ITRACONAZOLE

85/100 · Critical

Manufactured by Janssen Pharmaceuticals, Inc.

High Safety Concerns with Itraconazole, Particularly for Serious Reactions and Drug Interactions

20,198 FDA adverse event reports analyzed

Last updated: 2026-05-12

About ITRACONAZOLE

ITRACONAZOLE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Janssen Pharmaceuticals, Inc.. Based on analysis of 20,198 FDA adverse event reports, ITRACONAZOLE has a safety score of 85 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for ITRACONAZOLE include DRUG INTERACTION, DRUG INEFFECTIVE, OFF LABEL USE, PYREXIA, DYSPNOEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for ITRACONAZOLE.

AI Safety Analysis

Itraconazole has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 20,198 adverse event reports for this medication, which is primarily manufactured by Janssen Pharmaceuticals, Inc..

The most commonly reported adverse events include Drug Interaction, Drug Ineffective, Off Label Use. Of classified reports, 89.6% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Serious adverse events, including pneumonia, sepsis, and respiratory failure, account for a significant portion of reports.

Drug interactions are a major concern, with over 1,100 reports of drug interactions. The majority of reactions are non-serious, but the high number of serious events is a cause for concern.

Patients taking Itraconazole should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Itraconazole can interact with many other drugs, potentially leading to adverse effects. Healthcare providers should be cautious when prescribing it with other medications. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Itraconazole received a safety concern score of 85/100 (high concern). This is based on a 89.6% serious event ratio across 11,315 classified reports. The score accounts for 20,198 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

DRUG INTERACTION1,118 reports
DRUG INEFFECTIVE1,100 reports
OFF LABEL USE606 reports
PYREXIA567 reports
DYSPNOEA474 reports
PNEUMONIA462 reports
NAUSEA446 reports
DIARRHOEA396 reports
CONDITION AGGRAVATED387 reports
FEBRILE NEUTROPENIA364 reports
FATIGUE327 reports
RASH300 reports
ANAEMIA296 reports
NEUTROPENIA284 reports
SEPSIS282 reports
COUGH279 reports
VOMITING276 reports
DEATH266 reports
HEADACHE259 reports
MALAISE252 reports
THROMBOCYTOPENIA249 reports
HYPERTENSION241 reports
PLATELET COUNT DECREASED232 reports
PRODUCT USE IN UNAPPROVED INDICATION232 reports
ASTHENIA231 reports
RENAL IMPAIRMENT225 reports
HYPOKALAEMIA222 reports
BRONCHOPULMONARY ASPERGILLOSIS211 reports
OEDEMA PERIPHERAL200 reports
DRUG RESISTANCE196 reports
PAIN196 reports
FUNGAL INFECTION192 reports
RESPIRATORY FAILURE190 reports
ABDOMINAL PAIN187 reports
ASPERGILLUS INFECTION187 reports
WHITE BLOOD CELL COUNT DECREASED186 reports
SEPTIC SHOCK182 reports
RENAL FAILURE181 reports
ASTHMA180 reports
ACUTE KIDNEY INJURY176 reports
PRURITUS176 reports
PLEURAL EFFUSION173 reports
NEUROPATHY PERIPHERAL171 reports
DIZZINESS168 reports
ARTHRALGIA165 reports
INFECTION162 reports
WEIGHT DECREASED161 reports
CONSTIPATION157 reports
DECREASED APPETITE154 reports
ALANINE AMINOTRANSFERASE INCREASED153 reports
CARDIAC FAILURE152 reports
HYPOTENSION152 reports
PANCYTOPENIA148 reports
DISEASE PROGRESSION147 reports
HEPATIC FUNCTION ABNORMAL147 reports
RHABDOMYOLYSIS146 reports
NEUTROPHIL COUNT DECREASED142 reports
CHEST PAIN140 reports
ERYTHEMA140 reports
MYALGIA137 reports
DRUG LEVEL INCREASED129 reports
OEDEMA127 reports
ASPARTATE AMINOTRANSFERASE INCREASED125 reports
PAIN IN EXTREMITY124 reports
WEIGHT INCREASED124 reports
HYPONATRAEMIA122 reports
LIVER DISORDER122 reports
PRODUCT USE ISSUE119 reports
URINARY TRACT INFECTION116 reports
ANXIETY115 reports
ELECTROCARDIOGRAM QT PROLONGED113 reports
CYTOMEGALOVIRUS INFECTION112 reports
TREATMENT FAILURE112 reports
HOSPITALISATION111 reports
CHILLS110 reports
THERAPEUTIC PRODUCT EFFECT INCOMPLETE110 reports
HISTOPLASMOSIS109 reports
ADRENAL INSUFFICIENCY108 reports
INSOMNIA108 reports
SINUSITIS108 reports
MUSCULAR WEAKNESS106 reports
CUSHING^S SYNDROME105 reports
FALL102 reports
ABDOMINAL PAIN UPPER101 reports
BLOOD CREATININE INCREASED101 reports
PARAESTHESIA101 reports
TOXICITY TO VARIOUS AGENTS100 reports
TREMOR98 reports
DISSEMINATED INTRAVASCULAR COAGULATION97 reports
HEPATIC ENZYME INCREASED97 reports
DRUG INTOLERANCE96 reports
HYPOAESTHESIA96 reports
LIVER FUNCTION TEST ABNORMAL95 reports
EXPOSURE DURING PREGNANCY94 reports
LYMPHADENOPATHY94 reports
PATHOGEN RESISTANCE94 reports
CONFUSIONAL STATE93 reports
HYPERKALAEMIA93 reports
TREATMENT NONCOMPLIANCE92 reports
ACUTE GRAFT VERSUS HOST DISEASE91 reports

Key Safety Signals

  • Drug interactions are frequent, with over 1,100 reports.
  • Pneumonia and sepsis are among the most common serious adverse events.
  • Pyrexia and dyspnoea are also frequently reported.

Patient Demographics

Adverse event reports by sex: Male: 5,273, Female: 4,544, Unknown: 104. The most frequently reported age groups are age 65 (211 reports), age 60 (185 reports), age 67 (184 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 11,315 classified reports for ITRACONAZOLE:

  • Serious: 10,140 reports (89.6%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 1,175 reports (10.4%)
Serious 89.6%Non-Serious 10.4%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Male5,273 (53.1%)
Female4,544 (45.8%)
Unknown104 (1.0%)

Reports by Age

Age 65211 reports
Age 60185 reports
Age 67184 reports
Age 64177 reports
Age 58171 reports
Age 72168 reports
Age 55164 reports
Age 59163 reports
Age 61162 reports
Age 63162 reports
Age 70159 reports
Age 69157 reports
Age 66152 reports
Age 74150 reports
Age 57140 reports
Age 53137 reports
Age 75137 reports
Age 50133 reports
Age 51128 reports
Age 73125 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Itraconazole can interact with many other drugs, potentially leading to adverse effects. Healthcare providers should be cautious when prescribing it with other medications.

What You Should Know

If you are taking Itraconazole, here are important things to know. The most commonly reported side effects include drug interaction, drug ineffective, off label use, pyrexia, dyspnoea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Inform your healthcare provider about all medications you are taking to avoid potential drug interactions. Be aware of the signs of serious adverse events such as pneumonia, sepsis, and respiratory failure, and seek medical attention if they occur. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA closely monitors Itraconazole due to its high number of adverse event reports, particularly for serious conditions. Regular monitoring and follow-up are recommended.

Frequently Asked Questions

How many adverse event reports has the FDA received for Itraconazole?

The FDA has received approximately 20,198 adverse event reports associated with Itraconazole. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Itraconazole?

The most frequently reported adverse events for Itraconazole include Drug Interaction, Drug Ineffective, Off Label Use, Pyrexia, Dyspnoea. By volume, the top reported reactions are: Drug Interaction (1,118 reports), Drug Ineffective (1,100 reports), Off Label Use (606 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Itraconazole.

What percentage of Itraconazole adverse event reports are serious?

Out of 11,315 classified reports, 10,140 (89.6%) were classified as serious and 1,175 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Itraconazole (by sex)?

Adverse event reports for Itraconazole break down by patient sex as follows: Male: 5,273, Female: 4,544, Unknown: 104. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Itraconazole?

The most frequently reported age groups for Itraconazole adverse events are: age 65: 211 reports, age 60: 185 reports, age 67: 184 reports, age 64: 177 reports, age 58: 171 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Itraconazole?

The primary manufacturer associated with Itraconazole adverse event reports is Janssen Pharmaceuticals, Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Itraconazole?

Beyond the most common reactions, other reported adverse events for Itraconazole include: Pneumonia, Nausea, Diarrhoea, Condition Aggravated, Febrile Neutropenia. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Itraconazole?

You can report adverse events from Itraconazole to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Itraconazole's safety score and what does it mean?

Itraconazole has a safety concern score of 85 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Serious adverse events, including pneumonia, sepsis, and respiratory failure, account for a significant portion of reports.

What are the key safety signals for Itraconazole?

Key safety signals identified in Itraconazole's adverse event data include: Drug interactions are frequent, with over 1,100 reports.. Pneumonia and sepsis are among the most common serious adverse events.. Pyrexia and dyspnoea are also frequently reported.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Itraconazole interact with other drugs?

Itraconazole can interact with many other drugs, potentially leading to adverse effects. Healthcare providers should be cautious when prescribing it with other medications. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Itraconazole.

What should patients know before taking Itraconazole?

Inform your healthcare provider about all medications you are taking to avoid potential drug interactions. Be aware of the signs of serious adverse events such as pneumonia, sepsis, and respiratory failure, and seek medical attention if they occur.

Are Itraconazole side effects well-documented?

Itraconazole has 20,198 adverse event reports on file with the FDA. Drug interactions are a major concern, with over 1,100 reports of drug interactions. The volume of reports for Itraconazole reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Itraconazole?

The FDA closely monitors Itraconazole due to its high number of adverse event reports, particularly for serious conditions. Regular monitoring and follow-up are recommended. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to ITRACONAZOLE based on therapeutic use, drug class, or shared indications:

KetoconazoleRifampinIsoniazid
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.