Aliskiren and Itraconazole Interaction

Drug interaction information between Aliskiren and Itraconazole.

Aliskiren and Itraconazole have a documented moderate interaction in FDA labeling.

FDA drug labeling documents a moderate-severity interaction between Aliskiren and Itraconazole. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Aliskiren

Direct Renin Inhibitor

Drug B

Itraconazole

Azole Antifungal

How They Interact

Itraconazole stops the enzymes that normally remove aliskiren from your system. This makes the blood pressure medicine stay in your body longer than it should.

FDA Label Information

Aliskiren a Riociguat Sildenafil (for pulmonary hypertension) Tadalafil (for pulmonary hypertension) Not recommended during and 2 weeks after itraconazole treatment.

Frequently Asked Questions

What SPL severity band is on file for Aliskiren + Itraconazole?

Compiled FDA labeling labels this pair moderate. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Itraconazole has 116 labeled pairs on file vs Aliskiren's 28. In the moderate band specifically: Aliskiren has 3 (also Cyclosporine, Nirmatrelvir/Ritonavir); Itraconazole has 20 (also Tamsulosin, Rivaroxaban, Tenofovir Disoproxil, Glecaprevir/Pibrentasvir).

What mechanism field is on file for Aliskiren and Itraconazole?

Itraconazole stops the enzymes that normally remove aliskiren from your system. This makes the blood pressure medicine stay in your body longer than it should.

Aliskiren carries more major-labeled pairs than Itraconazole

SPL source-record counts only. This page's band is moderate · classes on file: Aliskiren (Direct Renin Inhibitor); Itraconazole (Azole Antifungal).

Aliskiren has 22 major-labeled pairs vs Itraconazole's 19. This page itself is in the moderate band, not the major band.

Aliskiren

22 major · 3 moderate · 3 minor · 28 total

Itraconazole

19 major · 20 moderate · 77 minor · 116 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.