Product image of Itrazol (Itraconazole) supplied by GNH India

Itrazol

Active Ingredient:
Itraconazole
Origin:
EU

Itrazol (Itraconazole)

Itraconazole, the active ingredient in Itrazol, is a azole antifungal presented as an oral formulation for systemic use. It treats a range of fungal infections including skin, nail and invasive mycoses in adult patients.
GNH India supplies Itrazol as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Verisfield S.M.S.A

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Indications & Clinical Uses

Itraconazole is an azole antifungal used to treat infections caused by dermatophytes, yeasts and dimorphic fungi.

  • Dermatophytosis: eradicates skin infections caused by dermatophyte fungi.
  • Onychomycosis: clears fungal nail infections resistant to topical therapy.
  • Blastomycosis: treats systemic infection caused by Blastomyces dermatitidis.
  • Histoplasmosis: manages disseminated disease from Histoplasma capsulatum.
  • Coccidioidomycosis: resolves infection due to Coccidioides species.
  • Aspergillosis: combats invasive disease caused by Aspergillus spp.

How It Works

  • Itraconazole inhibits the fungal enzyme lanosterol 14α‑demethylase (CYP51), a key step in ergosterol synthesis. By blocking this cytochrome P450–dependent reaction, the drug disrupts cell membrane formation, leading to increased membrane permeability and inhibition of fungal growth.

Side Effects

Common side effects are generally mild and reversible.

Common Side Effects

  • Nausea: occasional upset stomach.
  • Vomiting: transient episodes after dosing.
  • Abdominal pain: mild discomfort in the gastrointestinal tract.
  • Headache: occasional dull or throbbing pain.
  • Rash: mild skin redness or itching.
  • Taste disturbance: altered perception of flavors.

Serious or Rare Side Effects

  • Hepatotoxicity: elevated liver enzymes or liver injury.
  • Cardiac failure: worsening of pre‑existing heart conditions.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Visual disturbances: blurred vision or photophobia.
  • Severe hypokalemia: low potassium levels requiring monitoring.

Precautions & Warnings

Before initiating therapy, clinicians should assess patient‑specific risk factors and monitor for adverse events.

  • Liver function monitoring: obtain baseline tests and repeat periodically.
  • Drug interaction review: evaluate concomitant medications that affect CYP3A4.
  • Cardiac risk assessment: avoid in patients with known heart failure.
  • Pregnancy consideration: use only when benefits outweigh potential risks.
  • Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Itraconazole has a high potential for pharmacokinetic interactions due to CYP3A4 inhibition and induction.

Major Interactions (Avoid)

  • Rifampin: markedly reduces itraconazole plasma concentrations.
  • St. John’s wort: induces metabolism leading to sub‑therapeutic levels.
  • Ketoconazole: additive hepatotoxicity when combined.

Moderate Interactions (Monitor Closely)

  • Warfarin: may increase INR and bleeding risk; monitor coagulation parameters.
  • Statins (e.g., simvastatin): increased risk of myopathy; consider dose adjustment or alternative lipid‑lowering agents.

Frequently Asked Questions

Itrazol, containing itraconazole, is prescribed for a variety of fungal infections such as dermatophytosis (skin ringworm), onychomycosis (nail fungus), and systemic mycoses including blastomycosis, histoplasmosis, coccidioidomycosis and invasive aspergillosis. The drug targets the fungal cell membrane, making it effective against both superficial and deep infections.

Itraconazole blocks the fungal enzyme lanosterol 14α‑demethylase (CYP51), which is essential for converting lanosterol to ergosterol, a key component of the fungal cell membrane. Inhibiting this step disrupts membrane integrity, leading to increased permeability and ultimately halting fungal growth.

The specific dose of Itrazol is determined by the prescribing clinician based on the type and severity of the infection, patient weight, renal and hepatic function, and other individual factors. Only a qualified health professional should set the dosing regimen.

Safety data for itraconazole in pregnancy are limited, and the drug is classified as pregnancy category unknown. It should be used only if the potential benefit justifies the potential risk to the fetus. Breastfeeding mothers should consult their physician, as itraconazole may be excreted in milk.

To place an order, submit an enquiry on the Itrazol 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 and any necessary import documentation.

Itrazol (itraconazole) offers a broad spectrum of activity against dermatophytes, yeasts and dimorphic fungi, and it has a longer half‑life than fluconazole, allowing once‑daily dosing for many indications. However, it has a higher potential for drug‑drug interactions due to strong CYP3A4 inhibition, which may require more careful monitoring compared with agents like fluconazole.

Itrazol should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture and direct sunlight, and ensure the container is tightly closed to maintain stability throughout its shelf life.

Itrazol is taken orally, usually with a full glass of water. The tablet or capsule should be swallowed whole and not crushed or chewed. Food can affect absorption, so patients should follow the specific instructions provided by their prescriber regarding intake with meals.

The most serious risks include hepatotoxicity, which may present as elevated liver enzymes or liver failure, and cardiac failure, particularly in patients with pre‑existing heart disease. Severe skin reactions such as Stevens‑Johnson syndrome and visual disturbances have also been reported, requiring immediate medical attention.

Itrazol is contraindicated in patients with known hypersensitivity to itraconazole or any azole antifungal. It should also be avoided in individuals with severe liver impairment, uncontrolled heart failure, or those taking medications that are strong CYP3A4 inducers such as rifampin or St. John’s wort, unless a specialist advises otherwise.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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