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What the FDA labels say about taking them together

Itraconazole and thiotepa

Thiotepa's FDA label of January 30, 2026 names itraconazole in its drug interactions section; the itraconazole labels PlainMeds reads (2) do not name thiotepa. The thiotepa label: “Avoid co-administration of strong CYP3A4 inhibitors and strong CYP3A4 inducers with TEPADINA due to the potential effects on efficacy and toxicity.”

Check it at the source: the itraconazole FDA label on DailyMed (effective July 13, 2026, Janssen Pharmaceuticals, Inc.); the thiotepa FDA label on DailyMed (effective January 30, 2026, Amneal Pharmaceuticals LLC).

What does the itraconazole label say about thiotepa?

Itraconazole's label (effective July 13, 2026) and its 1 other brand-application label do not name thiotepa in these sections. A label lists what its studies and reports found; it is not a complete list.

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 thiotepa label say about itraconazole?

Thiotepa label, drug interactions

Avoid co-administration of strong CYP3A4 inhibitors (e.g., itraconazole, clarithromycin, ritonavir) and strong CYP3A4 inducers (e.g., rifampin, phenytoin) with TEPADINA due to the potential effects on efficacy and toxicity [see Clinical Pharmacology ( 12.3 ) ].

Source: FDA drug label (TEPADINA), NDA208264 (Adienne Sa), as published by Amneal Pharmaceuticals LLC, effective January 30, 2026 (SPL set 559e353c-2dc0-16ba-e054-00144ff8d46c), 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
7Thiotepa generic labelers
ItraconazoleThiotepa
Labeled forFungal infectionsOrgan transplant rejection
Boxed warningYesYes
Pharmacy cost (NADAC)$0.910 per capsule 100 mg capsulen/a
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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