Product image of Itragerm (Itraconazole) supplied by GNH India

Itragerm

Active Ingredient:
Itraconazole
Origin:
EU

Itragerm (Itraconazole)

Itraconazole, the active ingredient in Itragerm, is an azole antifungal presented as an oral formulation for systemic use. It is employed to treat a range of fungal infections—including dermatophytosis, onychomycosis, blastomycosis, histoplasmosis and other systemic mycoses—in adult patients requiring oral therapy.

GNH India supplies Itragerm as a licensed, GDP‑compliant product sourced from the European Union, providing hospitals, pharmacies and clinics worldwide with a reliable source of this antifungal medication. The company adheres to international quality standards and offers regulatory support for importation.

Manufacturer / TM Owner

Isdin S.R.L.

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Indications & Clinical Uses

  • Itraconazole is used to treat fungal infections affecting the skin, nails and internal organs.
  • Dermatophytosis: reduces fungal growth on the skin, alleviating rash and itching.
  • Onychomycosis: eradicates dermatophytes in the nail plate, promoting regrowth of healthy nail.
  • Systemic mycoses: controls disseminated fungal infections such as candidiasis and aspergillosis.
  • Blastomycosis: eliminates Blastomyces dermatitidis, improving pulmonary and extrapulmonary disease.
  • Histoplasmosis: suppresses Histoplasma capsulatum, aiding resolution of respiratory and systemic manifestations.

How It Works

  • Itraconazole inhibits the fungal cytochrome P450 enzyme lanosterol 14α-demethylase, a key step in ergosterol synthesis. By blocking conversion of lanosterol to ergosterol, it disrupts the fungal cell membrane, increasing permeability and leading to inhibition of growth and eventual cell death. The drug accumulates preferentially in keratin‑rich tissues, enhancing its activity against dermatophytes and nail infections.

Side Effects

Itraconazole may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Nausea: mild stomach upset often occurring early in therapy.
  • Headache: transient headache reported by some patients.
  • Abdominal pain: discomfort or cramps in the stomach area.
  • Elevated liver enzymes: mild, reversible increase detected in blood tests.

Serious or Rare Side Effects

  • Hepatotoxicity: severe liver injury, jaundice or hepatitis.
  • Cardiac arrhythmias: QT prolongation leading to irregular heart rhythm.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.

Precautions & Warnings

  • When prescribing Itragerm, clinicians should consider several safety measures.
  • Liver function monitoring: assess baseline and periodic liver enzymes.
  • Drug interactions: review concomitant medications for CYP3A4 substrates.
  • Pregnancy and lactation: avoid use unless benefits outweigh risks.
  • Renal impairment: adjust dose in severe renal dysfunction.
  • Avoid grapefruit: can increase itraconazole levels.
  • Store at ambient temperature: keep below 25 °C in original packaging, protect from moisture.

Avoid Interactions

Itraconazole interacts with several medicines; awareness of interaction severity guides management.

Major Interactions (Avoid)

  • Rifampin: induces metabolism, markedly reduces itraconazole exposure.
  • Ketoconazole: additive hepatotoxicity risk.
  • Certain statins (e.g., simvastatin): increased risk of myopathy.

Moderate Interactions (Monitor Closely)

  • Calcium channel blockers (e.g., verapamil): may increase itraconazole levels, monitor for toxicity.
  • Anticoagulants (e.g., warfarin): may enhance anticoagulant effect, monitor INR closely.

Frequently Asked Questions

Itragerm contains itraconazole, an azole antifungal indicated for the treatment of dermatophytosis (skin fungus), onychomycosis (nail fungus), blastomycosis, histoplasmosis and other systemic mycoses. It is prescribed for adult patients who need oral therapy to eradicate fungal infections affecting skin, nails or internal organs.

Itraconazole blocks the fungal enzyme lanosterol 14α‑demethylase, which is essential for converting lanosterol to ergosterol, a key component of the fungal cell membrane. Inhibiting this step disrupts membrane integrity, leading to impaired growth and eventual death of the fungus.

The specific dose of Itragerm is determined by the prescribing clinician based on the type and severity of the fungal infection, patient weight, renal and hepatic function, and other individual factors. Patients should follow the exact regimen provided by their healthcare professional.

Safety data for itraconazole in pregnancy and lactation are limited. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their physician.

To order Itragerm, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and the necessary import documentation.

Compared with other azole antifungals, itraconazole offers a broad spectrum that includes dermatophytes, Candida species and many dimorphic fungi. It has a longer half‑life and higher tissue penetration, especially in keratin‑rich areas, which can make it more effective for nail and skin infections than some alternatives such as fluconazole.

Itragerm should be stored at ambient temperature, preferably below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and avoid storing it in bathrooms or other humid environments.

Itragerm is taken orally, usually with a full glass of water. Depending on the formulation, it may be recommended to take the medication with food to improve absorption, but patients should follow the specific instructions given by their prescriber.

Serious adverse effects include hepatotoxicity (liver injury), severe cardiac arrhythmias such as QT prolongation, and rare but life‑threatening skin reactions like Stevens‑Johnson syndrome. Patients should report symptoms such as yellowing of the skin or eyes, irregular heartbeat, or widespread rash to their healthcare provider promptly.

Itragerm should be avoided in patients with known hypersensitivity to itraconazole or any azole antifungal, in those with severe hepatic impairment, and in individuals taking medications that have a major interaction risk, such as rifampin or certain statins, unless a clinician determines that benefits outweigh the risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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