Drug Notebook

FDA Alerts

  • Itraconazole capsules should not be used for treatment of onychomycosis in patients with evidence of ventricular dysfunction, including CHF or history of CHF. Discontinue itraconazole if signs or symptoms of CHF occur. IV itraconazole has caused negative inotropic effects in healthy individuals and in dogs.
  • Concomitant use with cisapride, pimozide, quinidine, or dofetilide is contraindicated. Itraconazole is a potent inhibitor of CYP3A4 isoenzymes and may increase plasma concentrations of drugs metabolized by CYP3A4. Serious cardiovascular events, including QT prolongation, torsades de pointes, ventricular tachycardia, cardiac arrest, and/or sudden death have occurred in patients using cisapride, pimozide, or quinidine concomitantly with itraconazole and/or other CYP3A4 inhibitors. (See Interactions.)

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itraconazole
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(IT ra KON a zole)

What is the most important information I should know about itraconazole?

Do not take this medication if you are allergic to itraconazole or similar medications such as fluconazole (Diflucan) or ketoconazole (Nizoral), if you have ever had congestive heart failure, or if you are pregnant or may become pregnant during treatment.

You should not take itraconazole together with cisapride (Propulsid), dihydroedrgotamine (D.H.E. 45, Migranal), dofetilide (Tikosyn), ergonavine (Ergotrate), ergotamine (Ergomar), lovastatin (Altocor, Altoprev, Mevacor), methylergonovine (Methergine), midazolam (Versed), nisoldipine (Sular), pimozide (Orap), quinidine (Quinaglute, Quinidex, Quin-Release), simvastatin (Zocor), or triazolam (Halcion).

Other drugs that should not be taken together with itraconazole include astemizole (Hismanal), or levomethadyl Orlaam) (these drugs are no longer available in the U.S.).

There are many other medicines that can interact with itraconazole. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

Before taking itraconazole, tell your doctor if you have heart disease, a history of stroke, a heart rhythm disorder, kidney or liver disease, a breathing disorder, cystic fibrosis, or a history of "Long QT syndrome."

Itraconazole capsules should not be used in place of itraconazole oral solution (liquid) if that is what your doctor has prescribed. Make sure you have received the correct type of this medication at the pharmacy and ask the pharmacist if you have any questions. Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Call your doctor if your symptoms do not improve.

What is itraconazole?

Itraconazole is an antifungal antibiotic.

Itraconazole is used to treat infections caused by fungus, which can invade any part of the body including the lungs, mouth or throat, toenails, or fingernails.

Itraconazole may also be used for other purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking itraconazole?

Do not take this medication if you are allergic to itraconazole or similar medications such as fluconazole (Diflucan) or ketoconazole (Nizoral), if you have ever had congestive heart failure, or if you are pregnant or planning to become pregnant during treatment. The following drugs should not be taken together with itraconazole:
  • cisapride (Propulsid);

  • dofetilide (Tikosyn);

  • nisoldipine (Sular);

  • pimozide (Orap);

  • quinidine (Quinaglute, Quinidex, Quin-Release);

  • lovastatin (Altocor, Altoprev, Mevacor) or simvastatin (Zocor);

  • midazolam (Versed) or triazolam (Halcion);

  • ergot medicines such as dihydroedrgotamine (D.H.E. 45, Migranal), ergonavine (Ergotrate), ergotamine (Ergomar, Cafergot, Ercaf, Migergot), or methylergonovine (Methergine); or

  • (these drugs are no longer available in the U.S.) astemizole (Hismanal), or levomethadyl Orlaam).

Before taking itraconazole, tell your doctor if you are allergic to any drugs, or if you have:

  • heart disease, a heart rhythm disorder, circulation problems, or a history of stroke;

  • chronic obstructive pulmonary disease (COPD) or other breathing disorder;

  • kidney disease;

  • liver disease;

  • cystic fibrosis; or

  • a personal or family history of "Long QT syndrome."

If you have any of these conditions, you may need a dose adjustment or special tests to safely take itraconazole.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Itraconazole passes into breast milk and can harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
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