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What the FDA labels say about taking them together

Fentanyl and itraconazole

Itraconazole's FDA label of July 13, 2026 names fentanyl in its drug interactions section; the fentanyl labels PlainMeds reads (2) do not name itraconazole. The itraconazole label: “Fentanyl Not recommended during and 2 weeks after TOLSURA treatment.”

Check it at the source: the fentanyl FDA label on DailyMed (effective March 6, 2026, Hikma Pharmaceuticals USA Inc.); the itraconazole FDA label on DailyMed (effective July 13, 2026, Janssen Pharmaceuticals, Inc.).

What does the fentanyl label say about itraconazole?

Fentanyl's label (effective March 6, 2026) and its 1 other brand-application label do not name itraconazole in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Fentanyl Citrate), Hikma Pharmaceuticals USA Inc., effective March 6, 2026 (SPL set ce5db1c2-feb1-4ad2-847a-d02e865bd47e), via openFDA; the full label on DailyMed

What does the itraconazole label say about fentanyl?

Itraconazole label, drug interactions

Fentanyl 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

6Fentanyl generic labelers
11Itraconazole generic labelers
FentanylItraconazole
Labeled forPainFungal infections
Boxed warningYesYes
Pharmacy cost (NADAC)$1.79 per mL 100 mcg/2 mL vial$0.910 per capsule 100 mg capsule
Shortage nowIn shortageA 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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