Does Alprazolam Interact With Itraconazole?
Examples Ketoconazole, itraconazole, clarithromycin Moderate or Weak Inhibitors of CYP3A Clinical implication Concomitant use of alprazolam with CYP3A inhibitors may increase the concentrations of alprazolam, resulting in increased risk of adverse reactions of alprazolam [see Clinical Pharmacology (12.3) ].
Severity: Moderate
Severity basis: drug interactions section (keywords: increased risk, may increase). Combining Alprazolam (Benzodiazepine) and Itraconazole (Azole antifungal (strong CYP3A4 inhibitor)) is classified as a moderate interaction.
What to Do
Use this combination with caution. Your prescriber may monitor you more closely or adjust doses.
How This Interaction Works
Interactions like this one can happen when two medicines have overlapping effects, or when one changes how the other is absorbed, broken down, or cleared from the body. Alprazolam is a benzodiazepine and Itraconazole is a azole antifungal (strong cyp3a4 inhibitor); together they are documented as a moderate interaction. How much this matters depends on your dose, your other medications, and your overall health.
If You Take Both Medications
If you have been prescribed both Alprazolam and Itraconazole, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.
From the FDA Label
Examples Ketoconazole, itraconazole, clarithromycin Moderate or Weak Inhibitors of CYP3A Clinical implication Concomitant use of alprazolam with CYP3A inhibitors may increase the concentrations of alprazolam, resulting in increased risk of adverse reactions of alprazolam [see Clinical Pharmacology (12.3) ].
Source: FDA structured product labeling (set_id 02840ea6-e4a0-96a0-e063-6394a90a19ae).
Itraconazole
Azole antifungal (strong CYP3A4 inhibitor)
Brands: Sporanox, Tolsura
View Itraconazole safety profileCheck these against your full medication list in our free Interaction Checker
Frequently Asked Questions
Can you take Alprazolam and Itraconazole together?
Alprazolam and Itraconazole have a documented moderate interaction. Use this combination with caution. Your prescriber may monitor you more closely or adjust doses.
How serious is the Alprazolam and Itraconazole interaction?
It is classified as a moderate interaction, based on the FDA label's drug interactions section (keywords: increased risk, may increase). A moderate interaction can be clinically meaningful and usually calls for monitoring or a dose adjustment.
What should I do if I'm taking both Alprazolam and Itraconazole?
If you have been prescribed both Alprazolam and Itraconazole, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.
This information is educational — not medical advice.
This page is provided for general educational purposes and summarizes publicly available data from sources such as the U.S. Food & Drug Administration. It is not a substitute for the judgment of a licensed clinician and should not be used to start, stop, or change any medication. It may be incomplete or out of date, and individual circumstances vary. Always talk with your prescriber or pharmacist about your specific medications and health conditions. If you think you may have a medical emergency, call 911.
Other Alprazolam Interactions
- Alprazolam + Carbamazepine(moderate)
- Alprazolam + Clarithromycin(moderate)
- Alprazolam + Fluoxetine(moderate)
- Alprazolam + Ketoconazole(moderate)
- Alprazolam + Buprenorphine Naloxone(minor)
- Alprazolam + Codeine(minor)
- Alprazolam + Digoxin(minor)
- Alprazolam + Mirtazapine(minor)
- Alprazolam + Morphine(minor)
- Alprazolam + Oxycodone(minor)
- Alprazolam + Phenytoin(minor)
- Alprazolam + Tramadol(minor)
- Alprazolam + Venlafaxine(minor)
- Alprazolam + Warfarin(minor)
Other Itraconazole Interactions
- Itraconazole + Colchicine(contraindicated)
- Itraconazole + Lovastatin(contraindicated)
- Itraconazole + Simvastatin(contraindicated)
- Itraconazole + Ticagrelor(contraindicated)
- Itraconazole + Apixaban(major)
- Itraconazole + Carbamazepine(major)
- Itraconazole + Fluticasone Salmeterol(major)
- Itraconazole + Phenytoin(major)
- Itraconazole + Rifampin(major)
- Itraconazole + Rivaroxaban(major)
- Itraconazole + Sildenafil(major)
- Itraconazole + Tadalafil(major)
- Itraconazole + Tamsulosin(major)
- Itraconazole + Trazodone(major)
- Itraconazole + Aripiprazole(moderate)
- Itraconazole + Atorvastatin(moderate)
- Itraconazole + Budesonide(moderate)
- Itraconazole + Buprenorphine Naloxone(moderate)
- Itraconazole + Buspirone(moderate)
- Itraconazole + Ciprofloxacin(moderate)
- Itraconazole + Clarithromycin(moderate)
- Itraconazole + Cyclosporine(moderate)
- Itraconazole + Dabigatran(moderate)
- Itraconazole + Dexamethasone(moderate)
- Itraconazole + Diazepam(moderate)
- Itraconazole + Digoxin(moderate)
- Itraconazole + Diltiazem(moderate)
- Itraconazole + Fluticasone(moderate)
- Itraconazole + Methylprednisolone(moderate)
- Itraconazole + Mirtazapine(moderate)
- Itraconazole + Oxybutynin(moderate)
- Itraconazole + Oxycodone(moderate)
- Itraconazole + Quetiapine(moderate)
- Itraconazole + Risperidone(moderate)
- Itraconazole + Tacrolimus(moderate)
- Itraconazole + Venlafaxine(moderate)
- Itraconazole + Verapamil(moderate)
- Itraconazole + Warfarin(moderate)
- Itraconazole + Eszopiclone(minor)
- Itraconazole + Famotidine(minor)
- Itraconazole + Ketoconazole(minor)
- Itraconazole + Lansoprazole(minor)
- Itraconazole + Meloxicam(minor)
- Itraconazole + Montelukast(minor)
- Itraconazole + Pantoprazole(minor)