Original GlobalRPh source
- Product / population
- Preserved GlobalRPh source, not a freshly verified product label
- Renal measure
- Use the method specified in the original source
Historical source: not automatically current. Review current official labeling and separately attributed additions before use.
The renal statement is specifically about oral itraconazole. It must not be generalized to the source IV formulation or its excipients.
Usual Dosing (Adults)
Capsules should be taken with a full meal for maximal absorption. Capsules and oral solution are different preparations and must not be used interchangeably. Only solution has demonstrated effectiveness for oral/esophageal candidiasis.
Blastomycosis/histoplasmosis: 200 mg daily (two capsules); if no improvement or progressive disease, increase by 100 mg up to 400 mg/day. Divide daily doses above 200 mg in two. Aspergillosis: 200 to 400 mg/day.
Life-threatening situations: loading recommended for capsules or IV. Source IV regimen: 200 mg twice daily for four doses, then 200 mg daily, each over 1 hour; safety/efficacy beyond 14 IV days unknown. Capsule PK-based loading: 200 mg three times daily for the first 3 days, although trials did not include a loading dose. Continue at least 3 months and until clinical/laboratory disease subsides; inadequate duration can cause recurrence.
Toenail onychomycosis with/without fingernails: 200 mg daily for 12 weeks. Fingernails only: two pulses of 200 mg twice daily for 1 week each, separated by 3 weeks off therapy.
Renal Dosing
Limited data on oral itraconazole in renal impairment. Exercise caution.
Hemodialysis
See the renal impairment caution above.