Eloza SB is used for the treatment of various fungal infections, including:
Itraconazole is also indicated for systemic fungal infections such as candidiasis, aspergillosis, and cryptococcosis, including cryptococcal meningitis. It may also be used as maintenance therapy in patients with AIDS to prevent relapse of underlying fungal infections and for prophylaxis against fungal infections during prolonged neutropenia.
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Itraconazole is an orally active triazole antifungal agent with broad-spectrum antifungal activity. It inhibits fungal cytochrome P450-dependent enzymes involved in the biosynthesis of ergosterol, an essential component of the fungal cell membrane.
Inhibition of ergosterol synthesis disrupts fungal cell membrane integrity and function, resulting in impaired membrane permeability, altered membrane-bound enzyme activity, abnormal cell-wall formation, and inhibition of fungal growth.
Eloza SB uses SUBA (Super Bio-available) technology, in which itraconazole is formulated as a solid dispersion in a polymer. This technology improves the dissolution and bioavailability of the poorly water-soluble drug compared with conventional crystalline itraconazole formulations.
| Indication | Recommended Dose |
|---|---|
| Vulvovaginal candidiasis | 130 mg twice daily for 1 day |
| Pityriasis versicolor | 65 mg twice daily for 7 days |
| Tinea corporis / Tinea cruris | 65 mg once daily for 15 days or 65 mg twice daily for 7 days |
| Tinea pedis / Tinea manuum | 65 mg once daily for 30 days |
| Oropharyngeal candidiasis | 65 mg once daily for 15 days; 65 mg twice daily for 15 days may be used in AIDS or neutropenic patients because of impaired absorption |
| Onychomycosis | 65 mg twice daily for 3 months, or pulse therapy with 130 mg twice daily for 7 days, with subsequent courses repeated after a 21-day interval. Fingernail infection generally requires 2 courses and toenail infection 3 courses. |
Common or reported adverse effects include:
Less common but potentially serious reactions include:
Patients should seek medical attention if symptoms of severe allergic reaction, liver injury, heart failure, or severe skin reaction
| Indication | Recommended Dose |
|---|---|
| Vulvovaginal candidiasis | 200 mg twice daily for 1 day |
| Pityriasis versicolor | 200 mg once daily for 7 days |
| Tinea corporis / Tinea cruris | 100 mg once daily for 15 days or 200 mg once daily for 7 days |
| Tinea pedis / Tinea manuum | 100 mg once daily for 30 days |
| Oropharyngeal candidiasis | 100 mg once daily for 15 days. In patients with AIDS or neutropenia, 200 mg once daily for 15 days may be used because of impaired absorption. |
| Onychomycosis | 200 mg once daily for 3 months, or pulse therapy with 200 mg twice daily for 7 days. Pulse courses are repeated after a 21-day interval. Fingernail infection generally requires 2 courses and toenail infection 3 courses. |
| Indication | Recommended Dose |
|---|---|
| Aspergillosis | 65 mg twice daily for 2–5 months; increase to 130 mg twice daily for invasive or disseminated disease |
| Candidiasis | 65–130 mg once daily for 3 weeks to 7 months; increase to 130 mg twice daily for invasive or disseminated disease |
| Non-meningeal cryptococcosis | 65 mg twice daily for 10 weeks |
| Cryptococcal meningitis | 130 mg twice daily for 2–6 months |
| Histoplasmosis | 130 mg once or twice daily for 8 months |
| Maintenance therapy in AIDS | 65 mg twice daily until immune recovery |
| Prophylaxis during neutropenia | 65 mg twice daily until immune recovery |
The dose and duration should be determined by the treating physician based on the clinical condition and response to therapy.
| Indication | Recommended Dose |
|---|---|
| Vulvovaginal candidiasis | 130 mg twice daily for 1 day |
| Pityriasis versicolor | 65 mg twice daily for 7 days |
| Tinea corporis / Tinea cruris | 65 mg once daily for 15 days or 65 mg twice daily for 7 days |
| Tinea pedis / Tinea manuum | 65 mg once daily for 30 days |
| Oropharyngeal candidiasis | 65 mg once daily for 15 days; 65 mg twice daily for 15 days may be used in AIDS or neutropenic patients because of impaired absorption |
| Onychomycosis | 65 mg twice daily for 3 months, or pulse therapy with 130 mg twice daily for 7 days, with subsequent courses repeated after a 21-day interval. Fingernail infection generally requires 2 courses and toenail infection 3 courses. |
| Indication | Recommended Dose |
|---|---|
| Aspergillosis | 200 mg once daily for 2–5 months; increase to 200 mg twice daily for invasive or disseminated disease |
| Candidiasis | 100–200 mg once daily for 3 weeks to 7 months; increase to 200 mg twice daily for invasive or disseminated disease |
| Non-meningeal cryptococcosis | 200 mg once daily for 10 weeks |
| Cryptococcal meningitis | 200 mg twice daily for 2–6 months |
| Histoplasmosis | 200 mg once or twice daily for 8 months |
| Maintenance therapy in AIDS | 200 mg once daily until immune recovery |
| Prophylaxis during neutropenia | 200 mg once daily until immune recovery |
The dose and duration of systemic antifungal treatment should be individualized according to the patient's clinical response and the treating physician's assessment.
Itraconazole is a potent inhibitor of CYP3A4 and can cause clinically significant interactions with numerous medicines.
Concomitant use may be contraindicated or require specialist management with medicines such as:
Significant interactions may also occur with:
Patients should inform their doctor about all prescription medicines, over-the-counter medicines, vitamins, and herbal products they are taking before starting itraconazole.
Pediatric itraconazole dosing should be prescribed by a specialist and may require therapeutic drug monitoring.
For children >4 weeks to <12 years, a commonly used treatment dose is 1.25–2 mg/kg per dose twice daily, up to a maximum initial dose of 100 mg per dose. For severe infections, the dose may be increased under specialist supervision.
The dose should be rounded appropriately to facilitate administration.
For children ≥12 years, a usual dose may be 50–100 mg once daily, with higher doses considered for severe infections under medical supervision.
For prophylaxis in children ≥2 years, a dose of 2.5 mg/kg once daily, up to a maximum initial dose of 200 mg daily, may be used with therapeutic drug monitoring.
Because pediatric dosing varies according to the infection, formulation, age, weight, and clinical condition, itraconazole should not be administered to children without appropriate medical supervision.
Itraconazole should generally not be used during pregnancy unless specifically prescribed for a serious fungal infection when the potential benefit justifies the potential risk.
Breastfeeding is generally not recommended during treatment with itraconazole unless specifically advised by a healthcare professional.
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At ePharma, we’re committed to providing accurate and accessible health information. However, all content is intended for informational purposes only and should not replace medical advice from a qualified physician. Please consult your healthcare provider for personalized guidance. We aim to support, not substitute, the doctor-patient relationship.