Ivabradine and Voriconazole Interaction

Drug interaction information between Ivabradine and Voriconazole.

Ivabradine and Voriconazole have a documented major interaction in FDA labeling.

FDA drug labeling documents a major-severity interaction between Ivabradine and Voriconazole. 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

Ivabradine

HCN Channel Blocker

Drug B

Voriconazole

Azole Antifungal

How They Interact

Voriconazole stops the body from breaking down ivabradine, which can lead to dangerously high levels of the drug in the blood. This increase can cause serious and potentially life-threatening heart rhythm problems.

FDA Label Information

Pimozide, Quinidine, Ivabradine (CYP3A4 Inhibition) Not Studied In Vivo or In Vitro , but Drug Plasma Exposure Likely to be Increased Contraindicated because of potential for QT prolongation and rare occurrence of torsade de pointes.

Frequently Asked Questions

What SPL severity band is on file for Ivabradine + Voriconazole?

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?

Voriconazole has 50 labeled pairs on file vs Ivabradine's 10. In the major band specifically: Ivabradine has 4 (also Darunavir, Itraconazole, Nirmatrelvir/Ritonavir); Voriconazole has 8 (also Norethindrone, Rifampin, Lurasidone, Pimozide).

What mechanism field is on file for Ivabradine and Voriconazole?

Voriconazole stops the body from breaking down ivabradine, which can lead to dangerously high levels of the drug in the blood. This increase can cause serious and potentially life-threatening heart rhythm problems.

Voriconazole carries more major-labeled pairs than Ivabradine

SPL source-record counts only. This page's band is major · classes on file: Ivabradine (HCN Channel Blocker); Voriconazole (Azole Antifungal).

Voriconazole has 8 major-labeled pairs vs Ivabradine's 4.

Ivabradine

4 major · 2 moderate · 4 minor · 10 total

Voriconazole

8 major · 9 moderate · 33 minor · 50 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.