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What the FDA labels say about taking them together

Bosentan and sildenafil

Sildenafil's FDA label (Revatio) of December 18, 2024 names bosentan in its drug interactions section; the bosentan label PlainMeds reads does not name sildenafil. The sildenafil label: “Moderate-to-Strong CYP3A Inducers Concomitant use of REVATIO with moderate-to-strong CYP3A inducers (such as bosentan) decreases the sildenafil exposure.”

Check it at the source: the bosentan FDA label on DailyMed (effective November 17, 2025, Actelion Pharmaceuticals US, Inc.); the sildenafil FDA label on DailyMed (effective November 17, 2023, Viatris Specialty LLC).

What does the bosentan label say about sildenafil?

Bosentan's label (effective November 17, 2025) does not name sildenafil 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 sildenafil label say about bosentan?

Revatio label (Viatris Specialty LLC, December 18, 2024), drug interactions

Moderate-to-Strong CYP3A Inducers Concomitant use of REVATIO with moderate-to-strong CYP3A inducers (such as bosentan) decreases the sildenafil exposure.

Source: FDA drug label (Revatio, NDA203109), Viatris Specialty LLC, effective December 18, 2024 (SPL set 3bb9363e-b28d-4019-8aae-539233dca214), via openFDA

Source: FDA drug label (Viagra), Viatris Specialty LLC, effective November 17, 2023 (SPL set d905dc8d-917f-4ea3-a4ee-a1ecf6967d4e), 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
60Sildenafil generic labelers
BosentanSildenafil
Labeled forPulmonary arterial hypertensionErectile dysfunction, Pulmonary arterial hypertension
Boxed warningYesNo
Pharmacy cost (NADAC)n/a$0.132 per tablet 100 mg tablet
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?