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Drug interactions

Itraconazole + Macimorelin

Severity: Moderate

Itraconazole and Macimorelin: moderate 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

Macimorelin can prolong the QT interval, and itraconazole adds to this effect. Combined use is a concern in a diagnostic setting where it can be avoided.

What this interaction means in plain words

Itraconazole and Macimorelin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Itraconazole belongs to Anti Fungals; Macimorelin belongs to Endocrine.

Evidence level: Low

Why it happens

Additive pharmacodynamic QT interval prolongation.

What to do

Avoid giving macimorelin during itraconazole therapy where feasible, or postpone the test. If testing is necessary, check ECG and electrolytes.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Macimorelin?

MediHelp rates the interaction as moderate. Itraconazole and Macimorelin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Macimorelin can prolong the QT interval, and itraconazole adds to this effect. Combined use is a concern in a diagnostic setting where it can be avoided.

How serious is the interaction between Itraconazole and Macimorelin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid giving macimorelin during itraconazole therapy where feasible, or postpone the test. If testing is necessary, check ECG and electrolytes.

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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