Reported Reactions

Drugs › Azole antifungal

Generic name

Itraconazole: adverse event reports filed with FDA

4,552 reports list it as a suspect or interacting product, 2004–2026. Class: Azole antifungal. Also reported as Itraconazole Capsules.

4,552
reports as suspect product
0% of all reports · about 202 a year
364
reports, 12 months to June 2026
257 in the 12 months before
90.4%
marked serious by the reporter
79% across the class
15.6%
record death among outcomes, as reported
711 reports · not verified by FDA

4,552 adverse event reports received by FDA list itraconazole, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 4,625 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 364 reports listed it, up 42% from 257 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 202 reports a year and 0% of the 20,646,523 reports in the database, and 6.6% of the reports for the azole antifungal class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are drug interaction (19.6%), drug ineffective (13.7%) and off label use (4.7%). A report can list several reactions, so shares add to more than 100%; 971 different terms appear across these reports. Drug interaction is recorded in 19.6% of these reports, a larger share than in the median azole antifungal drug (7.9%).

90.4% of the reports are marked serious by the reporter (79% across the class); 15.6% record death among the outcomes and 33% record hospitalisation, as reported. 53.2% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (23.5%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

02856Jul 2021: 22Aug 2021: 54Sep 2021: 11Oct 2021: 34Nov 2021: 11Dec 2021: 162022Jan 2022: 10Feb 2022: 22Mar 2022: 15Apr 2022: 7May 2022: 15Jun 2022: 26Jul 2022: 16Aug 2022: 35Sep 2022: 12Oct 2022: 15Nov 2022: 26Dec 2022: 192023Jan 2023: 40Feb 2023: 14Mar 2023: 20Apr 2023: 14May 2023: 32Jun 2023: 13Jul 2023: 19Aug 2023: 31Sep 2023: 32Oct 2023: 37Nov 2023: 34Dec 2023: 262024Jan 2024: 11Feb 2024: 12Mar 2024: 32Apr 2024: 33May 2024: 15Jun 2024: 23Jul 2024: 29Aug 2024: 55Sep 2024: 18Oct 2024: 23Nov 2024: 5Dec 2024: 282025Jan 2025: 22Feb 2025: 4Mar 2025: 11Apr 2025: 19May 2025: 27Jun 2025: 16Jul 2025: 56Aug 2025: 23Sep 2025: 36Oct 2025: 15Nov 2025: 22Dec 2025: 442026Jan 2026: 35Feb 2026: 38Mar 2026: 16Apr 2026: 28May 2026: 35Jun 2026: 16

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

01863712004: 8220042005: 232006: 462007: 8120072008: 822009: 1512010: 12120102011: 2242012: 1952013: 18220132014: 1272015: 2332016: 14220162017: 2112018: 3332019: 37120192020: 3622021: 3092022: 21820222023: 3122024: 2842025: 29520252026: 168

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Itraconazole reports recording the termmedian drug in azole antifungal

  1. Drug interactionan interaction between medicines19.6%894
  2. Drug ineffectivethe medicine did not work as expected13.7%622
  3. Off label useused for a purpose or in a way not on the label4.7%213
  4. Condition aggravatedthe condition being treated got worse4.2%191
  5. Dyspnoeashortness of breath4.2%189
  6. Nauseafeeling sick3.3%149
  7. Pyrexiafever3.1%141
  8. Diarrhoealoose or frequent stools2.4%110
  9. Rashskin rash2.4%109
  10. Drug level increaseda raised blood level of the medicine2.4%108
  11. Hypertensionhigh blood pressure2.3%105
  12. Rhabdomyolysismuscle breakdown2.3%105
  13. Neutropenialow neutrophils, a type of white blood cell2.2%102
  14. Fatiguetiredness2.2%100
  15. Anaemialow red blood cells2.2%99
  16. Vomitingbeing sick2%92
  17. Pneumonialung infection2%91
  18. Thrombocytopenialow platelets2%90
  19. Hypokalaemialow blood potassium2%89
  20. Acute kidney injurysudden loss of kidney function1.9%88
  21. Electrocardiogram QT prolongeda QT prolongation on the ECG1.9%86
  22. Treatment failurethe treatment did not work1.9%86
  23. Astheniaweakness or lack of energy1.9%85
  24. Renal impairmentreduced kidney function1.8%84
  25. Cushing's syndrome1.7%78
  26. Neuropathy peripheralnerve damage in hands or feet1.7%78
  27. Product use in unapproved indicationused for a purpose not on the label1.7%77
  28. Drug intolerancethe medicine was not tolerated1.6%73

Top 30 of 971 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 16 drugs in the azole antifungal class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death15.6%711
Life-threatening7.8%353
Hospitalisation (initial or prolonged)33%1,503
Disability2.1%94
Congenital anomaly0.5%23
Other serious65.8%2,995
Not serious9.6%437

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 69,035 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.9%42
2 to 113.7%167
12 to 173.9%179
18 to 4418.3%835
45 to 6423.5%1,071
65 to 7413.5%616
75 and over9.8%445
Age not given26.3%1,197

Patient sex

Female37.8%1,721
Male44%2,002
Not given18.2%829

Who reported

Physician27.3%1,243
Pharmacist9%410
Other health professional53.2%2,421
Lawyer0%2
Consumer or non-health professional8.1%370
Not given2.3%106

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 25.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Antifungal prophylaxis3718.2%
Bronchopulmonary aspergillosis2826.2%
Onychomycosis1713.8%
Aspergillus infection1563.4%
Histoplasmosis1513.3%
Fungal infection1453.2%

The indication field is filled in by the reporter and is often blank; shares are of all 4,552 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Itraconazole reports
Voriconazole47110.3%
Amphotericin b4359.6%
Tacrolimus3307.2%
Prednisone3297.2%
Fluconazole3066.7%
Prednisolone2956.5%
Mycophenolate mofetil2285%
Omeprazole1793.9%
Simvastatin1763.9%
Posaconazole1723.8%

Other products listed in reports where Itraconazole is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureItraconazoleAzole antifungalAll reports
Reports as suspect product4,55269,03520,646,523
Share of that pool—6.6%0%
Reports, latest 12 months364—1,332,454
Marked serious90.4%79%57.4%
Death recorded among outcomes, per 1,000 reports15617791
Hospitalisation recorded, per 1,000 reports330317213
Consumer-filed share8.1%23.9%45.8%
Top term, share of reportsDrug interaction 19.6%median 7.9%0.8%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the azole antifungal class

DrugName typeReportsLatest 12 monthsMarked serious
Fluconazolegeneric17,1751,45890.7%
Voriconazolegeneric13,49595694.7%
Vfendbrand6,7527686.5%
Posaconazolegeneric4,23458991.7%
Ketoconazolegeneric4,04723441.7%
Noxafilbrand3,2303966.7%
Diflucanbrand3,1476569.8%
Clotrimazolegeneric2,75729880.4%
Cresembabrand2,05025457.5%
Sporanoxbrand1,7284387.6%
Tioconazolegeneric1,4691973.1%
Jubliabrand1,2717918%
Miconazole nitrategeneric1,26016622.5%
Nizoralbrand1,21834829.5%
Miconazolegeneric6503072.3%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Itraconazole reports

How many adverse event reports has FDA received for Itraconazole?

4,552 reports list Itraconazole as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 364 of them arrived in the latest 12 months. Another 4,625 list it only as a concomitant medication.

What reactions are recorded in Itraconazole reports?

drug interaction (19.6%), drug ineffective (13.7%), off label use (4.7%), condition aggravated (4.2%) and dyspnoea (4.2%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Itraconazole was responsible.

How serious are the reports?

90.4% are marked serious by the reporter. Among the outcomes recorded, 15.6% of reports include death and 33% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

other health professional (53.2%), physician (27.3%) and pharmacist (9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Itraconazole rising?

364 reports in the 12 months to June 2026, up 42% from 257 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Itraconazole was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Itraconazole?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Itraconazole as a suspect or interacting product; reports listing it only as a concomitant medication (4,625) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.