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Medically Approved

Itraconazole oral capsule dosage: A detailed guide

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Form and strengthDosageFAQHow it’s takenCouponOverdoseAsk your doctorBoxed warnings
Doctors prescribe itraconazole oral capsule for certain types of fungal infections. You take it by mouth once to twice per day.
Medically reviewed by Victor Nguyen, PharmD, MBA
Updated on

This article describes itraconazole oral capsule’s dosages and strengths and gives details on how to take it. You’ll also find information on cost savings and coupon options for itraconazole. If you want to know more about itraconazole oral capsule, see this overview article. It covers details about the drug’s uses and side effects, ways to save on cost, and more.

Itraconazole oral capsule is a generic version of the brand-name drug Sporanox. Itraconazole also comes in a solution you take by mouth, but that form isn’t described in this article. To learn more about that form, talk with your doctor.

Boxed warnings

This drug has boxed warnings about the risks of congestive heart failure and serious effects on the heart. It also has a boxed warning for the risk of certain drug interactions. A boxed warning is the most serious warning from the Food and Drug Administration (FDA).

See the end of this article for more information about these warnings.

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Form and strength of itraconazole

Itraconazole oral capsule comes as follows:

  • Form: capsule that you swallow whole
  • Strength: 100 milligrams (mg)

Dosage of itraconazole

This article describes the recommended dosages for itraconazole oral capsule. The drugmaker provides these dosages.

If your doctor prescribes this medication, you should follow the dosage they prescribe. Your doctor will determine the dosage that best meets your needs. Do not change your dosage of itraconazole oral capsule without your doctor’s recommendation.

Usual recommended dosages of itraconazole in adults

The dosages for itraconazole for certain types of fungal infections are as follows:

Dosage for fungal infections

Condition/PurposeRecommended doseFrequencyDuration
fungal infection of the lungs or blood200 mgonce to twice per dayvariable
fungal infection of the toenails200 mgonce per day12 weeks
fungal infection of the fingernails only200 mgtwice per daytwo 1-week courses

Doses greater than 200 mg per day should be given in two divided doses.

For life threatening infections, your doctor may give you a loading dose of 200 mg taken three times per day for the first 3 days.

Dosage adjustments for itraconazole

Your doctor will prescribe a dosage of itraconazole oral capsule based on several factors. These include:

  • the specific condition being treated and how severe it is
  • the medications you’re taking
  • other health conditions you may have

Missed dose of itraconazole

Talk with your doctor or pharmacist right away if you realize you forgot to take a dose of itraconazole oral capsule. They may advise you to take the missed dose. Or they may advise you to skip it and take your next dose as scheduled.

For tips on how to plan your doses of Itraconazole oral capsule and avoid missing a dose, read this article. You could also try:

  • downloading a reminder app on your phone
  • setting an alarm
  • putting a note where you’ll see it, such as on your calendar, bathroom mirror, or bedside table

Frequently asked questions

Below are answers to some commonly asked questions about itraconazole oral capsule and its dosage.

How long does it take itraconazole to start working?

How long it takes itraconazole to start working depends on the type of fungal infection you have. For some infections, you may see improvement within 1–4 weeks. For other infections, such as infection of the nails, it may take 3–6 months to see improvement.

Even if you don’t see an improvement, it’s important that you continue taking itraconazole. Stopping it too soon can cause your infection to come back or worsen.

Talk with your doctor if you’re concerned itraconazole isn’t working for you.

Is itraconazole taken long term?

No, doctors don’t typically prescribe itraconazole oral capsule as a long-term treatment. Instead, it’s usually recommended for short-term use.

Your doctor will monitor how well your infection is improving. Fungal infections can take some time to clear. So, taking itraconazole for 12 weeks or longer isn’t uncommon.

If you have questions about how long you should take itraconazole oral capsule, talk with your doctor.

How itraconazole is taken

You’ll typically swallow itraconazole oral capsule whole once to twice per day. It should be taken after a full meal.

Your doctor may advise that you take this medication around the same time each day. This helps keep a consistent amount of the drug in your body. And that can help the drug work more effectively.

If it’s hard for you to swallow capsules, view this article. It provides suggestions on how to swallow medications that come in pill form.

Also, be sure to talk with your doctor or pharmacist if you’re having difficulty taking your medication. They can offer recommendations about taking it.

Itraconazole coupon

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Overdose of itraconazole

It’s important that you do not take more itraconazole oral capsule than your doctor prescribes. Doing so can lead to harmful effects.

What to do if you take too much itraconazole

If you think you’ve taken too much itraconazole, call your doctor or pharmacist right away. Or you could call 800-222-1222 to speak with someone at America’s Poison Centers. You can also use its online resource. If you have severe symptoms, call 911 or a local emergency number immediately. You can also go to the closest emergency room.

What to ask your doctor

This article describes the usual recommended dosages for itraconazole oral capsule. If your doctor prescribes this medication, they’ll determine the dosage that’s best for you.

Do not change your dosage of itraconazole oral capsule without your doctor’s recommendation. You should take itraconazole oral capsule exactly as your doctor prescribes it. Let your doctor know if you have concerns or questions about your treatment plan.

Here’s a list of some possible questions you may want to ask your doctor:

  • How long will I need to take itraconazole?
  • If my fungal infection isn’t getting better, will you be changing my dosage?
  • Do you need to change my dosage of itraconazole if I’m taking other medications with it?

Boxed warnings for itraconazole | Boxed warnings

Itraconazole has boxed warnings about the following risks. A boxed warning is the most serious warning from the Food and Drug Administration (FDA).

Risks of congestive heart failure and other heart effects: Itraconazole should not be taken by people with certain heart conditions, like congestive heart failure. Symptoms of heart conditions include shortness of breath, fatigue, rapid or irregular heart rate, and swelling of your feet, ankles, or legs. If you experience any of these, get medical attention and talk with your doctor.

Risk of certain drug interactions: Taking itraconazole with certain medications can cause serious side effects. Some side effects may lead to death at times. Certain medications should not be taken while taking itraconazole. Others should be taken with caution. Talk with your doctor and pharmacist about all the medications you take before you start taking itraconazole.

To learn more about these risks, talk with your doctor.

Disclaimer: Optum Perks has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

Article resources

  • Food and Drug Administration. (2024). Orange Book: Approved drug products with therapeutic equivalence evaluations. https://www.accessdata.fda.gov/scripts/cder/ob/index.cfm
  • Itraconazole capsules. (2024). https://nctr-crs.fda.gov/fdalabel/services/spl/set-ids/8aef87f2-8940-4d54-abe6-62ce3bce3259/spl-doc