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Drug interactions

Capivasertib + Itraconazole

Severity: Major

Capivasertib and Itraconazole: major interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Itraconazole increases capivasertib exposure, which may worsen hyperglycemia, diarrhea, rash and other toxicities.

What this interaction means in plain words

Capivasertib and Itraconazole can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Capivasertib belongs to Oncology; Itraconazole belongs to Anti Fungals.

Evidence level: Moderate

Why it happens

Itraconazole strongly inhibits CYP3A4, reducing capivasertib metabolism.

What to do

Avoid the combination where possible. If unavoidable, reduce the capivasertib dose per labeling and monitor glucose and adverse effects.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Capivasertib with Itraconazole?

MediHelp rates the interaction as major. Capivasertib and Itraconazole can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Itraconazole increases capivasertib exposure, which may worsen hyperglycemia, diarrhea, rash and other toxicities.

How serious is the interaction between Capivasertib and Itraconazole?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible. If unavoidable, reduce the capivasertib dose per labeling and monitor glucose and adverse effects.

What other medicines interact with Itraconazole?

MediHelp also lists interactions of Itraconazole with, for example, Alfuzosin, Alprazolam, Avanafil. The full list is on the Itraconazole page.

Full monographs, dosing and an interaction checker in the MediHelp app

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