Skip to main content

Two medicines, side by side

Itraconazole vs lovastatin

Itraconazole is labeled for fungal infections; lovastatin for high cholesterol and heart attack and coronary artery disease. Their labels share no use, so they are not alternatives to each other. Drugs@FDA records approvals of itraconazole since 1992 and of lovastatin since 1987. Pharmacies paid $0.910 per itraconazole 100 mg capsule and $0.0436 per lovastatin 20 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, itraconazole is an azole antifungal and lovastatin a hmg-coa reductase inhibitor.

Check it at the source: the itraconazole FDA label on DailyMed (effective July 13, 2026); the lovastatin FDA label on DailyMed (effective May 6, 2026).

Highlights of the itraconazole record

Itraconazole (Sporanox) · label of July 13, 2026

Boxed warning

Congestive Heart Failure, Cardiac Effects and Drug Interactions Congestive Heart Failure and Cardiac Effects SPORANOX ® (itraconazole) Capsules should not be administered for the treatment of onychomycosis in patients with evidence of ventricular dysfunction such as congestive heart failure (CHF) or a history of CHF. If signs or symptoms of congestive heart failure occur during administration of SPORANOX ® Capsules, discontinue administration.

Used for

From the label: indications

SPORANOX ® (itraconazole) Capsules are indicated for the treatment of the following fungal infections in immunocompromised and non-immunocompromised patients: Blastomycosis, pulmonary and extrapulmonary Histoplasmosis, including chronic cavitary pulmonary disease and disseminated, non-meningeal histoplasmosis, and Aspergillosis, pulmonary and extrapulmonary, in patients who are intolerant of or who are refractory to amphotericin B therapy. […]

On the market

Earliest approval on file
September 11, 1992
Generic labelers
11 labelers
Pharmacy cost
$0.910 per capsule

Supply and safety

Shortage
A presentation being discontinued
Recalls
1

Highlights of the lovastatin record

Lovastatin (Mevacor) · label of May 6, 2026

Used for

From the label: indications

Therapy with lovastatin tablets USP should be a component of multiple risk factor intervention in those individuals with dyslipidemia at risk for atherosclerotic vascular disease. […]

On the market

Earliest approval on file
August 31, 1987
Generic labelers
19 labelers
Pharmacy cost
$0.0436 per tablet

Supply and safety

Shortage
No current entry
Recalls
4

Source: FDA drug labels via openFDA (Itraconazole label of July 13, 2026, Lovastatin label of May 6, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do itraconazole and lovastatin differ on the record?

In FDA's classes, itraconazole is an azole antifungal and lovastatin a hmg-coa reductase inhibitor.

Only the itraconazole label carries a boxed warning.

Generics: itraconazole since 2004; lovastatin since 2001 (Drugs@FDA).

ItraconazoleLovastatin
Labeled forFungal infectionsHigh cholesterol, Heart attack and coronary artery disease
Pharmacologic classAzole AntifungalHMG-CoA Reductase Inhibitor
How it works (label)Mechanism of Action In vitro studies have demonstrated that itraconazole inhibits the cytochrome P450-dependent synthesis of ergosterol, which is a vital component of fungal cell membranes.n/a
Half-life (label)The terminal half-life of itraconazole generally ranges from 16 to 28 hours after single dose and increases to 34 to 42 hours with repeated dosing.n/a
Earliest approval on file (Drugs@FDA)September 11, 1992August 31, 1987
First generic approvedMay 28, 2004December 17, 2001
Generic labelers (NDC)11 labelers19 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.910 per capsule (Itraconazole 100 mg capsule)$0.0436 per tablet (Lovastatin 20 mg tablet)
12-month price change-4%-6%
Boxed warningYesNo
Shortage nowA presentation being discontinuedNo current entry
Recalls recorded14
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)11,61025,526
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

Do their labels mention each other?

Itraconazole label, boxed warning

… lurasidone, oral midazolam, pimozide, triazolam, felodipine, nisoldipine, ivabradine, ranolazine, eplerenone, cisapride, naloxegol, lomitapide, lovastatin, simvastatin, avanafil, ticagrelor, finerenone, voclosporin.

Itraconazole label, contraindications

… lurasidone, oral midazolam, pimozide, triazolam, felodipine, nisoldipine, ivabradine, ranolazine, eplerenone, cisapride, naloxegol, lomitapide, lovastatin, simvastatin, avanafil, ticagrelor, finerenone, voclosporin.

Lovastatin label, warnings

These include itraconazole, ketoconazole, posaconazole, voriconazole, the macrolide antibiotics erythromycin and clarithromycin, the ketolide antibiotic telithromycin, HIV protease inhibitors, boceprevir, telaprevir, the antidepressant nefazodone, or cobicistat-containing products.

What both labels say about taking them together

Source: FDA drug labels via openFDA

What next?

Alternatives to itraconazole
every medicine labeled for the same conditions