Reported Reactions

Drugs › Azole antifungal

Brand name · Itraconazole

Sporanox: adverse event reports filed with FDA

1,728 reports list it as a suspect or interacting product, 2004–2026. Class: Azole antifungal.

1,728
reports as suspect product
0% of all reports · about 77 a year
43
reports, 12 months to June 2026
49 in the 12 months before
87.6%
marked serious by the reporter
79% across the class
11.7%
record death among outcomes, as reported
203 reports · not verified by FDA

Between January 2004 and June 2026, 1,728 adverse event reports received by FDA list the brand name Sporanox (itraconazole) as a suspect or interacting product. Reports that mention it only as a concomitant medication (737) are left out of every figure here.

In the 12 months to June 2026, 43 reports listed it, down 12% from 49 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 77 reports a year and 0% of the 20,646,523 reports in the database, and 2.5% 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 (9.8%), dyspnoea (7.2%) and off label use (5.5%). A report can list several reactions, so shares add to more than 100%; 490 different terms appear across these reports. Drug interaction is recorded in 9.8% of these reports, about the same share as in the median azole antifungal drug (7.9%).

87.6% of the reports are marked serious by the reporter (79% across the class); 11.7% record death among the outcomes and 33.7% record hospitalisation, as reported. 31% of the reports came from physicians, and the largest patient age group is 45 to 64 (19.4%). 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

01325Jul 2021: 10Aug 2021: 1Sep 2021: 7Oct 2021: 4Nov 2021: 3Dec 2021: 42022Jan 2022: 8Feb 2022: 2Mar 2022: 24Apr 2022: 10May 2022: 7Jun 2022: 8Jul 2022: 5Aug 2022: 9Sep 2022: 5Oct 2022: 3Nov 2022: 11Dec 2022: 92023Jan 2023: 4Feb 2023: 5Mar 2023: 11Apr 2023: 5May 2023: 9Jun 2023: 6Jul 2023: 9Aug 2023: 3Sep 2023: 11Oct 2023: 25Nov 2023: 6Dec 2023: 22024Jan 2024: 2Feb 2024: 7Mar 2024: 8Apr 2024: 7May 2024: 7Jun 2024: 6Jul 2024: 10Aug 2024: 8Sep 2024: 2Oct 2024: 6Nov 2024: 4Dec 2024: 12025Jan 2025: 2Feb 2025: 1Mar 2025: 6Apr 2025: 3May 2025: 4Jun 2025: 2Jul 2025: 1Aug 2025: 0Sep 2025: 10Oct 2025: 5Nov 2025: 4Dec 2025: 12026Jan 2026: 4Feb 2026: 5Mar 2026: 4Apr 2026: 4May 2026: 1Jun 2026: 4

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

0671342004: 8220042005: 662006: 412007: 5020072008: 602009: 712010: 7320102011: 432012: 912013: 8020132014: 492015: 1202016: 9120162017: 652018: 712019: 11820192020: 1342021: 972022: 10120222023: 962024: 682025: 3920252026: 22

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Sporanox reports recording the termmedian drug in azole antifungal

  1. Drug interactionan interaction between medicines9.8%169
  2. Dyspnoeashortness of breath7.2%124
  3. Off label useused for a purpose or in a way not on the label5.5%95
  4. Drug ineffectivethe medicine did not work as expected5%86
  5. Nauseafeeling sick5%86
  6. Chest painchest pain4.4%76
  7. Asthmaasthma4.2%72
  8. Fatiguetiredness4.2%72
  9. Coughcough4.1%70
  10. Hospitalisationadmission to hospital3.9%68
  11. Deaththe patient died; cause not stated by this term3.7%64
  12. Condition aggravatedthe condition being treated got worse3%52
  13. Oedema peripheralswelling of the legs, ankles or hands2.8%49
  14. Rashskin rash2.8%49
  15. Headachehead pain2.8%48
  16. Vomitingbeing sick2.5%44
  17. Chest discomfortchest discomfort2.4%42
  18. Weight increasedweight gain2.4%42
  19. Diarrhoealoose or frequent stools2.3%39
  20. Lymphadenopathyswollen lymph nodes2%35
  21. Product use in unapproved indicationused for a purpose not on the label2%35
  22. Pruritusitching2%35
  23. Pyrexiafever2%35
  24. Hypertensionhigh blood pressure1.9%32
  25. Haemoptysiscoughing up blood1.8%31
  26. Abdominal painstomach or belly pain1.7%30
  27. Anxietyanxiety1.7%29

Top 30 of 490 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

Death11.7%203
Life-threatening6.4%110
Hospitalisation (initial or prolonged)33.7%583
Disability3.4%58
Congenital anomaly1.4%25
Other serious53.6%927
Not serious12.4%214

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 20.6%11
2 to 113.1%53
12 to 172.3%40
18 to 4418.2%315
45 to 6419.4%335
65 to 7413.3%230
75 and over6.2%107
Age not given36.9%637

Patient sex

Female44%761
Male44.2%763
Not given11.8%204

Who reported

Physician31%535
Pharmacist9%155
Other health professional30%518
Lawyer0.3%5
Consumer or non-health professional28.5%492
Not given1.3%23

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 24.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Onychomycosis1518.7%
Fungal infection1247.2%
Bronchopulmonary aspergillosis714.1%
Aspergillus infection523%
Asthma462.7%
Antifungal prophylaxis452.6%

The indication field is filled in by the reporter and is often blank; shares are of all 1,728 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Sporanox reports
Prednisone1046%
Mepolizumab694%
Albuterol sulfate673.9%
Nucala663.8%
Albuterol653.8%
Ciprofloxacin523%
Symbicort513%
Prevacid492.8%
Fluticasone furoate482.8%
Lansoprazole432.5%

Other products listed in reports where Sporanox 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

MeasureSporanoxAzole antifungalAll reports
Reports as suspect product1,72869,03520,646,523
Share of that pool—2.5%0%
Reports, latest 12 months43—1,332,454
Marked serious87.6%79%57.4%
Death recorded among outcomes, per 1,000 reports11717791
Hospitalisation recorded, per 1,000 reports337317213
Consumer-filed share28.5%23.9%45.8%
Top term, share of reportsDrug interaction 9.8%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%
Itraconazolegeneric4,55236490.4%
Posaconazolegeneric4,23458991.7%
Ketoconazolegeneric4,04723441.7%
Noxafilbrand3,2303966.7%
Diflucanbrand3,1476569.8%
Clotrimazolegeneric2,75729880.4%
Cresembabrand2,05025457.5%
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 Sporanox reports

How many adverse event reports has FDA received for Sporanox?

1,728 reports list Sporanox as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 43 of them arrived in the latest 12 months. Another 737 list it only as a concomitant medication.

What reactions are recorded in Sporanox reports?

drug interaction (9.8%), dyspnoea (7.2%), off label use (5.5%), drug ineffective (5%) and nausea (5%). 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 Sporanox was responsible.

How serious are the reports?

87.6% are marked serious by the reporter. Among the outcomes recorded, 11.7% of reports include death and 33.7% 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?

physician (31%), other health professional (30%) and consumer or non-health professional (28.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Sporanox rising?

43 reports in the 12 months to June 2026, down 12% from 49 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 Sporanox 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 Sporanox?

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 Sporanox as a suspect or interacting product; reports listing it only as a concomitant medication (737) 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.