ketoconazole vs levomilnacipran

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Side-by-side comparison of ketoconazole and levomilnacipran. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

minor Known Drug Interaction

Examples: Ketoconazole, itraconazole, clarithromycin Alcohol Clinical Impact: Concomitant use of FETZIMA and alcohol may result in accelerated release of levomilnacipran.

Drug Class
ketoconazole Azole Antifungal
levomilnacipran Serotonin-Norepinephrine Reuptake Inhibitor (SNRI)
Type
ketoconazole Over-the-Counter
levomilnacipran Prescription
Summary
ketoconazole

Ketoconazole shampoo is an antifungal medicine. It treats a fungal infection on your skin.

levomilnacipran

Fetzima is a medicine used to treat major depressive disorder (MDD) in adults. It helps to improve your mood by affecting certain chemicals in the brain.

What It Treats
ketoconazole

This shampoo treats tinea versicolor, a fungal infection. This infection can cause patches on your skin that are lighter or darker than the surrounding skin. These patches may appear on your trunk, neck, arms, and upper thighs.

levomilnacipran

Fetzima is used to treat major depressive disorder (MDD) in adults. MDD can cause you to feel sad, lose interest in activities, and have trouble with daily life. Fetzima can help improve your mood and reduce these symptoms.

How It Works
ketoconazole

Ketoconazole is an antifungal medicine. It works by stopping the growth of the fungus. This helps to clear up the infection.

levomilnacipran

Fetzima is a type of drug called a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by increasing the levels of serotonin and norepinephrine in your brain. These chemicals can help improve your mood and reduce symptoms of depression.

Common Side Effects
ketoconazole

No common side effects listed.

levomilnacipran
  • Nausea
  • Constipation
  • Increased sweating
  • Increased heart rate
  • Erectile dysfunction
FAERS Reports
ketoconazole
  • Fatigue 929
  • Pruritus 902
  • Nausea 834
  • Rash 802
  • Diarrhoea 760
levomilnacipran
  • Pain 210
  • Vomiting 208
  • Memory Impairment 189
  • Paraesthesia 179
  • Hypoaesthesia 178
Serious Warnings
ketoconazole

You should not use this shampoo if you are allergic to ketoconazole or any of the other ingredients.

levomilnacipran

Antidepressants may increase the risk of suicidal thoughts and behaviors in young adults. Your doctor should closely watch you for worsening depression or suicidal thoughts. Fetzima is not approved for use in children.

Pregnancy
ketoconazole

It is not known if ketoconazole shampoo can harm an unborn baby. Talk to your doctor if you are pregnant or breastfeeding before using this medicine.

levomilnacipran

Tell your doctor if you are pregnant or plan to become pregnant. Using Fetzima in the last months of pregnancy may cause problems in the newborn. There is a pregnancy registry for women who take antidepressants during pregnancy.

Also Compare, Nearby Drugs

How to Read This ketoconazole vs levomilnacipran Comparison

ketoconazole is classified in the Azole Antifungal drug class, while levomilnacipran sits within the Serotonin-Norepinephrine Reuptake Inhibitor (SNRI) class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are split between OTC and prescription status, which affects access and supervision.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, ketoconazole has 4,227 submissions while levomilnacipran has 964. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known minor interaction flagged in FDA labeling, attributed to ketoconazole can slow down how your body breaks down levomilnacipran, which may cause the drug to build up in your system.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for ketoconazole or levomilnacipran.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.