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What the FDA labels say about taking them together

Bosentan and letermovir

Letermovir's FDA label of January 14, 2026 names bosentan in its drug interactions section; the bosentan label PlainMeds reads does not name letermovir. The letermovir label: “Co-administration of PREVYMIS and bosentan is not recommended due to potential for loss of efficacy of PREVYMIS.”

Check it at the source: the bosentan FDA label on DailyMed (effective November 17, 2025, Actelion Pharmaceuticals US, Inc.); the letermovir FDA label on DailyMed (effective January 14, 2026, Merck Sharp & Dohme LLC).

What does the bosentan label say about letermovir?

Bosentan's label (effective November 17, 2025) does not name letermovir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Tracleer), Actelion Pharmaceuticals US, Inc., effective November 17, 2025 (SPL set 749e42fb-2fe0-45dd-9268-b43bb3f4081c), via openFDA; the full label on DailyMed

What does the letermovir label say about bosentan?

Letermovir label, drug interactions

Concomitant Drug Class and/or Clearance Pathway/Drug Name: bosentan; Effect on Concentration ↓ =decrease, ↑ =increase: ↓ letermovir; Clinical Comments: Co-administration of PREVYMIS and bosentan is not recommended due to potential for loss of efficacy of PREVYMIS.

Source: FDA drug label (PREVYMIS), Merck Sharp & Dohme LLC, effective January 14, 2026 (SPL set 1b49df80-be4f-47e0-a0b7-123f3e69395b), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

5Bosentan generic labelers
0Letermovir generic labelers
BosentanLetermovir
Labeled forPulmonary arterial hypertensionn/a
Boxed warningYesNo
Pharmacy cost (NADAC)n/an/a
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?