rug concentrations caused by coadministration with itraconazole may increase or prolong both the pharmacologic effects and/or adverse reactions to these drugs. for example, increased plasma concentrations of some of these drugs can lead to qt prolongation and ventricular tachyarrhythmias including occurrences of torsade de pointes , a potentially fatal arrhythmia. specific examples are listed in precautions: drug interactions . itraconazole capsules should not be administered for the treatment of onychomycosis to pregnant patients or to women contemplating pregnancy. itraconazole capsules are contraindicated for patients who have shown hypersensitivity to itraconazole. there is limited information regarding cross-hypersensitivity between itraconazole and other azole antifungal agents. caution should be used when prescribing itraconazole capsules to patients with hypersensitivity to other azoles.

le, but is not a comprehensive list. refer to the approved product labeling to become familiar with the interaction pathways, risk potential, and specific actions to be taken with regards to each concomitant drug prior to initiating therapy with itraconazole capsules. although many of the clinical drug interactions in table 1 are based on information with a similar azole antifungal, ketoconazole, these interactions are expected to occur with itraconazole capsules. table 1: drug interactions with itraconazole capsules that affect concomitant drug concentrations concomitant drug within class prevention or management drug interactions with itraconazole capsules that increase concomitant drug concentrations and may increase risk of adverse reactions associated with the concomitant drug alpha blockers alfuzosin silodosin tamsulosin not recommended during and 2 weeks after itraconazole capsule treatment. analgesics methadone contraindicated during and 2 weeks after itraconazole capsule treatment. fentanyl not recommended during and 2 weeks after itraconazole capsule treatment. alfentanil buprenorphine (iv and sublingual) oxycodone based on clinical drug interaction information with itraconazole. sufentanil monitor for adverse reactions. concomitant drug dose reduction may be necessary. antiarrhythmics disopyramide dofetilide dronedarone quinidine contraindicated during and 2 weeks after itraconazole capsule treatment. digoxin monitor for adverse reactions. concomitant drug dose reduction may be necessary. antibacterials bedaquiline based on 400 mg bedaquiline once daily for 2 weeks. concomitant itraconazole capsules not recommended for more than 2 weeks at any time during bedaquiline treatment. rifabutin not recommended 2 weeks before, during, and 2 weeks after itraconazole capsule treatment. see also table 2. clarithromycin monitor for adverse reactions. concomitant drug dose reduction may be necessary. see also table 2. trimetrexate monitor for adverse reactions. concomitant drug dose reduction may be necessary. anticoagulants and antiplatelets ticagrelor contraindicated during and 2 weeks after itraconazole capsule treatment. apixaban rivaroxaban vorapaxar not recommended during and 2 weeks after itraconazole capsule treatment. cilostazol dabigatran warfarin monitor for adverse reactions. concomitant drug dose reduction may be necessary. anticonvulsants carbamazepine not recommended 2 weeks before, during, and 2 weeks after itraconazole capsule treatment. see also table 2. antidiabetic drugs repaglinide saxagliptin monitor for adverse reactions. concomitant drug dose reduction may be necessary. antihelminthics, antifungals and antiprotozoals isavuconazonium contraindicated during and 2 weeks after itraconazole capsule treatment. praziquantel monitor for adverse reactions. concomitant drug dose reduction may be necessary. artemether-lumefantrine quinine monitor for adverse reactions. antimigraine drugs ergot alkaloids (e.g., dihydroergotamine, ergotamine) contraindicated during and 2 weeks after itraconazole capsule treatment. eletriptan monitor for adverse reactions. concomitant drug dose reduction may be necessary. antineoplastics irinotecan contraindicated during and 2 weeks after itraconazole capsule treatment. axitinib bosutinib cabazitaxel cabozantinib ceritinib cobimetinib crizotinib dabrafenib dasatinib docetaxel ibrutinib lapatinib nilotinib olaparib pazopanib sunitinib trabectedin trastuzumab-emtansine vinca alkaloids not recommended during and 2 weeks after itraconazole capsule treatment. bortezomib brentuximab-vedotin busulfan erlotinib gefitinib idelalisib imatinib ixabepilone nintedanib panobinostat ponatinib ruxolitinib sonidegib vandetanib monitor for adverse reactions. concomitant drug dose reduction may be necessary. for idelalisib, see also table 2. antipsychotics, anxiolytics and hypnotics alprazolam aripiprazole buspirone cariprazine diazepam haloperidol midazolam (iv) quetiapine ramelteon risperidone suvorexant monitor for adverse reactions. concomitant drug dose reduction may be necessary. zopiclone monitor for adverse reactions. concomitant drug dose reduction may be necessary. lurasidone midazolam (oral) pimozide triazolam contraindicated during and 2 weeks after itraconazole capsule treatment. antivirals simeprevir not recommended during and 2 weeks after itraconazole capsule treatment. daclatasvir indinavir maraviroc monitor for adverse reactions. concomitant drug dose reduction may be necessary. for indinavir, see also table 2. cobicistat elvitegravir (ritonavir-boosted) ombitasvir/paritaprevir/ritonavir with or without dasabuvir ritonavir saquinavir (unboosted) monitor for adverse reactions. see also table 2. elbasvir/grazoprevir glecaprevir/pibrentasvir tenofovir disoproxil fumarate not recommended during and 2 weeks after itraconazole capsule treatment. monitor for adverse reactions. monitor for adverse reactions. beta blockers nadolol monitor for adverse reactions. concomitant drug dose reduction may be necessary. calcium channel blockers felodipine nisoldipine contraindicated during and 2 weeks after itraconazole capsule treatment. diltiazem other dihydropyridines verapamil monitor for adverse reactions. concomitant drug dose reduction may be necessary. for diltiazem, see also table 2. cardiovascular drugs, miscellaneous ivabradine ranolazine contraindicated during and 2 weeks after itraconazole capsule treatment. aliskiren riociguat sildenafil (for pulmonary hypertension) tadalafil (for pulmonary hypertension) not recommended during and 2 weeks after itraconazole capsule treatment. for sildenafil and tadalafil, see also urologic drugs below. bosentan guanfacine monitor for adverse reactions. concomitant drug dose reduction may be necessary. contraceptives cyp3a4 inhibitors (including itraconazole) may increase systemic contraceptive hormone concentrations. dienogest ulipristal monitor for adverse reactions. diuretics eplerenone contraindicated during and 2 weeks after itraconazole capsule treatment. gastrointestinal drugs cisapride naloxegol contraindicated during and 2 weeks after itraconazole capsule treatment. aprepitant loperamide monitor for adverse reactions. concomitant drug dose reduction may be necessary. netupitant monitor for adverse reactions. immunosuppressants everolimus sirolimus temsirolimus (iv) not recommended during and 2 weeks after itraconazole capsule treatment. budesonide (inhalation) budesonide (non-inhalation) ciclesonide (inhalation) cyclosporine (iv) cyclosporine (non-iv) dexamethasone a fluticasone (inhalation) fluticasone (nasal) methylprednisolone tacrolimus (iv) tacrolimus (oral) monitor for adverse reactions. concomitant drug dose reduction may be necessary. lipid-lowering drugs lomitapide lovastatin simvastatin contraindicated during and 2 weeks after itraconazole capsule treatment. atorvastatin monitor for drug adverse reactions. concomitant drug dose reduction may be necessary. respiratory drugs salmeterol not recommended during and 2 weeks after itraconazole capsule treatment. ssris, tricyclics and related antidepressants venlafaxine monitor for adverse reactions. concomitant drug dose reduction may be necessary. urologic drugs avanafil contraindicated during and 2 weeks after itraconazole capsule treatment. fesoterodine patients with moderate to severe renal or hepatic impairment: contraindicated during and 2 weeks after itraconazole capsule treatment. other patients: monitor for adverse reactions. concomitant drug dose reduction may be necessary. solifenacin patients with severe renal or moderate to severe hepatic impairment: contraindicated during and 2 weeks after itraconazole capsule treatment. other patients: monitor for adverse reactions. concomitant drug dose reduction may be necessary. darifenacin vardenafil not recommended during and 2 weeks after itraconazole capsule treatment. dutasteride oxybutynin sildenafil (for erectile dysfunction) tadalafil (for erectile dysfunction and benign prostatic hyperplasia) tolterodine monitor for adverse reactions. concomitant drug dose reduction may be necessary. for sildenafil and tadalafil, see also cardiovascular drugs above. miscellaneous drugs and other substances colchicine patients with renal or hepatic impairment: contraindicated during and 2 weeks after itraconazole capsule treatment. other patients: not recommended during and 2 weeks after itraconazole capsule treatment. eliglustat cyp2d6 ems ems: extensive metabolizers; ims: intermediate metabolizers; pms: poor metabolizers taking a strong or moderate cyp2d6 inhibitor, cyp2d6 ims , or cyp2d6 pms : contraindicated during and 2 weeks after itraconazole capsule treatment. cyp2d6 ems not taking a strong or moderate cyp2d6 inhibitor: monitor for adverse reactions. eliglustat dose reduction may be necessary. lumacaftor/ivacaftor not recommended 2 weeks before, during, and 2 weeks after itraconazole capsule treatment. alitretinoin (oral) cabergoline cannabinoids cinacalcet galantamine ivacaftor monitor for adverse reactions. concomitant drug dose reduction may be necessary. vasopressin receptor antagonists conivaptan tolvaptan not recommended during and 2 weeks after itraconazole capsule treatment. drug interactions with itraconazole capsules that decrease concomitant drug concentrations and may reduce efficacy of the concomitant drug antineoplastics regorafenib not recommended during and 2 weeks after itraconazole capsule treatment. gastrointestinal drugs sacchromyces boulardii not recommended during and 2 weeks after itraconazole capsule treatment. nonsteroidal anti-inflammatory drugs meloxicam concomitant drug dose increase may be necessary. effect of other drugs on itraconazole capsules itraconazole is mainly metabolized through cyp3a4. other substances that either share this metabolic pathway or modify cyp3a4 activity may influence the pharmacokinetics of itraconazole. some concomitant drugs have the potential to interact with itraconazole capsules resulting in either increased or sometimes decreased concentrations of itraconazole. increased concentrations may increase the risk of adverse reactions associated with itraconazole capsules. decreased concentrations may reduce itraconazole capsule efficacy. table 2 lists examples of drugs that may affect itraconazole concentrations, but is not a comprehensive list. refer to the approved product labeling to become familiar with the interaction pathways, risk potential and specific actions to be taken with regards to each concomitant drug prior to initiating therapy with itraconazole capsules. although many of the clinical drug interactions in table 2 are based on information with a similar azole antifungal, ketoconazole, these interactions are expected to occur with itraconazole capsules. table 2: drug interactions with other drugs that affect itraconazole concentrations concomitant drug within class prevention or management drug interactions with other drugs that increase itraconazole concentrations and may increase risk of adverse reactions associated with itraconazole antibacterials ciprofloxacin based on clinical drug interaction information with itraconazole. erythromycin clarithromycin monitor for adverse reactions. itraconazole capsule dose reduction may be necessary. antineoplastics idelalisib monitor for adverse reactions. itraconazole capsule dose reduction may be necessary. see also table 1. antivirals cobicistat darunavir (ritonavir-boosted) elvitegravir (ritonavir-boosted) fosamprenavir (ritonavir-boosted) indinavir ombitasvir/paritaprevir/ritonavir with or without dasabuvir ritonavir saquinavir monitor for adverse reactions. itraconazole capsule dose reduction may be necessary. for cobicistat, elvitegravir, indinavir, ombitasvir/paritaprevir/ritonavir with or without dasabuvir, ritonavir, and saquinavir, see also table 1. calcium channel blockers diltiazem monitor for adverse reactions. itraconazole capsule dose reduction may be necessary. see also table 1. drug interactions with other drugs that decrease itraconazole concentrations and may reduce efficacy of itraconazole capsules antibacterials isoniazid rifampicin not recommended 2 weeks before and during itraconazole capsule treatment. rifabutin not recommended 2 weeks before, during, and 2 weeks after itraconazole capsule treatment. see also table 1. anticonvulsants phenobarbital phenytoin not recommended 2 weeks before and during itraconazole capsule treatment. carbamazepine not recommended 2 weeks before, during, and 2 weeks after itraconazole capsule treatment. see also table 1. antivirals efavirenz nevirapine not recommended 2 weeks before and during itraconazole capsule treatment. gastrointestinal drugs drugs that reduce gastric acidity e.g., acid neutralizing medicines such as aluminum hydroxide, or acid secretion suppressors such as h 2 -receptor antagonists and proton pump inhibitors. use with caution. administer acid neutralizing medicines at least 2 hours before or 2 hours after the intake of itraconazole capsules. miscellaneous drugs and other substances lumacaftor/ivacaftor not recommended 2 weeks before, during, and 2 weeks after itraconazole capsule treatment. pediatric population interaction studies have only been performed in adults.

toenail, with or without fingernail involvement, due to dermatophytes (tinea unguium), and 2. onychomycosis of the fingernail due to dermatophytes (tinea unguium). prior to initiating treatment, appropriate nail specimens for laboratory testing (koh preparation, fungal culture, or nail biopsy) should be obtained to confirm the diagnosis of onychomycosis. (see clinical pharmacology: special populations , contraindications , warnings , and adverse reactions: post-marketing experience for more information.) description of clinical studies blastomycosis analyses were conducted on data from two open-label, non-concurrently controlled studies (n = 73 combined) in patients with normal or abnormal immune status. the median dose was 200 mg/day. a response for most signs and symptoms was observed within the first 2 weeks, and all signs and symptoms cleared between 3 and 6 months. results of these two studies demonstrated substantial evidence of the effectiveness of itraconazole for the treatment of blastomycosis compared with the natural history of untreated cases. histoplasmosis analyses were conducted on data from two open-label, non-concurrently controlled studies (n = 34 combined) in patients with normal or abnormal immune status (not including hiv-infected patients). the median dose was 200 mg/day. a response for most signs and symptoms was observed within the first 2 weeks, and all signs and symptoms cleared between 3 and 12 months. results of these two studies demonstrated substantial evidence of the effectiveness of itraconazole for the treatment of histoplasmosis, compared with the natural history of untreated cases. histoplasmosis in hiv-infected patients data from a small number of hiv-infected patients suggested that the response rate of histoplasmosis in hiv-infected patients is similar to that of non-hiv-infected patients. the clinical course of histoplasmosis in hiv-infected patients is more severe and usually requires maintenance therapy to prevent relapse. aspergillosis analyses were conducted on data from an open-label, “single-patient-use” protocol designed to make itraconazole available in the u.s. for patients who either failed or were intolerant of amphotericin b therapy (n = 190). the findings were corroborated by two smaller open-label studies (n = 31 combined) in the same patient population. most adult patients were treated with a daily dose of 200 to 400 mg, with a median duration of 3 months. results of these studies demonstrated substantial evidence of effectiveness of itraconazole as a second-line therapy for the treatment of aspergillosis compared with the natural history of the disease in patients who either failed or were intolerant of amphotericin b therapy. onychomycosis of the toenail analyses were conducted on data from three double-blind, placebo-controlled studies (n = 214 total; 110 given itraconazole capsules) in which patients with onychomycosis of the toenails received 200 mg of itraconazole capsules once daily for 12 consecutive weeks. results of these studies demonstrated mycologic cure, defined as simultaneous occurrence of negative koh plus negative culture, in 54% of patients. thirty-five percent (35%) of patients were considered an overall success (mycologic cure plus clear or minimal nail involvement with significantly decreased signs) and 14% of patients demonstrated mycologic cure plus clinical cure (clearance of all signs, with or without residual nail deformity). the mean time to overall success was approximately 10 months. twenty-one percent (21%) of the overall success group had a relapse (worsening of the global score or conversion of koh or culture from negative to positive). onychomycosis of the fingernail analyses were conducted on data from a double-blind, placebo-controlled study (n = 73 total; 37 given itraconazole capsules) in which patients with onychomycosis of the fingernails received a 1-week course of 200 mg of itraconazole capsules b.i.d., followed by a 3-week period without itraconazole capsules, which was followed by a second 1-week course of 200 mg of itraconazole capsules b.i.d. results demonstrated mycologic cure in 61% of patients. fifty-six percent (56%) of patients were considered an overall success and 47% of patients demonstrated mycologic cure plus clinical cure. the mean time to overall success was approximately 5 months. none of the patients who achieved overall success relapsed.

omitant administration of these drugs with itraconazole capsules is contraindicated. (see boxed warning , contraindications , and precautions: drug interactions .) cardiac disease 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. itraconazole capsules should not be used for other indications in patients with evidence of ventricular dysfunction unless the benefit clearly outweighs the risk. for patients with risk factors for congestive heart failure, physicians should carefully review the risks and benefits of itraconazole capsule therapy. these risk factors include cardiac disease such as ischemic and valvular disease; significant pulmonary disease such as chronic obstructive pulmonary disease; and renal failure and other edematous disorders. such patients should be informed of the signs and symptoms of chf, should be treated with caution, and should be monitored for signs and symptoms of chf during treatment. if signs or symptoms of chf appear during administration of itraconazole capsules, discontinue administration. itraconazole has been shown to have a negative inotropic effect. when itraconazole was administered intravenously to anesthetized dogs, a dose-related negative inotropic effect was documented. in a healthy volunteer study of itraconazole intravenous infusion, transient, asymptomatic decreases in left ventricular ejection fraction were observed using gated spect imaging; these resolved before the next infusion, 12 hours later. itraconazole capsules have been associated with reports of congestive heart failure. in post-marketing experience, heart failure was more frequently reported in patients receiving a total daily dose of 400 mg although there were also cases reported among those receiving lower total daily doses. calcium channel blockers can have negative inotropic effects which may be additive to those of itraconazole. in addition, itraconazole can inhibit the metabolism of calcium channel blockers. therefore, caution should be used when co-administering itraconazole and calcium channel blockers due to an increased risk of chf. concomitant administration of itraconazole capsules and felodipine or nisoldipine is contraindicated. cases of chf, peripheral edema, and pulmonary edema have been reported in the post-marketing period among patients being treated for onychomycosis and/or systemic fungal infections. (see clinical pharmacology: special populations , contraindications , precautions: drug interactions , and adverse reactions: post-marketing experience for more information.) interaction potential itraconazole capsules have a potential for clinically important drug interactions. 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. drugs that are contraindicated, not recommended or recommended for use with caution in combination with itraconazole are listed in precautions: drug interactions . interchangeability itraconazole capsules and itraconazole oral solution should not be used interchangeably. this is because drug exposure is greater with the oral solution than with the capsules when the same dose of drug is given. in addition, the topical effects of mucosal exposure may be different between the two formulations. only the oral solution has been demonstrated effective for oral and/or esophageal candidiasis.

ays of treatment. treatment should be continued for a minimum of 3 months and until clinical parameters and laboratory tests indicate that the active fungal infection has subsided. an inadequate period of treatment may lead to recurrence of active infection. itraconazole capsules and itraconazole oral solution should not be used interchangeably. only the oral solution has been demonstrated effective for oral and/or esophageal candidiasis. treatment of onychomycosis toenails with or without fingernail involvement the recommended dose is 200 mg (2 capsules) once daily for 12 consecutive weeks. treatment of onychomycosis: fingernails only the recommended dosing regimen is 2 treatment courses, each consisting of 200 mg (2 capsules) b.i.d. (400 mg/day) for 1 week. the courses are separated by a 3-week period without itraconazole capsules. use in patients with renal impairment limited data are available on the use of oral itraconazole in patients with renal impairment. caution should be exercised when this drug is administered in this patient population. (see clinical pharmacology: special populations and precautions .) use in patients with hepatic impairment limited data are available on the use of oral itraconazole in patients with hepatic impairment. caution should be exercised when this drug is administered in this patient population. (see clinical pharmacology: special populations , warnings , and precautions .)

als who were immunocompromised or receiving multiple concomitant medications. treatment was discontinued in 10.5% of patients due to adverse events. the median duration before discontinuation of therapy was 81 days (range: 2 to 776 days). the table lists adverse events reported by at least 1% of patients. table 3: clinical trials of systemic fungal infections: adverse events occurring with an incidence of greater than or equal to 1% body system/adverse event incidence (%) (n = 602) gastrointestinal nausea 11 vomiting 5 diarrhea 3 abdominal pain 2 anorexia 1 body as a whole edema 4 fatigue 3 fever 3 malaise 1 skin and appendages rash rash tends to occur more frequently in immunocompromised patients receiving immunosuppressive medications. 9 pruritus 3 central/peripheral nervous system headache 4 dizziness 2 psychiatric libido decreased 1 somnolence 1 cardiovascular hypertension 3 metabolic/nutritional hypokalemia 2 urinary system albuminuria 1 liver and biliary system hepatic function abnormal 3 reproductive system, male impotence 1 adverse events infrequently reported in all studies included constipation, gastritis, depression, insomnia, tinnitus, menstrual disorder, adrenal insufficiency, gynecomastia, and male breast pain. adverse events reported in toenail onychomycosis clinical trials patients in these trials were on a continuous dosing regimen of 200 mg once daily for 12 consecutive weeks. the following adverse events led to temporary or permanent discontinuation of therapy. table 4: clinical trials of onychomycosis of the toenail: adverse events leading to temporary or permanent discontinuation of therapy adverse event incidence (%) itraconazole (n = 112) elevated liver enzymes (greater than twice the upper limit of normal) 4 gastrointestinal disorders 4 rash 3 hypertension 2 orthostatic hypotension 1 headache 1 malaise 1 myalgia 1 vasculitis 1 vertigo 1 the following adverse events occurred with an incidence of greater than or equal to 1% (n = 112): headache: 10%; rhinitis: 9%; upper respiratory tract infection: 8%; sinusitis, injury: 7%; diarrhea, dyspepsia, flatulence, abdominal pain, dizziness, rash: 4%; cystitis, urinary tract infection, liver function abnormality, myalgia, nausea: 3%; appetite increased, constipation, gastritis, gastroenteritis, pharyngitis, asthenia, fever, pain, tremor, herpes zoster, abnormal dreaming: 2%. adverse events reported in fingernail onychomycosis clinical trials patients in these trials were on a dosing regimen consisting of two 1-week treatment periods of 200 mg twice daily, separated by a 3-week period without drug. the following adverse events led to temporary or permanent discontinuation of therapy. table 5: clinical trials of onychomycosis of the fingernail: adverse events leading to temporary or permanent discontinuation of therapy adverse event incidence (%) itraconazole (n = 37) rash/pruritus 3 hypertriglyceridemia 3 the following adverse events occurred with an incidence of greater than or equal to 1% (n = 37): headache: 8%; pruritus, nausea, rhinitis: 5%; rash, bursitis, anxiety, depression, constipation, abdominal pain, dyspepsia, ulcerative stomatitis, gingivitis, hypertriglyceridemia, sinusitis, fatigue, malaise, pain, injury: 3%. adverse events reported from other clinical trials in addition, the following adverse drug reaction was reported in patients who participated in itraconazole capsule clinical trials: hepatobiliary disorders: hyperbilirubinemia. the following is a list of additional adverse drug reactions associated with itraconazole that have been reported in clinical trials of itraconazole oral solution and itraconazole iv excluding the adverse reaction term “injection site inflammation” which is specific to the injection route of administration: cardiac disorders: cardiac failure, left ventricular failure, tachycardia; general disorders and administration site conditions: face edema, chest pain, chills; hepatobiliary disorders: hepatic failure, jaundice; investigations: alanine aminotransferase increased, aspartate aminotransferase increased, blood alkaline phosphatase increased, blood lactate dehydrogenase increased, blood urea increased, gamma-glutamyltransferase increased, urine analysis abnormal; metabolism and nutrition disorders: hyperglycemia, hyperkalemia, hypomagnesemia; psychiatric disorders: confusional state; renal and urinary disorders: renal impairment; respiratory, thoracic and mediastinal disorders: dysphonia, cough; skin and subcutaneous tissue disorders: rash erythematous, hyperhidrosis; vascular disorders: hypotension post-marketing experience adverse drug reactions that have been first identified during post-marketing experience with itraconazole (all formulations) are listed in the table below. because these reactions are reported voluntarily from a population of uncertain size, reliably estimating their frequency or establishing a causal relationship to drug exposure is not always possible. table 6: post-marketing reports of adverse drug reactions blood and lymphatic system disorders: leukopenia, neutropenia, thrombocytopenia immune system disorders: anaphylaxis; anaphylactic, anaphylactoid and allergic reactions; serum sickness; angioneurotic edema nervous system disorders: peripheral neuropathy, paresthesia, hypoesthesia, tremor eye disorders: visual disturbances, including vision blurred and diplopia ear and labyrinth disorders: transient or permanent hearing loss cardiac disorders: congestive heart failure respiratory, thoracic and mediastinal disorders: pulmonary edema, dyspnea gastrointestinal disorders: pancreatitis, dysgeusia hepatobiliary disorders: serious hepatotoxicity (including some cases of fatal acute liver failure), hepatitis skin and subcutaneous tissue disorders: toxic epidermal necrolysis, stevens-johnson syndrome, acute generalized exanthematous pustulosis, erythema multiforme, exfoliative dermatitis, leukocytoclastic vasculitis, alopecia, photosensitivity, urticaria musculoskeletal and connective tissue disorders: arthralgia renal and urinary disorders: urinary incontinence, pollakiuria reproductive system and breast disorders: erectile dysfunction general disorders and administration site conditions: peripheral edema investigations: blood creatine phosphokinase increased there is limited information on the use of itraconazole capsules during pregnancy. cases of congenital abnormalities including skeletal, genitourinary tract, cardiovascular and ophthalmic malformations as well as chromosomal and multiple malformations have been reported during post-marketing experience. a causal relationship with itraconazole capsules has not been established. (see clinical pharmacology: special populations , contraindications , warnings , and precautions: drug interactions for more information.)

rug concentrations caused by coadministration with itraconazole may increase or prolong both the pharmacologic effects and/or adverse reactions to these drugs. for example, increased plasma concentrations of some of these drugs can lead to qt prolongation and ventricular tachyarrhythmias including occurrences of torsade de pointes , a potentially fatal arrhythmia. specific examples are listed in precautions: drug interactions . itraconazole capsules should not be administered for the treatment of onychomycosis to pregnant patients or to women contemplating pregnancy. itraconazole capsules are contraindicated for patients who have shown hypersensitivity to itraconazole. there is limited information regarding cross-hypersensitivity between itraconazole and other azole antifungal agents. caution should be used when prescribing itraconazole capsules to patients with hypersensitivity to other azoles.

le, but is not a comprehensive list. refer to the approved product labeling to become familiar with the interaction pathways, risk potential, and specific actions to be taken with regards to each concomitant drug prior to initiating therapy with itraconazole capsules. although many of the clinical drug interactions in table 1 are based on information with a similar azole antifungal, ketoconazole, these interactions are expected to occur with itraconazole capsules. table 1: drug interactions with itraconazole capsules that affect concomitant drug concentrations concomitant drug within class prevention or management drug interactions with itraconazole capsules that increase concomitant drug concentrations and may increase risk of adverse reactions associated with the concomitant drug alpha blockers alfuzosin silodosin tamsulosin not recommended during and 2 weeks after itraconazole capsule treatment. analgesics methadone contraindicated during and 2 weeks after itraconazole capsule treatment. fentanyl not recommended during and 2 weeks after itraconazole capsule treatment. alfentanil buprenorphine (iv and sublingual) oxycodone based on clinical drug interaction information with itraconazole. sufentanil monitor for adverse reactions. concomitant drug dose reduction may be necessary. antiarrhythmics disopyramide dofetilide dronedarone quinidine contraindicated during and 2 weeks after itraconazole capsule treatment. digoxin monitor for adverse reactions. concomitant drug dose reduction may be necessary. antibacterials bedaquiline based on 400 mg bedaquiline once daily for 2 weeks. concomitant itraconazole capsules not recommended for more than 2 weeks at any time during bedaquiline treatment. rifabutin not recommended 2 weeks before, during, and 2 weeks after itraconazole capsule treatment. see also table 2. clarithromycin monitor for adverse reactions. concomitant drug dose reduction may be necessary. see also table 2. trimetrexate monitor for adverse reactions. concomitant drug dose reduction may be necessary. anticoagulants and antiplatelets ticagrelor contraindicated during and 2 weeks after itraconazole capsule treatment. apixaban rivaroxaban vorapaxar not recommended during and 2 weeks after itraconazole capsule treatment. cilostazol dabigatran warfarin monitor for adverse reactions. concomitant drug dose reduction may be necessary. anticonvulsants carbamazepine not recommended 2 weeks before, during, and 2 weeks after itraconazole capsule treatment. see also table 2. antidiabetic drugs repaglinide saxagliptin monitor for adverse reactions. concomitant drug dose reduction may be necessary. antihelminthics, antifungals and antiprotozoals isavuconazonium contraindicated during and 2 weeks after itraconazole capsule treatment. praziquantel monitor for adverse reactions. concomitant drug dose reduction may be necessary. artemether-lumefantrine quinine monitor for adverse reactions. antimigraine drugs ergot alkaloids (e.g., dihydroergotamine, ergotamine) contraindicated during and 2 weeks after itraconazole capsule treatment. eletriptan monitor for adverse reactions. concomitant drug dose reduction may be necessary. antineoplastics irinotecan contraindicated during and 2 weeks after itraconazole capsule treatment. axitinib bosutinib cabazitaxel cabozantinib ceritinib cobimetinib crizotinib dabrafenib dasatinib docetaxel ibrutinib lapatinib nilotinib olaparib pazopanib sunitinib trabectedin trastuzumab-emtansine vinca alkaloids not recommended during and 2 weeks after itraconazole capsule treatment. bortezomib brentuximab-vedotin busulfan erlotinib gefitinib idelalisib imatinib ixabepilone nintedanib panobinostat ponatinib ruxolitinib sonidegib vandetanib monitor for adverse reactions. concomitant drug dose reduction may be necessary. for idelalisib, see also table 2. antipsychotics, anxiolytics and hypnotics alprazolam aripiprazole buspirone cariprazine diazepam haloperidol midazolam (iv) quetiapine ramelteon risperidone suvorexant monitor for adverse reactions. concomitant drug dose reduction may be necessary. zopiclone monitor for adverse reactions. concomitant drug dose reduction may be necessary. lurasidone midazolam (oral) pimozide triazolam contraindicated during and 2 weeks after itraconazole capsule treatment. antivirals simeprevir not recommended during and 2 weeks after itraconazole capsule treatment. daclatasvir indinavir maraviroc monitor for adverse reactions. concomitant drug dose reduction may be necessary. for indinavir, see also table 2. cobicistat elvitegravir (ritonavir-boosted) ombitasvir/paritaprevir/ritonavir with or without dasabuvir ritonavir saquinavir (unboosted) monitor for adverse reactions. see also table 2. elbasvir/grazoprevir glecaprevir/pibrentasvir tenofovir disoproxil fumarate not recommended during and 2 weeks after itraconazole capsule treatment. monitor for adverse reactions. monitor for adverse reactions. beta blockers nadolol monitor for adverse reactions. concomitant drug dose reduction may be necessary. calcium channel blockers felodipine nisoldipine contraindicated during and 2 weeks after itraconazole capsule treatment. diltiazem other dihydropyridines verapamil monitor for adverse reactions. concomitant drug dose reduction may be necessary. for diltiazem, see also table 2. cardiovascular drugs, miscellaneous ivabradine ranolazine contraindicated during and 2 weeks after itraconazole capsule treatment. aliskiren riociguat sildenafil (for pulmonary hypertension) tadalafil (for pulmonary hypertension) not recommended during and 2 weeks after itraconazole capsule treatment. for sildenafil and tadalafil, see also urologic drugs below. bosentan guanfacine monitor for adverse reactions. concomitant drug dose reduction may be necessary. contraceptives cyp3a4 inhibitors (including itraconazole) may increase systemic contraceptive hormone concentrations. dienogest ulipristal monitor for adverse reactions. diuretics eplerenone contraindicated during and 2 weeks after itraconazole capsule treatment. gastrointestinal drugs cisapride naloxegol contraindicated during and 2 weeks after itraconazole capsule treatment. aprepitant loperamide monitor for adverse reactions. concomitant drug dose reduction may be necessary. netupitant monitor for adverse reactions. immunosuppressants everolimus sirolimus temsirolimus (iv) not recommended during and 2 weeks after itraconazole capsule treatment. budesonide (inhalation) budesonide (non-inhalation) ciclesonide (inhalation) cyclosporine (iv) cyclosporine (non-iv) dexamethasone a fluticasone (inhalation) fluticasone (nasal) methylprednisolone tacrolimus (iv) tacrolimus (oral) monitor for adverse reactions. concomitant drug dose reduction may be necessary. lipid-lowering drugs lomitapide lovastatin simvastatin contraindicated during and 2 weeks after itraconazole capsule treatment. atorvastatin monitor for drug adverse reactions. concomitant drug dose reduction may be necessary. respiratory drugs salmeterol not recommended during and 2 weeks after itraconazole capsule treatment. ssris, tricyclics and related antidepressants venlafaxine monitor for adverse reactions. concomitant drug dose reduction may be necessary. urologic drugs avanafil contraindicated during and 2 weeks after itraconazole capsule treatment. fesoterodine patients with moderate to severe renal or hepatic impairment: contraindicated during and 2 weeks after itraconazole capsule treatment. other patients: monitor for adverse reactions. concomitant drug dose reduction may be necessary. solifenacin patients with severe renal or moderate to severe hepatic impairment: contraindicated during and 2 weeks after itraconazole capsule treatment. other patients: monitor for adverse reactions. concomitant drug dose reduction may be necessary. darifenacin vardenafil not recommended during and 2 weeks after itraconazole capsule treatment. dutasteride oxybutynin sildenafil (for erectile dysfunction) tadalafil (for erectile dysfunction and benign prostatic hyperplasia) tolterodine monitor for adverse reactions. concomitant drug dose reduction may be necessary. for sildenafil and tadalafil, see also cardiovascular drugs above. miscellaneous drugs and other substances colchicine patients with renal or hepatic impairment: contraindicated during and 2 weeks after itraconazole capsule treatment. other patients: not recommended during and 2 weeks after itraconazole capsule treatment. eliglustat cyp2d6 ems ems: extensive metabolizers; ims: intermediate metabolizers; pms: poor metabolizers taking a strong or moderate cyp2d6 inhibitor, cyp2d6 ims , or cyp2d6 pms : contraindicated during and 2 weeks after itraconazole capsule treatment. cyp2d6 ems not taking a strong or moderate cyp2d6 inhibitor: monitor for adverse reactions. eliglustat dose reduction may be necessary. lumacaftor/ivacaftor not recommended 2 weeks before, during, and 2 weeks after itraconazole capsule treatment. alitretinoin (oral) cabergoline cannabinoids cinacalcet galantamine ivacaftor monitor for adverse reactions. concomitant drug dose reduction may be necessary. vasopressin receptor antagonists conivaptan tolvaptan not recommended during and 2 weeks after itraconazole capsule treatment. drug interactions with itraconazole capsules that decrease concomitant drug concentrations and may reduce efficacy of the concomitant drug antineoplastics regorafenib not recommended during and 2 weeks after itraconazole capsule treatment. gastrointestinal drugs sacchromyces boulardii not recommended during and 2 weeks after itraconazole capsule treatment. nonsteroidal anti-inflammatory drugs meloxicam concomitant drug dose increase may be necessary. effect of other drugs on itraconazole capsules itraconazole is mainly metabolized through cyp3a4. other substances that either share this metabolic pathway or modify cyp3a4 activity may influence the pharmacokinetics of itraconazole. some concomitant drugs have the potential to interact with itraconazole capsules resulting in either increased or sometimes decreased concentrations of itraconazole. increased concentrations may increase the risk of adverse reactions associated with itraconazole capsules. decreased concentrations may reduce itraconazole capsule efficacy. table 2 lists examples of drugs that may affect itraconazole concentrations, but is not a comprehensive list. refer to the approved product labeling to become familiar with the interaction pathways, risk potential and specific actions to be taken with regards to each concomitant drug prior to initiating therapy with itraconazole capsules. although many of the clinical drug interactions in table 2 are based on information with a similar azole antifungal, ketoconazole, these interactions are expected to occur with itraconazole capsules. table 2: drug interactions with other drugs that affect itraconazole concentrations concomitant drug within class prevention or management drug interactions with other drugs that increase itraconazole concentrations and may increase risk of adverse reactions associated with itraconazole antibacterials ciprofloxacin based on clinical drug interaction information with itraconazole. erythromycin clarithromycin monitor for adverse reactions. itraconazole capsule dose reduction may be necessary. antineoplastics idelalisib monitor for adverse reactions. itraconazole capsule dose reduction may be necessary. see also table 1. antivirals cobicistat darunavir (ritonavir-boosted) elvitegravir (ritonavir-boosted) fosamprenavir (ritonavir-boosted) indinavir ombitasvir/paritaprevir/ritonavir with or without dasabuvir ritonavir saquinavir monitor for adverse reactions. itraconazole capsule dose reduction may be necessary. for cobicistat, elvitegravir, indinavir, ombitasvir/paritaprevir/ritonavir with or without dasabuvir, ritonavir, and saquinavir, see also table 1. calcium channel blockers diltiazem monitor for adverse reactions. itraconazole capsule dose reduction may be necessary. see also table 1. drug interactions with other drugs that decrease itraconazole concentrations and may reduce efficacy of itraconazole capsules antibacterials isoniazid rifampicin not recommended 2 weeks before and during itraconazole capsule treatment. rifabutin not recommended 2 weeks before, during, and 2 weeks after itraconazole capsule treatment. see also table 1. anticonvulsants phenobarbital phenytoin not recommended 2 weeks before and during itraconazole capsule treatment. carbamazepine not recommended 2 weeks before, during, and 2 weeks after itraconazole capsule treatment. see also table 1. antivirals efavirenz nevirapine not recommended 2 weeks before and during itraconazole capsule treatment. gastrointestinal drugs drugs that reduce gastric acidity e.g., acid neutralizing medicines such as aluminum hydroxide, or acid secretion suppressors such as h 2 -receptor antagonists and proton pump inhibitors. use with caution. administer acid neutralizing medicines at least 2 hours before or 2 hours after the intake of itraconazole capsules. miscellaneous drugs and other substances lumacaftor/ivacaftor not recommended 2 weeks before, during, and 2 weeks after itraconazole capsule treatment. pediatric population interaction studies have only been performed in adults.

egnancy and they begin therapy on the second or third day following the onset of menses. highly effective contraception should be continued throughout itraconazole capsule therapy and for 2 months following the end of treatment. during post-marketing experience, cases of congenital abnormalities have been reported. (see adverse reactions: post-marketing experience .)

t higher doses due to saturable hepatic metabolism. absorption itraconazole is rapidly absorbed after oral administration. peak plasma concentrations of itraconazole are reached within 2 to 5 hours following an oral capsule dose. the observed absolute oral bioavailability of itraconazole is about 55%. the oral bioavailability of itraconazole is maximal when itraconazole capsules are taken immediately after a full meal. absorption of itraconazole capsules is reduced in subjects with reduced gastric acidity, such as subjects taking medications known as gastric acid secretion suppressors (e.g., h 2 -receptor antagonists, proton pump inhibitors) or subjects with achlorhydria caused by certain diseases. (see precautions: drug interactions .) absorption of itraconazole under fasted conditions in these subjects is increased when itraconazole capsules are administered with an acidic beverage (such as a non-diet cola). when itraconazole capsules were administered as a single 200-mg dose under fasted conditions with non-diet cola after ranitidine pretreatment, a h 2 -receptor antagonist, itraconazole absorption was comparable to that observed when itraconazole capsules were administered alone. (see precautions: drug interactions .) itraconazole exposure is lower with the capsule formulation than with the oral solution when the same dose of drug is given. (see warnings .) distribution most of the itraconazole in plasma is bound to protein (99.8%), with albumin being the main binding component (99.6% for the hydroxy-metabolite). it has also a marked affinity for lipids. only 0.2% of the itraconazole in plasma is present as free drug. itraconazole is distributed in a large apparent volume in the body (> 700 l), suggesting extensive distribution into tissues. concentrations in lung, kidney, liver, bone, stomach, spleen and muscle were found to be two to three times higher than corresponding concentrations in plasma, and the uptake into keratinous tissues, skin in particular, up to four times higher. concentrations in the cerebrospinal fluid are much lower than in plasma. metabolism itraconazole is extensively metabolized by the liver into a large number of metabolites. in vitro studies have shown that cyp3a4 is the major enzyme involved in the metabolism of itraconazole. the main metabolite is hydroxy-itraconazole, which has in vitro antifungal activity comparable to itraconazole; trough plasma concentrations of this metabolite are about twice those of itraconazole. excretion itraconazole is excreted mainly as inactive metabolites in urine (35%) and in feces (54%) within one week of an oral solution dose. renal excretion of itraconazole and the active metabolite hydroxy-itraconazole account for less than 1% of an intravenous dose. based on an oral radiolabeled dose, fecal excretion of unchanged drug ranges from 3% to 18% of the dose. as re-distribution of itraconazole from keratinous tissues appears to be negligible, elimination of itraconazole from these tissues is related to epidermal regeneration. contrary to plasma, the concentration in skin persists for 2 to 4 weeks after discontinuation of a 4-week treatment and in nail keratin – where itraconazole can be detected as early as 1 week after start of treatment – for at least six months after the end of a 3-month treatment period. special populations renal impairment limited data are available on the use of oral itraconazole in patients with renal impairment. a pharmacokinetic study using a single 200-mg oral dose of itraconazole was conducted in three groups of patients with renal impairment (uremia: n = 7; hemodialysis: n = 7; and continuous ambulatory peritoneal dialysis: n = 5). in uremic subjects with a mean creatinine clearance of 13 ml/min x 1.73 m 2 , the exposure, based on auc, was slightly reduced compared with normal population parameters. this study did not demonstrate any significant effect of hemodialysis or continuous ambulatory peritoneal dialysis on the pharmacokinetics of itraconazole (t max , c max , and auc 0-8h ). plasma concentration-versus-time profiles showed wide intersubject variation in all three groups. after a single intravenous dose, the mean terminal half-lives of itraconazole in patients with mild (defined in this study as crcl 50-79 ml/min), moderate (defined in this study as crcl 20-49 ml/min), and severe renal impairment (defined in this study as crcl < 20 ml/min) were similar to that in healthy subjects (range of means 42-49 hours vs 48 hours in renally impaired patients and healthy subjects, respectively). overall exposure to itraconazole, based on auc, was decreased in patients with moderate and severe renal impairment by approximately 30% and 40%, respectively, as compared with subjects with normal renal function. data are not available in renally impaired patients during long-term use of itraconazole. dialysis has no effect on the half-life or clearance of itraconazole or hydroxy-itraconazole. (see precautions and dosage and administration .) hepatic impairment itraconazole is predominantly metabolized in the liver. a pharmacokinetic study was conducted in 6 healthy and 12 cirrhotic subjects who were administered a single 100-mg dose of itraconazole as capsule. a statistically significant reduction in mean c max (47%) and a twofold increase in the elimination half-life (37 ± 17 hours vs. 16 ± 5 hours) of itraconazole were noted in cirrhotic subjects compared with healthy subjects. however, overall exposure to itraconazole, based on auc, was similar in cirrhotic patients and in healthy subjects. data are not available in cirrhotic patients during long-term use of itraconazole. (see contraindications , precautions: drug interactions and dosage and administration .) decreased cardiac contractility when itraconazole was administered intravenously to anesthetized dogs, a dose-related negative inotropic effect was documented. in a healthy volunteer study of itraconazole intravenous infusion, transient, asymptomatic decreases in left ventricular ejection fraction were observed using gated spect imaging; these resolved before the next infusion, 12 hours later. if signs or symptoms of congestive heart failure appear during administration of itraconazole capsules, itraconazole capsules should be discontinued. (see boxed warning , contraindications , warnings , precautions: drug interactions and adverse reactions: post-marketing experience for more information.)

pale stools. • instruct patients to contact their physician before taking any concomitant medications with itraconazole to ensure there are no potential drug interactions. • instruct patients that hearing loss can occur with the use of itraconazole. the hearing loss usually resolves when treatment is stopped, but can persist in some patients. advise patients to discontinue therapy and inform their physicians if any hearing loss symptoms occur. • instruct patients that dizziness or blurred/double vision can sometimes occur with itraconazole. advise patients that if they experience these events, they should not drive or use machines.

than normal for you 2. heart problems and other serious medical problems. serious medical problems that affect the heart and other parts of your body can happen if you take itraconazole capsules with certain other medicines. do not take itraconazole capsules if you also take the following medicines: • methadone • disopyramide • dofetilide • dronedarone • quinidine • isavuconazole • ergot alkaloids (such as dihydroergotamine, ergometrine ergonovine) • ergotamine • methylergometrine (methylergonovine) • irinotecan • lurasidone • oral midazolam • pimozide • triazolam • felodipine • nisoldipine • ivabradine • ranolazine • eplerenone • cisapride • naloxegol • lomitapide • lovastatin • simvastatin • avanafil • ticagrelor this is not a complete list of medicines that can interact with itraconazole capsules. itraconazole capsules may affect the way other medicines work, and other medicines may affect how itraconazole capsules work. you can ask your pharmacist for a list of medicines that interact with itraconazole capsules. before you start taking itraconazole capsules, tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. before you start any new medicine, ask your healthcare provider or pharmacist if it is safe to take it with itraconazole capsules. 3. liver problems. itraconazole capsules can cause serious liver problems which may be severe and lead to death. stop taking itraconazole capsules and call your healthcare provider right away if you have any of these symptoms of liver problems: • tiredness • loss of appetite for several days or longer • nausea or vomiting • dark or “tea-colored” urine • your skin or the white part of your eyes turn yellow (jaundice) • light-colored stools (bowel movement) for more information about side effects, see “ what are the possible side effects of itraconazole capsules? ” what are itraconazole capsules? • itraconazole capsules are a prescription medicine used to treat the following fungal infections of the toenails, fingernails and other parts of the body: blastomycosis, histoplasmosis, aspergillosis, and onychomycosis. • it is not known if itraconazole capsules are safe and effective in children. do not take itraconazole capsules if you: • have or have had heart failure, including congestive heart failure. • take certain medicines. see “ what is the most important information i should know about itraconazole capsules? ” • are pregnant or plan to become pregnant. itraconazole capsules can harm your unborn baby. tell your healthcare provider right away if you become pregnant while taking itraconazole capsules. females who are able to become pregnant must use effective forms of birth control during treatment and for 2 months after stopping treatment with itraconazole capsules. • are allergic to itraconazole or any of the ingredients in itraconazole capsules. see the end of this patient information leaflet for a complete list of ingredients in itraconazole capsules. before taking itraconazole capsules, tell your healthcare provider about all of your medical conditions, including if you: • have heart problems. • have liver problems. • have kidney problems. • have a weakened immune system (immunocompromised). • have lung problems including cystic fibrosis. • are breastfeeding or plan to breastfeed. itraconazole can pass into your breast milk. you and your healthcare provider should decide if you will take itraconazole capsules or breastfeed. taking itraconazole capsules with certain medicines may affect each other. taking itraconazole capsules with other medicines can cause serious side effects. how should i take itraconazole capsules? • take itraconazole capsules exactly as prescribed by your healthcare provider. your healthcare provider will tell you how many itraconazole capsules to take and when to take them. • you will receive itraconazole capsules in a bottle. your healthcare provider will decide the type of itraconazole that is right for you. • take itraconazole capsules with a full meal. • swallow itraconazole capsules whole. • you should not take itraconazole oral solution instead of itraconazole capsules, because they will not work the same way. • if you take too many itraconazole capsules, call your healthcare provider or go to the nearest hospital emergency room right away. what should i avoid while taking itraconazole capsules? itraconazole capsules can cause dizziness and vision problems. do not drive or operate machinery until you know how itraconazole capsules affect you. what are the possible side effects of itraconazole capsules? itraconazole capsules may cause serious side effects, including: • see “what is the most important information i should know about itraconazole capsules?” • nerve problems (neuropathy). call your healthcare provider right away if you have tingling or numbness in your hands or feet. your healthcare provider may stop your treatment with itraconazole capsules if you have nerve problems. • hearing loss. hearing loss can happen for a short time or permanently in some people who take itraconazole capsules. stop taking itraconazole capsules and call your healthcare provider right away if you have any changes in your hearing. the most common side effects of itraconazole capsules include : headache, rash, and digestive system problems (such as nausea and vomiting). additional possible side effects include upset stomach, vomiting, constipation, fever, inflammation of the pancreas, menstrual disorder, erectile dysfunction, dizziness, muscle pain, painful joints, unpleasant taste, or hair loss. these are not all the possible side effects of itraconazole capsules. call your doctor for medical advice about side effects. you may report side effects to fda at 1-800-fda-1088. how should i store itraconazole capsules? • store itraconazole capsules at room temperature between 20° to 25°c (68° to 77°f). • keep itraconazole capsules dry and away from light. keep itraconazole capsules and all medicines out of the reach of children . general information about the safe and effective use of itraconazole capsules. medicines are sometimes prescribed for purposes other than those listed in a patient information leaflet. do not use itraconazole capsules for a condition for which they were not prescribed. do not give itraconazole capsules to other people, even if they have the same symptoms that you have. they may harm them. you can ask your doctor or pharmacist for information about itraconazole capsules that is written for health professionals. what are the ingredients in itraconazole capsules? active ingredients : itraconazole inactive ingredients : black iron oxide, fd&c blue no. 2, gelatin, hypromellose, polyethylene glycol, red iron oxide, sugar spheres (corn starch and sucrose), talc, titanium dioxide and yellow iron oxide. the white printing ink contains povidone, propylene glycol, shellac, sodium hydroxide and titanium dioxide. manufactured for: mylan pharmaceuticals inc., morgantown, wv 26505 u.s.a. manufactured by: mylan laboratories limited, hyderabad — 500 096, india for more information, call mylan at 1-877-446-3679 (1-877-4-info-rx). this patient information has been approved by the u.s. food and drug administration. manufactured for: mylan pharmaceuticals inc. morgantown, wv 26505 u.s.a. manufactured by: mylan laboratories limited hyderabad — 500 096, india 750xxxxx revised: 9/2019 mx:itra:r11