{"id":57719,"date":"2024-02-27T17:57:19","date_gmt":"2024-02-27T17:57:19","guid":{"rendered":"https:\/\/medsname.com\/itrotab\/"},"modified":"2026-04-30T10:24:23","modified_gmt":"2026-04-30T10:24:23","slug":"itrotab","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/itrotab\/","title":{"rendered":"Itrotab"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 20px;margin:18px 0;border-radius:6px;\">\n<h3 style=\"margin-top:0;\">\ud83d\udca1 R\u0103spuns rapid<\/h3>\n<p style=\"margin-bottom:0;\">Itrotab este un comprimat oral de itraconazol 100 mg \/ 200 mg \u2014 un antifungic din clasa triazolilor utilizat pentru infec\u021biile dermatofitice ale unghiilor \u0219i pielii, candidoza orofaringian\u0103\/esofagian\u0103, histoplasmoz\u0103, blastomicoz\u0103 \u0219i aspergiloz\u0103 (alternativ\u0103 la voriconazol). Absorb\u021bia capsulelor necesit\u0103 acid gastric \u2014 administra\u021bi cu alimente \u0219i b\u0103uturi acide; inhibitorii de pomp\u0103 protonic\u0103 \u0219i antagoni\u0219tii H2 reduc substan\u021bial absorb\u021bia. Puternic inhibitor CYP3A4 \u2014 numeroase interac\u021biuni medicamentoase. Screening ECG obligatoriu \/ pentru insuficien\u021b\u0103 cardiac\u0103 \u2014 itraconazolul are efect inotrop negativ.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f5f5f5;border:1px solid #e1e1e1;padding:18px 22px;margin:24px 0;border-radius:8px;display:flex;flex-wrap:wrap;justify-content:space-around;gap:16px;align-items:center;font-size:0.95em;\">\n<div style=\"text-align:center;flex:1;min-width:140px;\">\ud83c\udfed<br \/><strong>WHO-GMP<\/strong><br \/>produc\u0103tor autorizat<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<div style=\"text-align:center;flex:1;min-width:140px;\">\ud83d\udce6<br \/><strong>Ambalaj discret<\/strong><br \/>plic simplu<\/div>\n<div style=\"text-align:center;flex:1;min-width:140px;\">\ud83c\udf0d<br \/><strong>Livrare \u00een toat\u0103 lumea<\/strong><br \/>\u00een majoritatea \u021b\u0103rilor<\/div>\n<div style=\"text-align:center;flex:1;min-width:140px;\">\u2b50<br \/><strong>peste 1.400 de clien\u021bi<\/strong><br \/><a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">cite\u0219te recenziile<\/a><\/div>\n<\/div>\n<h2>\ud83d\udd12 De ce s\u0103 comanzi Itrotab de la MedsBase<\/h2>\n<ul>\n<li><strong>produc\u0103tor certificat WHO-GMP<\/strong> \u2014 provenit de la o unitate reglementat\u0103, ambalaj final cu num\u0103r de lot \u0219i dat\u0103 de expirare.<\/li>\n<li><strong>Ambalaj discret<\/strong> \u2014 plic simplu, f\u0103r\u0103 denumirea medicamentului pe exterior.<\/li>\n<li><strong>Livrare \u00een toat\u0103 lumea<\/strong> \u00een majoritatea \u021b\u0103rilor cu <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance<\/a>.<\/li>\n<li><strong>Puncte de loialitate<\/strong> \u2014 1 punct pentru fiecare 1$ cheltuit (excluz\u00e2nd peptidele\/transportul); 100 puncte = 5$ reducere la urm\u0103toarea comand\u0103.<\/li>\n<\/ul>\n<h2 id=\"uses\">Utiliz\u0103ri \u0219i indica\u021bii<\/h2>\n<p>Itrotab (itraconazol 100 mg \/ 200 mg, Pulse Pharmaceuticals) este un antifungic triazolic cu spectru larg, activ \u00eempotriva dermatofitelor, drojdiilor (Candida), fungilor dimorfici (Histoplasma, Blastomyces, Sporothrix, Paracoccidioides) \u0219i majorit\u0103\u021bii speciilor de Aspergillus. Capsula este forma standard de administrare oral\u0103; exist\u0103 \u0219i o solu\u021bie oral\u0103 cu reguli diferite de administrare (se ia pe stomac gol) \u0219i este forma preferat\u0103 pentru candidoza esofagian\u0103.<\/p>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;font-size:0.95em;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Indica\u021bie<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Regim tipic<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Onihomicoz\u0103 (unghii de la picioare)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Puls: 200 mg de dou\u0103 ori pe zi \u00d7 1 s\u0103pt\u0103m\u00e2n\u0103 pe lun\u0103, repetat \u00d7 3 pulsuri (sau continuu 200 mg\/zi \u00d7 12 s\u0103pt\u0103m\u00e2ni)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Onihomicoz\u0103 (unghii de la m\u00e2ini)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Puls: 200 mg de dou\u0103 ori pe zi \u00d7 1 s\u0103pt\u0103m\u00e2n\u0103 pe lun\u0103 \u00d7 2 pulsuri<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Tinea pedis\/cruris\/corporis<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">100 mg\/zi \u00d7 15 zile SAU 200 mg\/zi \u00d7 7 zile<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Pitiriazis versicolor<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">200 mg\/zi \u00d7 7 zile<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Candidoz\u0103 orofaringian\u0103<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">100\u2013200 mg\/zi \u00d7 7\u201314 zile<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Histoplasmoz\u0103 \/ blastomicoz\u0103<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">200 mg de dou\u0103 ori pe zi \u00d7 6\u201312 luni (induc\u021bie cu amfotericina B \u00een cazuri severe)<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Aspergiloz\u0103 (dup\u0103 voriconazol \/ amfotericina B)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">200 mg de dou\u0103 ori pe zi, durata depinde de r\u0103spuns<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"how-to-take\">Cum se administreaz\u0103 \u2014 regula absorb\u021biei conteaz\u0103<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 20px;margin:20px 0;border-radius:6px;\"><strong>Absorb\u021bia capsulelor depinde de aciditate<\/strong><\/p>\n<div>Lua\u021bi capsulele de itraconazol cu o mas\u0103 complet\u0103 \u0218I cu o b\u0103utur\u0103 acid\u0103 (cola, suc de portocale). Aciditatea este necesar\u0103 pentru a dizolva \u00eenveli\u0219ul capsulei. PPI (omeprazol, pantoprazol) \u0219i blocante H2 (famotidin\u0103, ranitidin\u0103) <strong>reduc absorb\u021bia la jum\u0103tate<\/strong>. Dac\u0103 trebuie s\u0103 continua\u021bi terapia de suprimare a acidit\u0103\u021bii, lua\u021bi itraconazolul cu cola; lua\u021bi \u00een considerare trecerea la solu\u021bia oral\u0103 (luat\u0103 pe stomac gol) sau la un alt azol (fluconazol, voriconazol).<\/div>\n<\/div>\n<ul>\n<li>\u00cenghi\u021bi\u021bi comprimatul \u00eentreg \u2014 nu zdrobi\u021bi sau mesteca\u021bi.<\/li>\n<li>Lua\u021bi la acelea\u0219i ore \u00een fiecare zi pentru a men\u021bine nivelurile sanguine constante.<\/li>\n<li>Nu \u00eentrerupe\u021bi tratamentul prematur \u2014 terapia puls pentru onicomicioz\u0103 necesit\u0103 toate cele 3 puluri, chiar dac\u0103 unghiilor le ia luni s\u0103 arate normal.<\/li>\n<li>Dac\u0103 lua\u021bi un antiacid, separa\u021bi administrarea cu cel pu\u021bin 2 ore.<\/li>\n<\/ul>\n<h2 id=\"mechanism\">Cum func\u021bioneaz\u0103<\/h2>\n<p>Itraconazolul inhib\u0103 CYP51 fungal (14-\u03b1-demetilaza), bloc\u00e2nd conversia lanosterolului \u00een ergosterol \u0219i sl\u0103bind membrana celular\u0103 a fungilor. Comparativ cu fluconazolul, itraconazolul este mai lipofil \u2014 se concentreaz\u0103 \u00een piele, unghii \u0219i \u021besutul adipos la concentra\u021bii de 4\u201310\u00d7 fa\u021b\u0103 de nivelurile plasmatice \u0219i persist\u0103 \u00een patul unghial s\u0103pt\u0103m\u00e2ni dup\u0103 administrare. Acesta este motivul pentru care terapia puls func\u021bioneaz\u0103 la onicomicioz\u0103: este nevoie doar de 1 s\u0103pt\u0103m\u00e2n\u0103 de tratament pe lun\u0103, deoarece medicamentul r\u0103m\u00e2ne \u00een unghie.<\/p>\n<h2 id=\"side-effects\">Efecte secundare \u0219i monitorizare<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;font-size:0.95em;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Frecven\u021b\u0103<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Efecte tipice<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Frecvente (\u22651\/100)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Grea\u021b\u0103, dureri abdominale, diaree, cefalee, cre\u0219tere tranzitorie a enzimelor hepatice, erup\u021bii cutanate, edem periferic<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Pu\u021bin frecvente<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Hipokaliemie, ame\u021beli, tulbur\u0103ri menstruale, alopecie, parestezii<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Rare, dar grave<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Hepatotoxicitate (avertizare FDA: \u00eentrerupe\u021bi dac\u0103 apare icter, urin\u0103 \u00eenchis\u0103, grea\u021b\u0103 persistent\u0103), insuficien\u021b\u0103 cardiac\u0103 congestiv\u0103 (avertizare FDA: evita\u021bi \u00een disfunc\u021bie ventricular\u0103 st\u00e2ng\u0103 simptomatic\u0103), reac\u021bii cutanate severe (SJS\/TEN), neuropatie periferic\u0103, pierdere a auzului<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 20px;margin:20px 0;border-radius:6px;\"><strong>Avertizare privind insuficien\u021ba cardiac\u0103 (avertizare FDA)<\/strong><\/p>\n<div>Itraconazolul are un efect inotrop negativ dependent de doz\u0103. Nu utiliza\u021bi itraconazol la pacien\u021bii cu insuficien\u021b\u0103 cardiac\u0103 congestiv\u0103 actual\u0103 sau anterioar\u0103 sau cu disfunc\u021bie ventricular\u0103, dec\u00e2t dac\u0103 beneficiul dep\u0103\u0219e\u0219te clar riscul \u0219i pacientul este monitorizat pentru semne de ICC (dispnee, edem la membre, cre\u0219tere \u00een greutate, oboseal\u0103). Pentru onicomicioz\u0103 \u00een special, itraconazolul este contraindicat la pacien\u021bii cu dovezi de disfunc\u021bie ventricular\u0103.<\/div>\n<\/div>\n<h2 id=\"interactions\">Interac\u021biuni medicamentoase \u2014 itraconazolul este un puternic inhibitor al CYP3A4<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;font-size:0.95em;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Medicament<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Efect<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Ac\u021biune<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">PPI \/ antagoni\u0219ti H2 \/ antiacide<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Reduc absorb\u021bia capsulei<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Lua\u021bi cu cola; sau folosi\u021bi solu\u021bia oral\u0103; sau suspenda\u021bi terapia antiacid\u0103<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Rifampicin\u0103 \/ rifabutin\u0103 \/ fenitoin\u0103 \/ carbamazepin\u0103 \/ fenobarbital<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Induc\u021bia CYP3A4 \u2192 niveluri sc\u0103zute de itraconazol<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Evita\u021bi combina\u021bia \u2014 schimba\u021bi clasa de antifungice<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Simvastatin \/ atorvastatin \/ lovastatin<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Cre\u0219terea nivelului de statine \u2192 rabdomioliz\u0103<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">\u00centrerupe\u021bi statina \u00een timpul itraconazolului; sau trece\u021bi la pravastatin\u0103\/rosuvastatin\u0103<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Chinidin\u0103, dofetilid\u0103, pimozid\u0103, cisaprid\u0103, terfenadin\u0103<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Prelungirea intervalului QT \u2192 torsade de pointes<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Contraindica\u021bii<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Midazolam (oral), triazolam, alprazolam<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Sedare excesiv\u0103<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Evita\u021bi; utiliza\u021bi lorazepam (non-CYP)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Tacrolimus \/ ciclosporin\u0103 \/ sirolimus<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Cre\u0219terea nivelurilor \u2014 toxicitate<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Reduce\u021bi doza cu 50%; monitorizare la nivel minim<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Warfarin<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Cre\u0219tere INR<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Monitoriza\u021bi INR; reduce\u021bi warfarina<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Alcaloizi Vinca (vincristin\u0103, vinblastin\u0103)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Neurotoxicitate, ileus<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Evita\u021bi combina\u021bia<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Buprenorfin\u0103, fentanil<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Efect opioid crescut<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Reduce\u021bi doza de opioide; monitoriza\u021bi sedarea<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Apixaban, rivaroxaban, edoxaban<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Nivelul DOAC cre\u0219te \u2014 risc de s\u00e2ngerare<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Evita\u021bi combina\u021bia; face\u021bi pod cu LMWH<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"contraindications\">Cine nu ar trebui s\u0103 ia itraconazol<\/h2>\n<ul>\n<li>Insuficien\u021b\u0103 cardiac\u0103 congestiv\u0103 simptomatic\u0103 sau disfunc\u021bie ventricular\u0103 (\u00een special pentru indica\u021bia de onicomicoz\u0103).<\/li>\n<li>Sarcin\u0103 (teratogenitate la animale, contraindicat except\u00e2nd micoze sistematice grave).<\/li>\n<li>Medicamente concomitente care prelungesc QT enumerate mai sus.<\/li>\n<li>Simvastatin\u0103\/atorvastatin\u0103\/lovastatin\u0103 concomitent\u0103 la doz\u0103 \u00eentreag\u0103.<\/li>\n<li>Insuficien\u021b\u0103 hepatic\u0103 sever\u0103 sau hepatit\u0103 activ\u0103.<\/li>\n<\/ul>\n<h2 id=\"pregnancy\">Sarcina &amp; al\u0103ptare<\/h2>\n<p>Itraconazolul este contraindicat \u00een timpul sarcinii pentru onicomicoz\u0103 (o indica\u021bie non-letal\u0103). Pentru micoze sistematice (histoplasmoz\u0103, blastomicoz\u0103, aspergiloz\u0103), beneficiile pot dep\u0103\u0219i riscurile \u2014 consulta\u021bi un specialist. Este necesar\u0103 contracep\u021bia eficient\u0103 \u00een timpul terapiei \u0219i pentru 2 luni dup\u0103 ultima doz\u0103. Itraconazolul este excretat \u00een laptele matern \u00een cantit\u0103\u021bi mici \u2014 cursurile scurte pot fi compatibile; terapia de \u00eentre\u021binere prelungit\u0103 nu este recomandat\u0103 \u00een timpul al\u0103pt\u0103rii.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>C\u00e2t timp va trece p\u00e2n\u0103 c\u00e2nd unghia mea va ar\u0103ta normal?<\/h3>\n<p>Medicamentul elimin\u0103 ciuperca \u00een 12 s\u0103pt\u0103m\u00e2ni, dar unghia moart\u0103 continu\u0103 s\u0103 creasc\u0103 timp de luni. Unghiile de la picioare necesit\u0103 9\u201312 luni pentru a ar\u0103ta complet normale; cele de la m\u00e2ini 4\u20136 luni. Fotografia\u021bi la luna 0, 3, 6, 12 pentru a urm\u0103ri progresul obiectiv.<\/p>\n<h3>Ce este \u2018terapia puls\u2019 \u0219i de ce func\u021bioneaz\u0103?<\/h3>\n<p>Itraconazolul se concentreaz\u0103 \u00een unghie la niveluri de 4\u201310\u00d7 fa\u021b\u0103 de plasm\u0103 \u0219i persist\u0103 s\u0103pt\u0103m\u00e2ni dup\u0103 administrare. Terapia puls = 200 mg de dou\u0103 ori pe zi timp de 1 s\u0103pt\u0103m\u00e2n\u0103, apoi 3 s\u0103pt\u0103m\u00e2ni pauz\u0103, repetat de 3 ori. Rata de vindecare cumulativ\u0103 pentru unghiile de la picioare este de ~70%, similar cu dozarea continu\u0103, dar cu expunere redus\u0103 la medicament \u0219i costuri mai mici.<\/p>\n<h3>De ce medicul meu dore\u0219te un ECG \u00eenainte de a \u00eencepe?<\/h3>\n<p>Itraconazolul are un efect inotrop negativ \u0219i poate prelungi intervalul QT. Pacien\u021bii cu factori de risc (insuficien\u021b\u0103 cardiac\u0103 existent\u0103, v\u00e2rst\u0103 &gt; 70 ani, chimioterapie cardiotoxic\u0103 anterioar\u0103) ar trebui s\u0103 aib\u0103 un ECG de baz\u0103. C\u0103uta\u021bi un QTc prelungit &gt; 500 ms \u2014 itraconazolul ar fi evitat \u00een acest caz.<\/p>\n<h3>Pot lua itraconazol cu omeprazolul meu?<\/h3>\n<p>Absorb\u021bia capsulelor de itraconazol este redus\u0103 cu 40\u201360% sub tratament cu PPI. Fie: (a) \u00eentrerupe\u021bi PPI \u00een timpul pulsului de 1 s\u0103pt\u0103m\u00e2n\u0103, (b) lua\u021bi itraconazolul cu o cola pentru a furniza acid, (c) trece\u021bi la solu\u021bia oral\u0103 de itraconazol (formula\u021bie diferit\u0103, luat\u0103 pe stomacul gol), sau (d) folosi\u021bi terbinafin\u0103 \u00een schimb (nu necesit\u0103 acid).<\/p>\n<h3>Itraconazol vs terbinafin\u0103 pentru ciuperca unghiilor de la picioare \u2014 care este mai bun?<\/h3>\n<p>Pentru onicomicoz\u0103 dermatofitic\u0103 (cauza comun\u0103), terbinafina 250 mg zilnic timp de 12 s\u0103pt\u0103m\u00e2ni are o rat\u0103 de vindecare u\u0219or mai mare (~76% vs ~63%) \u0219i mai pu\u021bine interac\u021biuni medicamentoase. Terapia puls cu itraconazol este preferat\u0103 atunci c\u00e2nd cauza este mixt\u0103 (dermatofit + mucegai non-dermatofit sau Candida) sau c\u00e2nd terbinafina este contraindicat\u0103.<\/p>\n<h3>Va c\u0103dea unghia mea de la picior?<\/h3>\n<p>Nu \u2014 unghia moart\u0103, afectat\u0103 de ciuperc\u0103, cre\u0219te din cuticul\u0103. Pe m\u0103sur\u0103 ce unghia nou\u0103 s\u0103n\u0103toas\u0103 cre\u0219te, por\u021biunea veche decolorat\u0103 este t\u0103iat\u0103 treptat pe parcursul a 9\u201312 luni.<\/p>\n<h3>Pot consuma alcool \u00een timp ce iau itraconazol?<\/h3>\n<p>At\u00e2t itraconazolul, c\u00e2t \u0219i alcoolul solicit\u0103 ficatul. Limita\u021bi consumul de alcool \u00een timpul terapiei, \u00een special \u00een timpul unui curs continuu de 12 s\u0103pt\u0103m\u00e2ni. Evita\u021bi consumul excesiv de alcool. Nu exist\u0103 o reac\u021bie acut\u0103 de tip disulfiram.<\/p>\n<h3>Ce se \u00eent\u00e2mpl\u0103 \u00een cazul sarcinii dac\u0103 sunt \u00een v\u00e2rst\u0103 de procreere?<\/h3>\n<p>Itraconazolul este teratogen la animale. Folosi\u021bi contracep\u021bie eficient\u0103 \u00een timpul terapiei \u0219i timp de 2 luni dup\u0103 ultima doz\u0103 (timpul de \u00eenjum\u0103t\u0103\u021bire din compartimentul pielii\/unguilor este lung). Onicomicioza este rareori tratat\u0103 \u00een timpul sarcinii \u2014 a\u0219tepta\u021bi p\u00e2n\u0103 dup\u0103 na\u0219tere \u0219i al\u0103ptare.<\/p>\n<h3>De ce am nevoie de teste hepatice \u00eenainte de a \u00eencepe?<\/h3>\n<p>Itraconazolul poate provoca hepatotoxicitate, inclusiv cazuri rare fatale. Testele hepatice ini\u021biale v\u0103 permit s\u0103 identifica\u021bi anomalii preexistente. Repeta\u021bi testele hepatice la 1 lun\u0103 dac\u0103 tratamentul este continuu; sau la orice semn de icter\/urin\u0103 \u00eenchis\u0103\/grea\u021b\u0103 persistent\u0103. \u00centrerupe\u021bi tratamentul dac\u0103 AST\/ALT &gt; 3\u00d7 ULN.<\/p>\n<h3>Ce fac dac\u0103 uit o doz\u0103 \u00een timpul terapiei puls?<\/h3>\n<p>Lua\u021bi-o c\u00e2t mai cur\u00e2nd v\u0103 aminti\u021bi \u00een aceea\u0219i zi. Dac\u0103 uita\u021bi o zi \u00eentreag\u0103, nu lua\u021bi o doz\u0103 dubl\u0103 \u2014 doza din ziua urm\u0103toare este suficient\u0103. Dac\u0103 uita\u021bi 2+ zile \u00een timpul unui puls de 1 s\u0103pt\u0103m\u00e2n\u0103, completa\u021bi pulsul \u0219i continua\u021bi cu programul planificat.<\/p>\n<h2 id=\"storage\">Depozitare<\/h2>\n<p>P\u0103stra\u021bi capsulele la 15\u201325 \u00b0C \u00een blisterul original, protejate de lumin\u0103 \u0219i umiditate. Nu folosi\u021bi dup\u0103 data de expirare. P\u0103stra\u021bi departe de copii.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Alte medicamente antifungice care te-ar putea interesa<\/h2>\n<p>Dac\u0103 Itrotab nu este disponibil, iat\u0103 alternative \u2014 aceea\u0219i molecul\u0103 de la un alt produc\u0103tor, terbinafin\u0103 pentru infec\u021bii dermatofitice simple ale unghiilor\/pielii sau fluconazol pentru Candida.<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/zimig\/\"><strong>Zimig (terbinafin\u0103 250 mg)<\/strong><\/a> \u2014 Linia \u00eent\u00e2i pentru onicomicioza dermatofitic\u0103; ~76% rat\u0103 de vindecare.<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/sporanox-capsule\/\"><strong>Sporanox (itraconazol 100 mg)<\/strong><\/a> \u2014 Terapie puls pentru onicomicioza cu mucegaiuri non-dermatofite sau mixt\u0103 cu Candida.<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/grisovin-fp\/\"><strong>Grisovin FP (griseofulvin\u0103)<\/strong><\/a> \u2014 Tinea capitis cauzat\u0103 de Microsporum (pediatric).<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/loceryl-nail-liq\/\"><strong>Loceryl (amorolfin\u0103 5%)<\/strong><\/a> \u2014 Lac topic pentru ciuperca u\u0219oar\u0103 a marginii distale a unghiului.<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/zocon\/\"><strong>Zocon (fluconazol 150 mg)<\/strong><\/a> \u2014 Terapie oral\u0103 standard pentru Candida (mugur vaginal, oral, esofagian).<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 18px;margin:24px 0;font-size:0.95em;\"><strong>Not\u0103 medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 con\u021bine informa\u021bii despre produse pentru adul\u021bi care comand\u0103 medicamente antifungice pentru uz personal. Nu \u00eenlocuie\u0219te sfatul medical individual. Discut\u0103 cu un clinician calificat despre antifungicul potrivit, doza \u0219i durata tratamentului \u2014 mai ales dac\u0103 ai probleme hepatice, e\u0219ti gravid\u0103 sau al\u0103ptezi, iei warfarin, iei un statin, iei imunosupresoare sau ai o infec\u021bie fungic\u0103 la unghii care ar putea fi o alt\u0103 afec\u021biune (psoriazis, lichen planus, traumatism).<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 Tratament pentru infec\u021bii fungice<br \/>\n\u2705 Medicament antifungic oral<br \/>\n\u2705 Ac\u021bioneaz\u0103 asupra infec\u021biilor cutanate<br \/>\n\u2705 Trateaz\u0103 eficient candidoza<br \/>\n\u2705 Amelioreaz\u0103 infec\u021biile fungice ale unghiilor<\/p>\n<p>Itrotab con\u021bine Itraconazol<\/p>","protected":false},"featured_media":57720,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3501,3141,3504,3342],"product_tag":[3627,4351],"class_list":{"0":"post-57719","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-fungal","7":"product_cat-category-overview","8":"product_cat-fungal-infection-treatment","9":"product_cat-general-health","10":"product_tag-itraconazole","11":"product_tag-itrotab","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/57719","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=57719"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/57720"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=57719"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=57719"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=57719"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=57719"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}