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Itaspor

✅ Treats diverse fungal infections
✅ Targets broad fungal spectrum
✅ Eases symptoms, clears infection
✅ Long-lasting relief provided

Itaspor contains Itraconazole

Verificat medical de Morgan Ellis — Cercetător farmaceutic · 8 ani de experiență  · Ultima recenzie: mai 2026

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Itaspor is itraconazole 100 mg oral capsule — a triazole antifungal for dermatophyte nail and skin infections, oropharyngeal/oesophageal candidiasis, histoplasmosis, blastomycosis, and aspergillosis (alternative to voriconazole). Capsule absorption requires gastric acid — take with food and acidic drink; PPIs and H2-blockers reduce absorption substantially. Strong CYP3A4 inhibitor — many drug interactions. Mandatory ECG / heart-failure screening — itraconazole has a negative inotropic effect.

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🔒 Why order Itaspor from MedsBase

  • producător certificat WHO-GMP — sourced from a regulated facility, finished pack with batch number and expiry.
  • Ambalaj discret — plain envelope, no medication name on the outside.
  • Livrare în toată lumea to most countries with Reshipment Assurance.
  • Loyalty points — 1 point per $1 spent (excludes peptides/shipping); 100 points = $5 off your next order.

Uses & indications

Itaspor (itraconazole 100 mg, Sun Pharma) is a broad-spectrum triazole antifungal active against dermatophytes, yeasts (Candida), dimorphic fungi (Histoplasma, Blastomyces, Sporothrix, Paracoccidioides), and most Aspergillus species. The capsule is the standard oral formulation; a separate oral solution exists with different food-rules (taken on an empty stomach) and is the preferred form for oesophageal candidiasis.

IndicațieTypical regimen
Onychomycosis (toenail)Pulse: 200 mg twice daily × 1 week per month, repeat × 3 pulses (or continuous 200 mg/day × 12 weeks)
Onychomycosis (fingernail)Pulse: 200 mg twice daily × 1 week per month × 2 pulses
Tinea pedis / cruris / corporis100 mg/day × 15 days OR 200 mg/day × 7 days
Pityriasis versicolor200 mg/day × 7 days
Oropharyngeal candidiasis100–200 mg/day × 7–14 days
Histoplasmosis / blastomycosis200 mg twice daily × 6–12 months (induction with amphotericin B in severe disease)
Aspergillosis (after voriconazole / amphotericin B)200 mg twice daily, duration depends on response

How to take — the absorption rule matters

Capsule absorption is acid-dependent

Take itraconazole capsules with a full meal AND with an acidic drink (cola, orange juice). Acid is required to dissolve the capsule’s coating. PPIs (omeprazole, pantoprazole) and H2-blockers (famotidine, ranitidine) halve absorption. If you must continue acid-suppression therapy, take itraconazole with a cola; consider switching to the oral solution (taken on empty stomach) or to an alternative azole (fluconazole, voriconazole).
  • Swallow whole — do not crush or chew.
  • Take at the same times each day to keep blood levels steady.
  • Do not stop early — onychomycosis pulse therapy needs all 3 pulses even though nails take months to look normal.
  • If you take an antacid, separate by at least 2 hours.

Cum funcționează

Itraconazole inhibits fungal CYP51 (14-α-demethylase), blocking conversion of lanosterol to ergosterol and weakening the fungal cell membrane. Compared to fluconazole, itraconazole is more lipophilic — it concentrates in skin, nails, and adipose tissue at concentrations 4–10× plasma levels, and persists in the nail bed for weeks after dosing. This is why pulse-dosing works for onychomycosis: you only need 1 week of dosing per month because the drug stays in the nail.

Side effects & monitoring

FrecvențăTypical effects
Common (≥1/100)Nausea, abdominal pain, diarrhoea, headache, transient LFT rise, rash, peripheral oedema
Puțin frecventeHypokalaemia, dizziness, menstrual disorders, alopecia, paraesthesia
Rare, dar graveHepatotoxicity (FDA black-box: stop if jaundice, dark urine, persistent nausea), congestive heart failure (FDA black-box: avoid in symptomatic LV dysfunction), severe skin reactions (SJS/TEN), peripheral neuropathy, hearing loss
Heart-failure warning (FDA black-box)

Itraconazole has a dose-related negative inotropic effect. Do not use itraconazole in patients with current or past congestive heart failure or ventricular dysfunction unless the benefit clearly outweighs the risk and the patient is monitored for signs of CHF (dyspnoea, leg oedema, weight gain, fatigue). For onychomycosis specifically, itraconazole is contraindicated in patients with evidence of ventricular dysfunction.

Drug interactions — itraconazole is a strong CYP3A4 inhibitor

MedicamentEfectAction
PPIs / H2-blockers / antacidsReduce capsule absorptionTake with cola; or use oral solution; or hold acid-suppression
Rifampicin / rifabutin / phenytoin / carbamazepine / phenobarbitalCYP3A4 induction → low itraconazole levelsAvoid combination — switch antifungal class
Simvastatin / atorvastatin / lovastatinStatin levels rise → rhabdomyolysisStop statin during itraconazole; or switch to pravastatin / rosuvastatin
Quinidine, dofetilide, pimozide, cisapride, terfenadineQT prolongation → torsadesContraindicații
Midazolam (oral), triazolam, alprazolamExcessive sedationAvoid; use lorazepam (non-CYP)
Tacrolimus / ciclosporin / sirolimusLevels rise — toxicityReduce dose 50%; trough monitoring
WarfarinINR risesMonitor INR; reduce warfarin
Vinca alkaloids (vincristine, vinblastine)Neurotoxicity, ileusAvoid combination
Buprenorphine, fentanylIncreased opioid effectReduce opioid dose; monitor sedation
Apixaban, rivaroxaban, edoxabanDOAC levels rise — bleedingAvoid combination; bridge with LMWH

Who should not take itraconazole

  • Symptomatic congestive heart failure or ventricular dysfunction (for onychomycosis indication especially).
  • Pregnancy (animal teratogenicity, contraindicated except in serious systemic mycoses).
  • Concurrent QT-prolonging drugs listed above.
  • Concurrent simvastatin/atorvastatin/lovastatin at full dose.
  • Severe hepatic impairment or active hepatitis.

Pregnancy & breastfeeding

Itraconazole is contraindicated in pregnancy for onychomycosis (a non-life-threatening indication). For systemic mycoses (histoplasmosis, blastomycosis, aspergillosis), benefits may outweigh risks — discuss with a specialist. Effective contraception is required during therapy and for 2 months after the last dose. Itraconazole is excreted in breast milk at low levels — short courses may be compatible; prolonged maintenance therapy is not recommended during breastfeeding.

Întrebări frecvente

How long until my nail looks normal?

The drug clears the fungus in 12 weeks but the dead nail keeps growing out for months. Toenails take 9–12 months to look fully normal; fingernails 4–6 months. Photo at month 0, 3, 6, 12 to track progress objectively.

What is ‘pulse therapy’ and why does it work?

Itraconazole concentrates in the nail at 4–10× plasma levels and persists for weeks after dosing. Pulse therapy = 200 mg twice daily for 1 week, then 3 weeks off, repeat × 3. Cumulative cure rate for toenails ~70%, similar to continuous dosing but with less drug exposure and lower cost.

Why does my doctor want an ECG before I start?

Itraconazole has a negative inotropic effect and can prolong QT. Patients with risk factors (existing heart failure, age > 70, previous cardiotoxic chemotherapy) should have a baseline ECG. Look for prolonged QTc > 500 ms — itraconazole would be avoided.

Can I take itraconazole with my omeprazole?

Itraconazole capsule absorption is reduced by 40–60% on a PPI. Either: (a) hold the PPI during the 1-week pulse, (b) take itraconazole with a cola to provide acid, or (c) switch to itraconazole oral solution (different formulation, taken on empty stomach), or (d) use terbinafine instead (no acid requirement).

Itraconazole vs terbinafine for toenail fungus — which is better?

For dermatophyte onychomycosis (the common cause), terbinafine 250 mg daily × 12 weeks has a slightly higher cure rate (~76% vs ~63%) and fewer drug interactions. Itraconazole pulse is preferred when the cause is mixed (dermatophyte + non-dermatophyte mould or Candida) or when terbinafine is contraindicated.

Will my toenail fall off?

No — the dead, fungus-affected nail grows out from the cuticle. As new healthy nail grows in, the old discoloured portion is gradually clipped away over 9–12 months.

Can I drink alcohol while taking itraconazole?

Both itraconazole and alcohol stress the liver. Limit alcohol intake during therapy, especially during a 12-week continuous course. Avoid heavy drinking entirely. There is no acute disulfiram-like reaction.

What about pregnancy if I am of childbearing potential?

Itraconazole is teratogenic in animals. Use effective contraception during therapy and for 2 months after the last dose (the half-life from skin/nail compartment is long). Onychomycosis is rarely treated during pregnancy — wait until after delivery and breastfeeding.

Why do I need LFTs before starting?

Itraconazole can cause hepatotoxicity including rare fatal cases. Baseline LFTs let you spot pre-existing abnormality. Repeat LFTs at 1 month if continuous; or at any sign of jaundice/dark urine/persistent nausea. Stop drug if AST/ALT > 3× ULN.

What if I miss a dose during pulse therapy?

Take it as soon as you remember on the same day. If you miss a whole day, do not double up — the next day’s dose is sufficient. If you miss 2+ days during a 1-week pulse, complete the pulse and continue with the planned schedule.

Depozitare

Store capsules at 15–25 °C in the original blister, protected from light and moisture. Do not use after expiry. Keep out of reach of children.

Other Antifungal Medications you may be interested in

If Itaspor is unavailable, here are alternatives — same molecule from a different manufacturer, terbinafine for straightforward dermatophyte nail/skin infections, or fluconazole for Candida.

Notă medicală. This page is product information for adults ordering antifungal medicine for personal use. It is not a substitute for individual medical advice. Discuss the right antifungal, dose, and treatment duration with a qualified clinician — particularly if you have liver disease, are pregnant or breastfeeding, take warfarin, take a statin, take immunosuppressants, or have a fungal nail infection that may be a different diagnosis (psoriasis, lichen planus, trauma).

More options in Anti Fungal

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Concentrație

100 mg

Cantitate

16 Capsule/s, 32 Capsule/s, 48 Capsule/s

Formă farmaceutică

Capsule

Producător

Intas Pharma

Indicație

Fungal infections

Brand generic

Ketoconazol

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