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What the FDA labels say about taking them together

Alfuzosin and itraconazole

Alfuzosin's FDA label of December 5, 2024 names itraconazole in its contraindications section, and itraconazole's label names alfuzosin too. The itraconazole label: “Concomitant Drug Within Class: Alfuzosin Silodosin Tamsulosin; Prevention or Management: Not recommended during and 2 weeks after TOLSURA treatment.”

Check it at the source: the alfuzosin FDA label on DailyMed (effective December 5, 2024, Advanz Pharma (US) Corp.); the itraconazole FDA label on DailyMed (effective July 13, 2026, Janssen Pharmaceuticals, Inc.).

What does the alfuzosin label say about itraconazole?

Alfuzosin label, contraindications

CONTRAINDICATIONS UROXATRAL is contraindicated for use: in patients with moderate or severe hepatic impairment (Childs-Pugh categories B and C), since alfuzosin blood levels are increased in these patients [see Use in Specific Populations (8.7) and Clinical Pharmacology (12.3) ]. with potent CYP3A4 inhibitors such as ketoconazole, itraconazole, and ritonavir, since alfuzosin blood levels are increased [see Drug Interactions (7.1) and Clinical Pharmacology (12.3) ]. …

Alfuzosin label, drug interactions

CYP3A4 Inhibitors UROXATRAL is contraindicated for use with potent CYP3A4 inhibitors such as ketoconazole, itraconazole, or ritonavir, since alfuzosin blood levels are increased [see Contraindications (4), Warnings and Precautions (5.4) and Clinical Pharmacology (12.3) ].

Alfuzosin label, warnings and precautions

Drug-Drug Interactions Potent CYP3A4 Inhibitors: UROXATRAL is contraindicated for use with potent CYP3A4 inhibitors (e.g. ketoconazole, itraconazole, ritonavir) since alfuzosin blood levels are increased [see Contraindications (4), Drug Interactions (7.1) and Clinical Pharmacology (12.3) ].

Source: FDA drug label (Uroxatral), Advanz Pharma (US) Corp., effective December 5, 2024 (SPL set 9fc7f119-f36b-44cf-945d-940160f3afe3), via openFDA; the full label on DailyMed

What does the itraconazole label say about alfuzosin?

Itraconazole label, drug interactions

Examples of Concomitant Drugs Within Class: Alfuzosin Silodosin Tamsulosin; Prevention or Management: Not recommended during and 2 weeks after SPORANOX ® treatment.

Source: FDA drug label (Tolsura, NDA208901), Mayne Pharma Commercial LLC, effective April 23, 2025 (SPL set 306352d1-9d5a-49ad-b72d-893b99546861), via openFDA

Source: FDA drug label (SPORANOX), Janssen Pharmaceuticals, Inc., effective July 13, 2026 (SPL set a4d555fa-787c-40fb-bb7d-b0d4f7318fd0), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

10Alfuzosin generic labelers
11Itraconazole generic labelers
AlfuzosinItraconazole
Labeled forEnlarged prostate (BPH)Fungal infections
Boxed warningNoYes
Pharmacy cost (NADAC)$0.105 per tablet 10 mg tablet$0.910 per capsule 100 mg capsule
Shortage nowNo current entryA presentation being discontinued

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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