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What Is Itraconazole?

Itraconazole is a prescription triazole antifungal medicine. Current 100 mg capsules treat blastomycosis, histoplasmosis, selected aspergillosis, and dermatophyte onychomycosis of the toenails or fingernails under labeled criteria.

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What Is Itraconazole?

Itraconazole is a prescription triazole antifungal medicine. Current 100 mg capsules treat blastomycosis, histoplasmosis, selected aspergillosis, and dermatophyte onychomycosis of the toenails or fingernails under labeled criteria.

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How Does Itraconazole Work?

Itraconazole inhibits fungal cytochrome P450-dependent synthesis of ergosterol, a component of fungal cell membranes. Disruption of ergosterol synthesis interferes with fungal cell membrane structure and function.

Who Is Treated With Itraconazole Capsules?

Itraconazole capsules treat pulmonary or extrapulmonary blastomycosis, histoplasmosis, and pulmonary or extrapulmonary aspergillosis in patients who cannot tolerate or have not responded to amphotericin B. They also treat dermatophyte onychomycosis in non-immunocompromised patients after laboratory confirmation.

How Are Itraconazole Capsules Dosed?

Blastomycosis and histoplasmosis start at 200 mg once daily and can increase to 400 mg daily. Aspergillosis uses 200 mg to 400 mg daily. Toenail onychomycosis uses 200 mg once daily for 12 weeks, while fingernail onychomycosis uses two one-week courses of 200 mg twice daily separated by three weeks without itraconazole. Capsules are taken with a full meal.

What Serious Risks Are Linked to Itraconazole?

Itraconazole capsules carry boxed warnings for congestive heart failure, cardiac effects, and serious drug interactions. Other concerns include liver toxicity, peripheral edema, hearing loss, severe skin reactions, and neuropathy. Capsules and the oral liquid are different formulations and are not interchangeable.

Frequently Asked Questions About Itraconazole

What infections do itraconazole capsules treat?

Current labeling includes blastomycosis, histoplasmosis, selected aspergillosis, and dermatophyte onychomycosis.

What is the dose for toenail onychomycosis?

The labeled regimen is 200 mg once daily for 12 consecutive weeks.

How are itraconazole capsules taken?

Capsules are swallowed whole with a full meal.

Does itraconazole have a boxed warning?

Yes. The boxed warning covers congestive heart failure, cardiac effects, and serious drug interactions.

References

Itraconazole Capsules Prescribing Information. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=23126370-8d6a-4027-bd8f-860e2776ba3a. Date Accessed October 5, 2026.

Itraconazole: MedlinePlus Drug Information. https://medlineplus.gov/druginfo/meds/a692049.html. Date Accessed October 5, 2026.

Itraconazole. https://www.ncbi.nlm.nih.gov/books/NBK557874/. Date Accessed October 5, 2026.

SPORANOX (Itraconazole) Capsules Prescribing Information. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a4d555fa-787c-40fb-bb7d-b0d4f7318fd0. Date Accessed October 5, 2026.

TOLSURA (Itraconazole) Capsules Prescribing Information. https://dailymed.nlm.nih.gov/dailymed/search.cfm?labeltype=human&query=TOLSURA. Date Accessed October 5, 2026.