily or as per the doctor’s prescription. Bosmon 62.5mg Tablet 7.0 ‘S is to be swallowed either with or without food, preferably with water to ease the tablet’s passage down the patient’s throat. As per suggestions, it is taken once every morning and once in the evening.

#2. WHAT IF I TAKE TOO MUCH OF Bosmon 62.5mg Tablet 7.0 ‘S?

In case of too much consumption by accident, kindly contact your doctor or nearby hospital straight away. The amount of medication that can result in severe side effects varies from person to person. An overdose results in slowing down of heart rate and difficulty breathing accompanied by dizziness and fainting spells.

#3. WHAT IF I FORGET TO TAKE THE Bosmon 62.5mg Tablet 7.0 ‘S?

It is advised that the drug is taken at the same time each day, an alarm can be placed to remind patients to take Bosmon 62.5mg Tablet 7.0 ‘S at the proper time. If the patient misses a dose of Bosmon 62.5mg Tablet 7.0 ‘S, they should take it immediately but if the time for the next dose of the drug is near then it’s beneficial for patients to skip the missed dose and take the tablets as per schedule, doubling of doses has proven to cause severe side effects.

#4. CAN I TAKE Bosmon 62.5mg Tablet 7.0 ‘S DURING MY PREGNANCY?

This drug should not be taken or prescribed to expecting and lactating mothers as it may have severe consequences for the unborn child. If you are taking the drug and become pregnant, inform your doctor immediately. Bosmon 62.5mg Tablet 7.0 ‘S isn’t recommended to lactating mothers. If you are planning to conceive and are taking Bosmon 62.5mg Tablet 7.0 ‘S as treatment, then refer to the doctor. The physician is likely to change your medicine. Strict contraception is advised while under treatment with Bosmon 62.5mg Tablet 7.0 ‘S.

#5. HOW TO STORE Bosmon 62.5mg Tablet 7.0 ‘S?

Bosmon 62.5mg Tablet 7.0 ‘S is to be kept away from the reach of children, in a cool dry place away from direct sunlight and humidity as that tends to ruin certain drugs.

#6. DOES Bosmon 62.5mg Tablet 7.0 ‘S CAUSE ADDICTION?

No, this drug has shown no evidence to prove addiction of any kind in any patient.

#7. CAN I STOP TAKING Bosmon 62.5mg Tablet 7.0 ‘S ON MY OWN? 

You must always consult a doctor first even if you start to feel better and want to stop Bosmon 62.5mg Tablet 7.0 ‘S. Stopping the drug at once can cause your symptoms to get worse. Your physician may start the termination process by a gradual decrease of dose in increments over 1 week before stopping it together.

#8. WHAT LAB TESTS WILL BE PRESCRIBED WHILE TREATMENT WITH Bosmon 62.5mg Tablet 7.0 ‘S??

Kidney and liver function tests along with blood tests to keep a check on blood levels are advised. Patient’s LFTs (aminotransferase), bilirubin, hemoglobin, and hematocrit and pregnancy tests should be done regularly. It is also advised that patients learn to monitor their blood pressure levels daily at home and inform their doctor of any changes seen.

#9. CAN I CONSUME ALCOHOL WITH Bosmon 62.5mg Tablet 7.0 ‘S?

Alcohol is also known to lower your blood pressure which if taken with the medication may lead to extreme dizziness. It is best to avoid the intake of alcohol during your treatment.

#10. CAN Bosmon 62.5mg Tablet 7.0 ‘S INTERFERE WITH FERTILITY?

There are reports that patients have suffered from a decrease in sperm count which may affect fertility in males. Also, while under treatment with Bosmon 62.5mg Tablet 7.0 ‘S patient is advised against getting pregnant. If a patient does become pregnant it is imperative that they inform their doctor immediately as Bosmon 62.5mg Tablet 7.0 ‘S can have fatal effects on the developing fetus.

#11. DOES Bosmon 62.5mg Tablet 7.0 ‘S INTERACT WITH CONTRACEPTIVES?

When you are under treatment with Bosmon 62.5mg Tablet 7.0 ‘S you must ensure not to get pregnant and at least 1 month afterward, for which using foolproof methods is advised. Certain hormonal contraceptives, when taken with Bosmon 62.5mg Tablet 7.0 ‘S, are rapidly processed by the liver which may put you at risk of getting pregnant. Discuss with your doctor.

#12. CAN Bosmon 62.5mg Tablet 7.0 ‘S CAUSE DIZZINESS? IF SO, HOW SHOULD I MANAGE IT?

Yes. It can cause dizziness as one of the most common side effects. If this happens, you should sit or lie down until the symptoms pass. However, please note this is temporary and usually goes away as the treatment continues. It is also advised to avoid the consumption of alcohol during your treatment, as it may worsen the dizziness.

#13. CAN I DRIVE AFTER TAKING THIS MEDICATION?

This medication is known to make you dizzy hence if that happens kindly avoid driving or operating any heavy machinery.

#14. CAN LIFESTYLE CHANGES HELP ME WITH MY CONDITION?

Yes, you can adopt certain healthy lifestyle changes to help with your condition. These include quitting smoking, avoiding alcohol, limiting the intake of caffeinated beverages, and eating a wholesome diet consisting of fresh vegetables and fruits that cut down on salt. Generally, patients are also advised to limit their fluid intake during treatment to avoid excessive water retention. Moreover, products containing iron and iron supplements must be encouraged to keep a balance. Regular monitoring of Hemoglobin levels is also required.

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