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Drug interactions

Itraconazole + Leniolisib

Severity: Major

Itraconazole and Leniolisib: 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 may raise leniolisib concentrations because leniolisib is metabolized mainly by CYP3A4. Increased exposure may heighten adverse effects of leniolisib.

What this interaction means in plain words

Itraconazole and Leniolisib 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 belongs to Anti Fungals; Leniolisib belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Strong CYP3A4 inhibition reduces leniolisib clearance.

What to do

Avoid co-administration where possible and use a non-CYP3A-inhibiting antifungal. If used together, monitor for leniolisib 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 Itraconazole with Leniolisib?

MediHelp rates the interaction as major. Itraconazole and Leniolisib 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 may raise leniolisib concentrations because leniolisib is metabolized mainly by CYP3A4. Increased exposure may heighten adverse effects of leniolisib.

How serious is the interaction between Itraconazole and Leniolisib?

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 co-administration where possible and use a non-CYP3A-inhibiting antifungal. If used together, monitor for leniolisib 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.

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