KetoconazoleSporanoxFluconazoleTriazoleCapsulesOrally administeredCapsuleCoadministrationMetabolismBrand of itraconazoleCombination with itraconazolePosaconazole100mgConcomitantAntifungal medication used to treatDosesPharmacokineticsExcretionEfficacyAntacidAzolesAmphotericinConcentrationsSystemicAntacidsInhibitionOnychomycosisPrecautions200mgFungalInhibitorPatientsIntravenouslyIndicationsTherapyInfectionCYP3A4DosageEmpty stomachHedgehog pathwayDoseOralDrugSporotrichosisTreatmentLiverDrugsCautionTreat infectionsAcidic
Ketoconazole4
- Azoles such as ketoconazole and itraconazole are strong inhibichrome P450-dependent enzymes such as 17,20 desmolase, 16α-hydroxylase, 17α-hydroxylase, 18 hydroxylase and 11β-hydroxylase enzymes (listed with decreasing activity), thus potentially compromising steroidogenesis in the adrenals and gonads 18 , 19 . (ersjournals.com)
- Conversely, drugs such as erythromycin , ketoconazole , itraconazole , and ritonavir may reduce the elimination of estrogens by the liver and lead to increased levels of estrogens in the blood. (medicinenet.com)
- Effects of an acidic beverage (Coca-Cola) on absorption of ketoconazole. (webmd.com)
- 10.Lelawongs P, Barone JA, Colaizzi JL, Hsuan AT, Mechlinski W, Legendre R, Guarnieri J. Effect of food and gastric acidity on absorption of orally administered ketoconazole. (webmd.com)
Sporanox6
- The Sporanox brand of itraconazole has been developed and marketed by Janssen Pharmaceutica, a subsidiary of Johnson & Johnson. (wikipedia.org)
- SPORANOX ® (itraconazole) Capsules should not be administered for the treatment of onychomycosis in patients with evidence of ventricular dysfunction such as congestive heart failure (CHF) or a history of CHF. (guidelinecentral.com)
- SPORANOX ® is the brand name for itraconazole, an azole antifungal agent. (guidelinecentral.com)
- SPORANOX ® Capsules contain 100 mg of itraconazole coated on sugar spheres (composed of sucrose, maize starch, and purified water). (guidelinecentral.com)
- Interchangeability SPORANOX ® (itraconazole) Capsules and SPORANOX ® Oral Solution should not be used interchangeably. (druginteractionchecker.com)
- Drug Interactions Effect of SPORANOX ® on Other Drugs Itraconazole and its major metabolite, hydroxy-itraconazole, are potent CYP3A4 inhibitors. (druginteractionchecker.com)
Fluconazole9
- Itraconazole has a broader spectrum of activity than fluconazole (but not as broad as voriconazole or posaconazole). (wikipedia.org)
- citation needed] Itraconazole is a relatively well-tolerated drug (although not as well tolerated as fluconazole or voriconazole) and the range of adverse effects it produces is similar to the other azole antifungals: elevated alanine aminotransferase levels are found in 4% of people taking itraconazole "small but real risk" of developing congestive heart failure liver failure, sometimes fatal The cyclodextrin used to make the syrup preparation can cause diarrhea. (wikipedia.org)
- Nevertheless, although it was initially used in the long-term treatment of nonmeningeal extrapulmonary disease, more-potent, less-toxic triazoles (fluconazole and itraconazole) have replaced it. (medscape.com)
- Itraconazole (400 mg/day) appears to have efficacy equal to that of fluconazole in the treatment of nonmeningeal infection and have the same relapse rate after therapy is discontinued. (medscape.com)
- After completion of amphotericin B, treatment with fluconazole or itraconazole should begin (BIII) . (hiv.gov)
- For patients with mild disease (e.g., focal pneumonia), monotherapy with fluconazole or itraconazole is appropriate (BII*) . (hiv.gov)
- Lifelong antifungal suppression (secondary prophylaxis) with either fluconazole or itraconazole is recommended for treating HIV-infected children after disseminated, diffuse pulmonary, and/or meningeal coccidioidomycosis (AII*) , even if immune reconstitution is achieved with combination antiretroviral therapy (cART). (hiv.gov)
- Short report: the absorption of fluconazole and itraconazole under conditions of low intragastric acidity. (webmd.com)
- The less toxic and more effective triazole compounds fluconazole and itraconazole have largely replaced for internal use. (sharluvglobal.com)
Triazole5
- ITRAFUNGOL Oral Solution contains itraconazole, a synthetic broad spectrum triazole antimycotic with activity against dermatophytes ( Trichophyton spp. (drugs.com)
- Itraconazole, a common triazole anti-fungal drug in widespread clinical use, has evidence of clinical activity that is of interest in oncology. (ecancer.org)
- Itraconazole (ITZ) is a triazole anti-fungal treatment widely used in the prevention and systemic treatment of a broad range of fungal infections, including aspergillosis , blastomycosis , candidiasis , histoplasmosis , and in some dermatological and nail infections. (ecancer.org)
- Treatment with itraconazole, an orally administered triazole antifungal agent, has recently been recommended for the treatment of ABPA as an efficient alternative or steroid-sparing therapy without serious side-effects 8 - 10 . (ersjournals.com)
- Itraconazole is a synthetic triazole antifungal drug approved for treatment and prophylaxis of a variety of fungal infections. (marshfieldlabs.org)
Capsules14
- Itraconazole is produced as blue 22 mm (0.87 in) capsules with tiny 1.5 mm (0.059 in) blue pellets inside. (wikipedia.org)
- citation needed] The three-layer structure of these blue capsules is complex because itraconazole is insoluble and is sensitive to pH. (wikipedia.org)
- Itraconazole oral solution should be taken an hour before food, or two hours after food (and likewise if a combination of capsules and oral solution are used). (wikipedia.org)
- Capsules should be taken immediately after a meal for maximal absorption. (hse.ie)
- What are Itraconazole Capsules for Dogs and Cats? (vetrxdirect.com)
- Itraconazole capsules should be given with high-fat foods such as cheese, cream, or butter to increase their absorption. (vetrxdirect.com)
- According to Plumb's Veterinary Drug Handbook it is recommended to give itraconazole capsules or the capsule contents with a fatty food such as butter, cream, ice cream or cheese. (vetrxdirect.com)
- Itraconazole Capsules may likewise be utilized for purposes not recorded in this prescription aide. (reliablechemist.com)
- Itraconazole Capsules is used to treat a combination of parasitic infections. (reliablechemist.com)
- Introducing Itraconazole Capsules - an advanced solution for fungal infections! (glasierwellness.com)
- Packed with the power of Supra Bioavailability, Itraconazole Capsules come in two variants - GLASITRA SB 65 Capsule with 65mg Itraconazole and GLASITRA SB 130 Capsule with 130mg Itraconazole. (glasierwellness.com)
- Each pack of Itraconazole Capsules comes with 10 strips, each containing 10 capsules, making it easy to manage your treatment regimen. (glasierwellness.com)
- With a focus on quality and efficacy, Itraconazole Capsules are designed to deliver optimal results in a safe and reliable manner. (glasierwellness.com)
- Supra bioavailable Itraconazole capsules deliver a higher percentage of active medicine to the biological system, at a lesser dose. (glasierwellness.com)
Orally administered1
- Verifying systemic absorption of orally administered itraconazole. (marshfieldlabs.org)
Capsule10
- Take this capsule with food for better absorption. (genericday.com)
- Supra bioavailable form of Itraconazole 65 mg has an equivalent therapeutic effect as conventional Itraconazole 100 mg capsule. (glasierwellness.com)
- GLASITRA SB 130 CAPSULE also contains ITRACONAZOLE as the active ingredient but in a higher dose of 130 mg. (glasierwellness.com)
- As with the 65 mg variant, Itraconazole 130 CAPSULE is a prescription medication and should be taken under medical supervision. (glasierwellness.com)
- Itraconazole Capsule is highly effective in treating dermatophytosis, which is a fungal infection that affects the skin, nails, and hair. (glasierwellness.com)
- Itraconazole Capsule is highly effective in treating vaginal candidiasis, which is a common fungal infection that affects the vagina. (glasierwellness.com)
- Itraconazole Capsule is easy to use and can be taken orally, which makes it convenient for patients. (glasierwellness.com)
- The supra-bioavailable formulation of itraconazole in an Itraconazole Capsule ensures maximum absorption and bioavailability. (glasierwellness.com)
- Itraconazole Capsule has a high safety profile and is well-tolerated by patients. (glasierwellness.com)
- Itraconazole Capsule is effective in treating fungal infections caused by various types of fungi, including Aspergillus, Candida, and Histoplasma. (glasierwellness.com)
Coadministration4
- Coadministration with itraconazole can cause elevated plasma concentrations of these drugs and may increase or prolong both the pharmacologic effects and/or adverse reactions to these drugs. (guidelinecentral.com)
- This study is a single-center, open-label, 3-group, fixed-sequence drug-drug interaction study to assess the effect of coadministration of multiple-dose itraconazole or diltiazem on the single-dose PK of AZD3293 and the effects of coadministration of single- and multiple-dose AZD3293 on the single-dose PK of midazolam. (astrazenecaclinicaltrials.com)
- Hepatic enzyme inducers can cause low serum itraconazole levels, and coadministration of these drugs has been associated with itraconazole therapeutic failure. (marshfieldlabs.org)
- Coadministration of specific drugs with itraconazole may result in changes in efficacy of itraconazole and/or the coadministered drug, life-threatening effects and/or sudden death. (druginteractionchecker.com)
Metabolism3
- Itraconazole can inhibit CYP3A, thus interfering with synthesis of gluco- and mineralocorticoids, androgens and oestradiol as well as the metabolism of budesonide. (ersjournals.com)
- The pathogenesis is most likely an itraconazole caused increase in systemic budesonide concentration through a reduced/inhibited metabolism leading to inhibition of adrenocorticotrophic hormone secretion along with a direct inhibition of steroidogenesis. (ersjournals.com)
- In addition, itraconazole can inhibit the metabolism of calcium channel blockers. (druginteractionchecker.com)
Brand of itraconazole1
- The Tolsura brand of itraconazole isn't so much for use in treating parasitic contaminations of the fingernails or toenails. (reliablechemist.com)
Combination with itraconazole1
- Drugs that are contraindicated, not recommended or recommended for use with caution in combination with itraconazole are listed in PRECAUTIONS: Drug Interactions. (druginteractionchecker.com)
Posaconazole1
- TDM is most frequently indicated for flucytosine, itraconazole, and occasionally voriconazole and posaconazole. (drfungus.org)
100mg1
- Followed by 50mg to 100mg of itraconazole daily for 6 months. (medscape.co.uk)
Concomitant1
- Additionally, concomitant use of cimetidine and repaglinide did not affect repaglinide absorption. (buyozempiconlineaustralia.com)
Antifungal medication used to treat2
- Itraconazole, sometimes abbreviated ITZ, is an antifungal medication used to treat a number of fungal infections. (wikipedia.org)
- Itraconazole is a prescription antifungal medication used to treat certain types of fungal diseases in dogs and cats. (vetrxdirect.com)
Doses4
- Itraconazole caused malformations and foetal resorptions when administered at high doses to rats and mice. (drugs.com)
- There is evidence that at the clinically relevant doses, itraconazole has potent anti-angiogenic activity, and that it can inhibit the Hedgehog signalling pathway and may also induce autophagic growth arrest. (ecancer.org)
- Itraconazole is, like other antibiotics, administered in high doses in CF patients due to the endobronchial barrier and altered pharmocokinetics, especially with regard to the increased renal excretion 11 . (ersjournals.com)
- AIDS patients and organ transplant patients receiving immunosuppressive therapy tend to have lower serum itraconazole levels on standard doses and are thus at high risk of therapeutic failure. (marshfieldlabs.org)
Pharmacokinetics1
- 5.Jaruratanasirikul S, Sriwiriyajan S. Effect of omeprazole on the pharmacokinetics of itraconazole. (webmd.com)
Excretion1
- Recent studies have shown that transporters can mediate drug-drug interactions, and transporter genes are subject to genetic polymorphism which may affect pharmacokinetic parameters of a drug, such as absorption, distribution, and excretion. (helsinki.fi)
Efficacy2
- Itraconazole therapeutic efficacy is greatest when serum concentrations exceed 0.5 mcg/mL for localized infections, or 1.0 mcg/mL for systemic infections. (marshfieldlabs.org)
- It is also supra-bioavailable, ensuring better absorption and efficacy. (glasierwellness.com)
Antacid2
- Absorption of itraconazole is impaired when taken with an antacid, H2 blocker or proton pump inhibitor. (wikipedia.org)
- 15.Lohitnavy M, Lohitnavy O, Thangkeattiyanon O, Srichai W. Reduced oral itraconazole bioavailability by antacid suspension. (webmd.com)
Azoles1
- Oral azoles, usually itraconazole or amphotericin B are the first line treatment for blastomycosis depending on the severity of disease, clinical form, and immune status of the host. (medscape.com)
Amphotericin1
- In general, mild-to-moderate disease is typically treated with oral itraconazole except in pregnant women and those with CNS disease who should always receive amphotericin B. Moderately severe to severe disseminated disease should receive amphotericin B followed by a long-term oral azole when they clinically improve. (medscape.com)
Concentrations3
- Itraconazole is a cytochrome p-450 inhibitor and may therefore increase or prolong plasma concentrations of other drugs metabolized by this pathway. (drugs.com)
- Increased to 200mg twice daily if plasma concentrations of itraconazole are low. (medscape.co.uk)
- Because absorption of itraconazole varies from patient to patient, serum concentrations should be measured to ensure effective, non-toxic levels of drug, monitor drug levels following changes in dosage, and assess compliance (BIII) . (hiv.gov)
Systemic2
- Itraconazole may be prescribed to treat fungal infections of the respiratory system, total systemic infections, or skin infections such as ringworm. (vetrxdirect.com)
- Itraconazole is commonly used to treat infections such as dermatophytosis, systemic fungal infections, and vaginal candidiasis. (glasierwellness.com)
Antacids3
- Antacids lower the absorption of this medication. (imedix.com)
- Take itraconazole 2 hours before or 1 hour after antacids. (mygenericpharmacy.com)
- Ketocip is best absorbed at highly acidic levels, so antacids or other causes of decreased stomach acid levels will lower the drug''s absorption when taken orally. (sharluvglobal.com)
Inhibition2
- sodium bicarbonate decreases levels of demeclocycline by inhibition of GI absorption. (medscape.com)
- sodium bicarbonate decreases levels of fleroxacin by inhibition of GI absorption. (medscape.com)
Onychomycosis2
- Tolsura (itraconazole) is not indicated for the treatment of onychomycosis and is not interchangeable or substitutable with other itraconazole products. (dokumen.tips)
- A higher dose of itraconazole is usually prescribed for more severe or resistant fungal infections, such as onychomycosis. (glasierwellness.com)
Precautions1
- Women of childbearing potential taking itraconazole should use contraceptive precautions. (hse.ie)
200mg1
- Initial dose: 3mg to 5mg/kg once daily for 15 days (maximum dose of 200mg in AIDS or neutropenic patients because of impaired absorption in these groups). (medscape.co.uk)
Fungal2
- The mode of action of itraconazole is based on its binding ability to fungal cytochrome p-450 iso-enzymes. (drugs.com)
- Itraconazole is a drug that treats fungal infections. (vetrxdirect.com)
Inhibitor1
- Itraconazole is an inhibitor of the drug transporters P-glycoprotein and breast cancer resistance protein (BCRP). (druginteractionchecker.com)
Patients13
- citation needed] In the past decade, itraconazole has been explored as an anticancer agent for patients with basal cell carcinoma, non-small cell lung cancer, and prostate cancer. (wikipedia.org)
- Clinical trials have shown that patients with prostate, lung, and basal cell carcinoma have benefited from treatment with itraconazole, and there are additional reports of activity in leukaemia, ovarian, breast, and pancreatic cancers. (ecancer.org)
- A recent case of iatrogenic Cushing's syndrome and complete suppression of the pituitary-adrenal-axis in a patient with cystic fibrosis (CF) and allergic bronchopulmonary aspergillosis treated with itraconazole as an antifungal agent, and budesonide as an anti-inflammatory agent led to a systematic assessment of this axis and gonadal function in all patients treated with itraconazole in the authors' CF centre. (ersjournals.com)
- The aim of this study was to evaluate adrenal and gonadal function in patients treated with itraconazole with or without budesonide. (ersjournals.com)
- An adrenocorticotrophic hormone (ACTH) test (250 µg tetracosactid) was performed in 25 CF patients treated with both itraconazole and budesonide, and in 12 patients treated with itraconazole alone (six patients with CF and six with chronic granulomateous disease). (ersjournals.com)
- Eleven of the 25 patients treated with both itraconazole and budesonide had adrenal insufficiency. (ersjournals.com)
- None of the patients on itraconazole therapy alone nor the control CF patients had a pathological ACTH test. (ersjournals.com)
- Only one patient with an initial pathological ACTH-test subsequently normalised, the other 10 patients improved but had not achieved normalised adrenal function 2-10 months after itraconazole treatment had been discontinued. (ersjournals.com)
- Suppression of the adrenal glucocorticoid synthesis was observed in 11 of 25 cystic fibrosis patients treated with both itraconazole and budesonide. (ersjournals.com)
- The frequency of suppression of the pituitary-adrenal-axis and gonadal steroidogenesis due to pharmacological interaction of itraconazole and budesonide was prospectively studied in a group of 31 patients with CF and six patients with chronic granulomateous disease (CGD) and compared to a control group of 30 CF patients who had been tested as part of a pretransplantation programme. (ersjournals.com)
- Patients with AIDS or other immunocompromised conditions, and those with meningeal or disseminated sporotrichosis, should receive secondary suppressive itraconazole therapy to prevent clinical relapses. (clinicaladvisor.com)
- Oropharyngeal candidiasisin AIDS or neutropenic patients because of impaired absorption in these groups. (medscape.co.uk)
- There are limited data on the use of itraconazole in elderly patients. (medscape.co.uk)
Intravenously2
- When itraconazole was administered intravenously to dogs and healthy human volunteers, negative inotropic effects were seen. (guidelinecentral.com)
- When itraconazole was administered intravenously to anesthetized dogs, a dose-related negative inotropic effect was documented. (druginteractionchecker.com)
Indications1
- Concerns about adequate absorption and drug interactions are some of the major indications for therapeutic drug monitoring. (marshfieldlabs.org)
Therapy4
- Because her eruptions did not improve after 2 weeks of therapy, terbinafine was discontinued, and she began itraconazole treatment. (cdc.gov)
- Itraconazole therapy is being considered pending further evaluation given the recent confirmation of suspected T. indotineae infection. (cdc.gov)
- Effective contraception should be continued until the menstrual period following the end of itraconazole therapy. (hse.ie)
- Serum levels of itraconazole are commonly obtained at the onset of long-term therapy because its absorption is sometimes erratic and unpredictable. (medscape.com)
Infection1
- however, she is being monitored for potential recurrence of infection and the need for resumption of itraconazole. (cdc.gov)
CYP3A41
- Following absorption, omeprazole is almost completely metabolized in the liver, primarily by the cytochrome P450 isoenzyme CYP2C19 to form hydroxy-omeprazole and to a small extent by CYP3A4 to form omeprazole sulfone. (amrospharma.com)
Dosage1
- The dosing syringe shows graduations per kg of body weight (e.g. selecting 1 kg on the dosage syringe delivers 0.5 mL of itraconazole solution, selecting 2 kg on the dosage syringe delivers 1 mL of itraconazole solution). (drugs.com)
Empty stomach1
- Itraconazole liquids, though, should be given on an empty stomach. (vetrxdirect.com)
Hedgehog pathway1
- Recent research works suggest itraconazole (ITZ) could also be used in the treatment of cancer by inhibiting the hedgehog pathway in a similar way to sonidegib. (wikipedia.org)
Dose4
- For example, in a phase II study involving men with advanced prostate cancer, high-dose itraconazole (600 mg/day) was associated with significant PSA responses and a delay in tumor progression. (wikipedia.org)
- On Day 8, a single dose of AZD3293 will be coadministered as an oral solution after the morning dose of itraconazole. (astrazenecaclinicaltrials.com)
- Risek is rapidly absorbed following oral administration and its absorption is not affected by food, but it is dose-dependent. (medicinep.com)
- Absorption of omeprazole is not affected by food and also appears to be dose dependent. (amrospharma.com)
Oral4
- This page contains information on Itrafungol (Itraconazole) Oral Solution for veterinary use . (drugs.com)
- Each mL of ITRAFUNGOL Oral Solution contains 10 mg itraconazole (Ph. (drugs.com)
- 6.Johnson MD, Hamilton CD, Drew RH, Sanders LL, Pennick GJ, Perfect JR. A randomized comparative study to determine the effect of omeprazole on the peak serum concentration of itraconazole oral solution. (webmd.com)
- A 1-compartment pharmacokinetic model and first-order oral absorption were used to fit the data. (uri.edu)
Drug6
- Data in humans shows that food intake may result in lower drug absorption. (drugs.com)
- Itraconazole is sold as an FDA approved generic drug. (vetrxdirect.com)
- Recently published studies have proposed that amorphous drug nanoparticles in gastrointestinal fluids may be beneficial for the absorption of poorly soluble compounds. (simulations-plus.com)
- Alternatively, it has been proposed that drug nanoparticles (ca. ≤200 to 300 nm) may provide a "shuttle" for drug across the unstirred water layer (UWL) adjacent to the intestinal epithelium, particularly for low solubility/lipophilic compounds where absorption may be largely UWL-limited. (simulations-plus.com)
- This transport mechanism would result in a higher unbound drug concentration at the surface of the epithelium for absorption. (simulations-plus.com)
- The permeability modification was evaluated using three published case studies for amorphous formulations of itraconazole, anacetrapib, and enzalutamide, where the formation of amorphous drug nanoparticles upon dissolution resulted in improved drug absorption. (simulations-plus.com)
Sporotrichosis1
- For fixed cutaneous or lymphocutaneous sporotrichosis, first line treatment is with itraconazole with data from several open treatment trials indicating a 90% to 100% response rate. (clinicaladvisor.com)
Treatment1
- Itraconazole is preferred for treatment of skeletal infections (AII*) . (hiv.gov)
Liver2
- Liver toxicity is a possible serious side effect of Itraconazole. (vetrxdirect.com)
- Itraconazole has infrequently caused veritably serious (conceivably fatal) liver disease. (reliablechemist.com)
Drugs3
- Additionally, based on the properties summarised previously, it is proposed that itraconazole may synergise with a range of other drugs to enhance the anti-cancer effect, and some of these possible combinations are presented in the supplementary materials accompanying this paper. (ecancer.org)
- Itraconazole interacts with a large number of drugs. (vetrxdirect.com)
- Discuss any drugs or supplements you may be giving your cat or dog with your veterinarian before starting to give Itraconazole. (vetrxdirect.com)
Caution1
- Therefore, caution should be used when co-administering itraconazole and calcium channel blockers due to an increased risk of CHF. (druginteractionchecker.com)
Treat infections1
- Generic Itraconazole (Itrotab) Itraconazole is an antifungal medication that's used in adults to treat infections caused by fungus. (reliablechemist.com)
Acidic1
- absorption can be enhanced by food or acidic drinks. (marshfieldlabs.org)