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What the FDA labels say about taking them together

Itraconazole and phenytoin

Itraconazole's FDA label of July 13, 2026 names phenytoin in its drug interactions section, and phenytoin's label names itraconazole too. The itraconazole label: “Anticonvulsants Phenobarbital Phenytoin Not recommended 2 weeks before and during TOLSURA treatment.”

Check it at the source: the itraconazole FDA label on DailyMed (effective July 13, 2026, Janssen Pharmaceuticals, Inc.); the phenytoin FDA label on DailyMed (effective October 15, 2024, Mylan Pharmaceuticals Inc.).

What does the itraconazole label say about phenytoin?

Itraconazole label, drug interactions

Anticonvulsants Phenobarbital Phenytoin Not recommended 2 weeks before and during 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

What does the phenytoin label say about itraconazole?

Phenytoin label, drug interactions

Interacting Agent: Azoles; Examples: Fluconazole, ketoconazole, itraconazole, miconazole, voriconazole

Source: FDA drug label (Phenytek), Mylan Pharmaceuticals Inc., effective October 15, 2024 (SPL set 0f94c791-8b07-4b41-927e-c9f28bec5f60), 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

11Itraconazole generic labelers
29Phenytoin generic labelers
ItraconazolePhenytoin
Labeled forFungal infectionsSeizures and epilepsy
Boxed warningYesNo
Pharmacy cost (NADAC)$0.910 per capsule 100 mg capsule$0.145 per capsule 100 mg capsule
Shortage nowA presentation being discontinuedNo current entry

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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