Busulfan and Itraconazole interaction

Busulfan and Itraconazole: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Busulfan (MYLERAN) label · effective 2025-01-08

Moderate

The concomitant systemic administration of itraconazole to patients receiving high-dose MYLERAN may result in reduced busulfan clearance (see CLINICAL PHARMACOLOGY).

Drug interactionsnames ItraconazoleView label on DailyMed
Moderate

Patients should be monitored for signs of busulfan toxicity when itraconazole is used concomitantly with MYLERAN.

Drug interactionsnames ItraconazoleView label on DailyMed

From the Itraconazole (Tolsura) label · effective 2025-04-23

Moderate

Bortezomib Brentuximab-vedotin Busulfan Erlotinib Gefitinib Idelalisib Imatinib Ixabepilone Nintedanib Panobinostat Ponatinib Ruxolitinib Sonidegib Vandetanib Monitor for adverse reactions.

Drug interactionsnames BusulfanView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.