Itraconazole Capsules (Tolsura) and Marcaine/Epinephrine
Determining the interaction of Itraconazole Capsules (Tolsura) and Marcaine/Epinephrine and the possibility of their joint administration.
In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.
Consumer:Consumer information for this minor interaction is not currently available. Some minor drug interactions may not be clinically relevant in all patients. Minor drug interactions do not usually cause harm or require a change in therapy. However, your healthcare provider can determine if adjustments to your medications are needed.
Professional:Itraconazole may increase plasma concentrations of bupivacaine. After itraconazole 200 mg/day orally for 4 days and single intravenous doses of bupivacaine 0.3 mg/kg were administered to healthy subjects, the plasma clearance of R- and S-bupivacaine was decreased by 20 to 25%. The mechanism is unknown, but may involve inhibition of CYP450 3A4 metabolism by itraconazole. The clinical significance is unknown, especially with regard to therapeutic doses of bupivacaine. Until more information is available, monitoring for cardiotoxicity and altered effects of bupivacaine is recommended if patients are concomitantly receiving itraconazole.
- Palkama VJ, Neuvonen PJ, Olkkola KT "Effect of itraconazole on the pharmacokinetics of bupivacaine enantiomers in healthy volunteers." Br J Anaesth 83 (1999): 659-61
Generic Name: itraconazole
Brand name: Onmel, Sporanox, Sporanox PulsePak, Tolsura
Synonyms: Itraconazole
Generic Name: bupivacaine / epinephrine
Brand name: Marcaine/Epinephrine, Marcaine/Epinephrine PF, Sensorcaine-MPF/EPINEPHrine, Sensorcaine/EPINEPHrine
Synonyms: Marcaine with Epinephrine
In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.
- Itraconazole Capsules (Tolsura)-Marcaine/Epinephrine PF
- Itraconazole Capsules (Tolsura)-Mardrops-EX
- Itraconazole Capsules (Tolsura)-Margesic
- Itraconazole Capsules (Tolsura)-Margesic Oral
- Itraconazole Capsules (Tolsura)-Marinol
- Itraconazole Capsules (Tolsura)-Marlissa
- Marcaine/Epinephrine-Itraconazole Oral Solution
- Marcaine/Epinephrine-Itraconazole Tablets
- Marcaine/Epinephrine-Ivabradine
- Marcaine/Epinephrine-Ivabradine Hydrochloride
- Marcaine/Epinephrine-Ivabradine Oral Solution
- Marcaine/Epinephrine-Ivabradine Tablets