Pulvance
Pulvance Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Pulvance is a brand name. Its generic name is Bosentan .
Introduction
Pulvanceis a medication used to treat various pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension (CTEPH). It works by blocking certain receptors which, when blocked, can improve blood flow to the lungs and reduce the workload placed on the heart.Uses
Pulvanceis used to treat symptoms of pulmonary arterial hypertension, such as high-blood pressure, shortness of breath, and fatigue. It is also used to treat moderate and severe cases of CTEPH.Mechanism of Action
Pulvanceworks by blocking endothelin receptors, which are proteins on the surface of certain cells in the body. Endothelin are involved in controlling the formation of blood vessels, and blocking these receptors causes the blood vessels in the lungs to expand, allowing more oxygen to pass through the vessels and reduce the workload on the heart.How Long Does it Take to Work?
It usually takes 2-4 weeks for Pulvanceto start working. After that, the effects can last as long as a year or more in some cases.Absorption
Pulvanceis absorbed quickly into the body with peak levels appearing within 0.5-1.0 hours after administration.Route of Elimination
Pulvanceis eliminated mainly via the urine, with approximately 70% of the drug being eliminated in this way.Dosage
The standard dose of Pulvanceis 62.5mg taken twice a day. Your doctor may increase the dose to 125 mg twice a day, depending on your condition and response to treatment. It is important to take your doses at the same times each day.Administration
Pulvanceis available in tablet form and should be taken with food. It is important not to chew or crush the tablets as this can affect how much of the drug is absorbed by the body.Side Effects
Common side effects of Pulvanceinclude headache, flu-like symptoms, nausea, and swelling of the ankles and feet. Some people may also experience dizziness or trouble sleeping.Toxicity
Pulvancehas low risk for toxicity and overdose. However, if a person takes too much Bosentan, they may experience an increase in side effects such as dizziness, headache, nausea, and confusion.Precautions
Pulvancecan interact with some other medications, so it is important to tell your doctor about all medications you are taking before starting Bosentan. Also, Pulvanceshould not be taken if you are pregnant, breastfeeding, or have liver problems.Interactions
Pulvancecan interact with some other medications, such as antifungal medications, antibiotics, cholesterol medications, and HIV medications. It is important to tell your doctor about all medications you are taking before starting Bosentan.Disease Interaction
Pulvancecan interact with some underlying health conditions such as liver problems, kidney problems, high or low blood pressure, and heart problems. It is important to tell your doctor about all health conditions you have before taking Bosentan.Drug Interactions
Pulvancecan interact with some other medications, such as antifungal medications, antibiotics, cholesterol medications, and HIV medications. It is important to tell your doctor about all medications you are taking before starting Bosentan.Food Interactions
Pulvancecan interact with some food. It is important to avoid eating grapefruit or drinking grapefruit juice while taking Bosentan.Pregnancy Use
PulvanceShould not be taken during pregnancy as it may harm your unborn baby. If you are pregnant or breastfeeding, it is important to tell your doctor before taking Bosentan.Lactation Use
PulvanceShould not be taken while breastfeeding as it may harm your baby. It is important to tell your doctor if you are breastfeeding before taking Bosentan.Acute Overdose
An overdose of Pulvancecan be dangerous and can lead to serious side effects. If you think you may have taken too much Bosentan, it is important to seek medical help right away.Contraindication
Pulvanceis not recommended for people with certain medical conditions or who are taking certain medications. It is important to tell your doctor about all health conditions and medications you are taking before taking Bosentan.Use Direction
Pulvanceshould be taken exactly as prescribed by the doctor. It is important to follow the prescribed dose and to take it at the same time each day.Storage Conditions
Pulvanceshould be stored at room temperature away from excess heat and moisture. It should be kept away from children and pets.Volume of Distribution
Pulvancehas an average volume of distribution of 38L, indicating that it is widely distributed throughout the body.Half Life
The half life of Pulvanceis 2-4 hours, indicating that it is absorbed and eliminated quickly from the body.Clearance
Pulvanceis cleared from the body mainly via the kidneys, with the majority being eliminated through the urine..Here you find in details version of Pulvance
Some Frequently Asked Questions About Pulvance
,What is Bosentan?
Pulvanceis an oral medication used to treat pulmonary arterial hypertension (PAH). PAH is a rare, progressive type of high blood pressure that affects the arteries in your lungs and the right side of your heart.
How does Pulvancework?
Pulvanceworks by blocking the action of endothelin, a hormone-like substance in the body that can act as an irritant to the walls of arteries. This helps widen the narrowed arteries, improves the flow of blood, and reduces the strain on your heart.
Who should not take Bosentan?
Pulvanceshould not be taken by people with severe liver disease, certain types of anaemia, or pregnant women. You should also not take Pulvanceif you are taking another drug that contains bosentan or any other drugs that are known to interact with it. Your doctor will be able to advise you on whether or not Pulvanceis safe for you to take.
What are the side effects of Bosentan?
The most common side effects of Pulvanceare nausea, headache, dizziness, fatigue, back pain, and rash. More serious side effects include liver problems, fluid retention in the lungs, and allergic reactions. If you experience any of these side effects, consult with your doctor immediately.
Does Pulvanceinteract with any other drugs?
Yes, Pulvancecan interact with certain drugs, including HIV protease inhibitors, antifungals, and certain antibiotics. It also interacts with some herbal supplements. Be sure to tell your doctor about any drugs, herbal supplements, or vitamins you are taking before taking Bosentan.
What if I miss a dose of Bosentan?
If you miss a dose of Bosentan, take your next dose at the usual time and continue taking the medicine as directed. Do not double up on doses to make up for a missed one. If you have any questions or concerns about missing a dose, speak to your healthcare provider.
What is the typical dosage of Bosentan?
The typical dosage of Pulvanceis two tablets twice daily, approximately 12 hours apart. This should be taken with food. Your doctor may adjust your dosage based on your response to the medication and whether or not you experience any side effects.
How soon can I expect to see results from taking Bosentan?
It usually takes four to eight weeks to start seeing results from taking Bosentan. Some patients may see a reduction in symptoms in as little as two weeks. It is important to continue taking Pulvanceregularly for the full course of treatment, as prescribed by your doctor.
Is there a generic version of Pulvanceavailable?
No, Pulvanceis not available in a generic form. However, generic versions of the drug are being developed and may eventually become available.
What if I get pregnant while taking Bosentan?
Pulvancecan cause birth defects if taken during pregnancy, so it is important to avoid becoming pregnant while taking Bosentan. Women of childbearing age should use effective contraception while taking Pulvanceand for two months after stopping the medication. Talk to your doctor about the best methods of birth control for you.
Can Pulvancebe used to treat other conditions?
No, Pulvanceis only approved to treat pulmonary arterial hypertension. It is not recommended for the treatment of any other condition.
Can Pulvancecause weight gain?
It is not common for Pulvanceto cause weight gain, though it is possible in some cases. If you experience any unexplained weight gain while taking Bosentan, contact your doctor for further evaluation.
Does Pulvanceinteract with alcohol?
Yes, Pulvancecan interact with alcohol. Drinking alcohol while taking Pulvancecan cause an increased risk of side effects, such as dizziness, headache, and nausea. It is best to avoid drinking alcohol while taking Bosentan.
Can I just stop taking Bosentan?
No, you should not stop taking Pulvancewithout first speaking to your doctor. Finishing the course of treatment is important to ensure that your symptoms are managed effectively. If you are thinking about stopping Bosentan, speak to your doctor first.
How long does Pulvancestay in your system?
Pulvancetypically stays in your system for approximately 4 days after your last dose. However, this may vary depending on individual factors, including age and kidney or liver function.
Can I take Pulvancewhile breastfeeding?
No, it is not recommended that you take Pulvancewhile breastfeeding. Talk to your doctor if you are pregnant or breastfeeding before taking Bosentan.
Is Pulvanceaddictive?
No, Pulvanceis not considered an addictive medication, and there is no potential for dependence or abuse. It is important to take Pulvanceas prescribed by your doctor.
Is Pulvancecovered by most insurance plans?
Yes, most insurance plans cover Bosentan. Check with your insurance provider to find out more information about your coverage.
Can Pulvancebe taken with other medications?
Yes, Pulvancecan be taken with other medications. However, it is important to tell your doctor about any medications you are taking, including prescription and over-the-counter drugs, vitamins, and supplements, as some of these may interact with Bosentan.
Can Pulvancecause hair loss?
It is rare for Pulvanceto cause hair loss, though it is possible in some cases. If you notice unexplained hair loss while taking Bosentan, speak to your doctor.
Does Pulvanceneed to be taken with food?
Yes, Pulvanceshould be taken with food. This helps the body absorb the medication better, resulting in more effective treatment.
Does Pulvancecause sleep problems?
It is not common for Pulvanceto cause sleep problems, though it is possible in some cases. If you experience any insomnia or other sleep disturbances while taking Bosentan, contact your doctor.
Is Pulvanceavailable in a liquid form?
No, Pulvanceis only available in tablet form.
Does Pulvancelower blood pressure?
No, Pulvancedoes not lower blood pressure. It works by blocking the effect of endothelin, a hormone-like substance that can act as an irritant to the walls of arteries.
Will Pulvancehelp with shortness of breath?
Yes, Pulvancecan help with shortness of breath caused by pulmonary arterial hypertension. By blocking the action of endothelin, Pulvancehelps to widen the narrowed arteries and improves the flow of blood, reducing the strain on your heart.
Is Pulvancea controlled substance?
No, Pulvanceis not a controlled substance. However, it is a prescription drug, and it must be taken exactly as prescribed by your doctor.
Can I take Pulvanceif I'm allergic to sulfa?
No, Pulvancecontains sulfa, so you should not take it if you are allergic to sulfa drugs.
What if I forget to take my Pulvancedose?
If you forget to take a dose of Bosentan, take your next dose at the usual time. Do not double up on doses to make up for a missed one. If you have any questions or concerns about missing a dose, speak to your healthcare provider.
Can I take Pulvanceif I have kidney disease?
Yes, Pulvancecan be taken if you have kidney disease. However, it is important to tell your doctor about your kidney condition, as your dosage may need to be adjusted.
Can Pulvancecause liver damage?
Yes, Pulvancecan cause liver damage in rare cases. If you experience any serious side effects, such as yellowing of the skin or eyes, appetite changes, or dark urine, contact your doctor immediately.
Is Pulvancecovered by Medicare?
Yes, Pulvanceis covered by Medicare Part D. Check with your insurance provider to find out more information about coverage for Bosentan.
Can Pulvancecause anemia?
Yes, Pulvancecan cause anemia in some people. This is why Pulvanceis not recommended for people who already have certain types of anemia.
Can Pulvancebe used to treat other forms of hypertension?
No, Pulvanceis only approved to treat pulmonary arterial hypertension. It is not recommended for the treatment of any other form of hypertension.
Can Pulvancebe taken with other pulmonary hypertension medications?
Yes, Pulvancecan be taken with other medications for pulmonary hypertension. However, it is important to tell your doctor about any other medications you are taking, as some of these may interact with Bosentan.
Does Pulvancehave side effects in children?
Yes, Pulvancecan have side effects in children, including headache, nausea, rash, and dizziness. If your child takes Bosentan, it is important to watch for signs of side effects and contact your doctor if any occur.
What if Pulvancedoes not work for me?
If Pulvancedoes not work for you, there are other treatments available for pulmonary arterial hypertension. Speak to your doctor to discuss other options.
What if I am taking warfarin? Can I take Bosentan?
Yes, Pulvancecan be taken with warfarin. However, warfarin levels may be affected by Bosentan, so close monitoring is important. Talk to your doctor about how to adjust your warfarin dose if needed.
Can Pulvancecause dizziness?
Yes, Pulvancecan cause dizziness in some people. If you experience dizziness or any other side effects while taking Bosentan, speak to your doctor.
Are there any lifestyle changes I should make while taking Bosentan?
Yes, it is important to make lifestyle changes while taking Bosentan, such as quitting smoking, exercising regularly, and maintaining a healthy weight. Making these changes can help improve your symptoms and your overall health.
What should I do if I experience chest pain while taking Bosentan?
If you experience chest pain while taking Bosentan, seek medical attention immediately. Chest pain can be a sign of a heart attack or other cardiovascular issue.
Is Pulvancesold over-the-counter?
No, Pulvanceis a prescription drug and is not available over-the-counter.
What is the difference between Pulvanceand sildenafil?
Pulvanceand sildenafil are both drugs used to treat pulmonary arterial hypertension. Pulvanceworks by blocking the action of endothelin, while sildenafil works by relaxing the muscles in the walls of the arteries. Your doctor will be able to advise you on which drug is best for you.