Itraconazole and Methadone Interaction

Drug interaction information between Itraconazole and Methadone.

Itraconazole and Methadone have a documented major interaction in FDA labeling.

FDA drug labeling documents a major-severity interaction between Itraconazole and Methadone. 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

Itraconazole

Azole Antifungal

Drug B

Methadone

Opioid Agonist

How They Interact

Itraconazole prevents your body from clearing methadone, which can lead to a dangerous buildup and breathing issues.

FDA Label Information

Analgesics Methadone Contraindicated during and 2 weeks after itraconazole treatment.

Frequently Asked Questions

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

Compiled FDA labeling labels this pair major. 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 Methadone's 41. In the major band specifically: Itraconazole has 19 (also Isavuconazonium, Lurasidone, Pimozide, Midazolam); Methadone has 2 (also Safinamide).

What mechanism field is on file for Itraconazole and Methadone?

Itraconazole prevents your body from clearing methadone, which can lead to a dangerous buildup and breathing issues.

Itraconazole carries more major-labeled pairs than Methadone

SPL source-record counts only. This page's band is major · classes on file: Itraconazole (Azole Antifungal); Methadone (Opioid Agonist).

Itraconazole has 19 major-labeled pairs vs Methadone's 2.

Itraconazole

19 major · 20 moderate · 77 minor · 116 total

Methadone

2 major · 2 moderate · 37 minor · 41 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.