Best Azole Antifungal for blastomycosis
Top-rated pick: Ketoconazole — pharmaranks score 70/100, the highest of the 4 Azole Antifungal drugs used for blastomycosis, ranked by our independent FDA recall-safety score. Compare them with all treatments for blastomycosis or the full Azole Antifungal class. Not medical advice — always consult a professional.
Quick answer: Of the 4 azole antifungal drugs we rate for blastomycosis, all are available as lower-cost generics, and most are tablet. Our ranking reflects each drug’s FDA recall-safety record — not clinical effectiveness for blastomycosis; the right choice depends on your situation, so confirm it with your prescriber.
How azole antifungal work
Azole antifungals block a fungal enzyme (lanosterol 14-alpha-demethylase) that the fungus needs to make ergosterol, a key building block of its cell membrane. Without enough ergosterol the membrane becomes leaky and unstable, which stops the fungus from growing and can cause it to break apart and die.
Source: Antifungal Ergosterol Synthesis Inhibitors — StatPearls, NCBI Bookshelf (NIH)
Top azole antifungal for blastomycosis: 1. Ketoconazole · 2. Nizoral Anti-Dandruff · 3. Tolsura
| # | Drug | Rating | Type | Form | Generic? | Pharmacy pays | |
|---|---|---|---|---|---|---|---|
| 1 | 70/100 | Prescription | Tablet | Generic | $0 | View → | |
| 2 | 70/100 | Over-the-counter | Topical | Generic | $0 | View → | |
| 3 | 70/100 | Prescription | Capsule | Generic | $1 | View → | |
| 4 | 60/100 | Prescription | Suspension | Generic | $0 | View → |
Full ranking · 4 drugs
ketoconazole
PrescriptionFDA-sourced
Ketoconazole is an azole antifungal used to treat Blastomycosis, Chronic Mucocutaneous Candidiasis, Cutaneous Candidiasis, Oral Candidiasis.
Pharmacy pays
From ~$0.08· 4 forms Save up to 53% in classnizoral anti-dandruff
Over-the-counterFDA-sourced
Nizoral Anti-Dandruff (Ketoconazole) is an azole antifungal used to treat Blastomycosis, Chronic Mucocutaneous Candidiasis, Cutaneous Candidiasis, Oral Candidiasis.
Pharmacy pays
From ~$0.08· 4 forms Save up to 53% in classtolsura
Boxed warningPrescriptionFDA-sourced
Tolsura (Itraconazole) is an azole antifungal used to treat Aspergillosis, Blastomycosis, Chronic Mucocutaneous Candidiasis, Oral Candidiasis.
Pharmacy pays
From ~$0.83· 2 forms Save up to 75% in class
diflucan
PrescriptionFDA-sourced
Diflucan (Fluconazole) is an azole antifungal used to treat Blastomycosis, Chronic Mucocutaneous Candidiasis, Oral Candidiasis, Vulvovaginal Candidiasis.
Pharmacy pays
From ~$0.21· 6 forms Save up to 49% in classFrequently asked
- What is the best azole antifungal for blastomycosis?
- By our independent recall-safety rating — not an efficacy measure — ketoconazole ranks highest among Azole Antifungal drugs used for blastomycosis. Always consult a professional.
- Which azole antifungal drugs treat blastomycosis?
- pharmaranks lists 4 Azole Antifungal products used for blastomycosis, per NIH RxClass drug-classification data — each independently rated and ranked above.
- How are these ranked?
- By our independent score, currently based on FDA regulatory recall-safety data (the methodology blends additional sources as they come online). See the How we rate page.