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sporanox

Pharmaranks rates Sporanox 3.5/5 for recall safety — an independent score from its FDA recall history and its manufacturer's record. Sporanox (Itraconazole) is an azole antifungal used to treat Aspergillosis, Blastomycosis, Chronic Mucocutaneous Candidiasis, Oral Candidiasis.

Itraconazole · by Janssen Pharms

70/100Limited · 1 source

Based on 1 source · Recall-safety score from FDA recall history — this product's own recalls and its manufacturer's record. Not an efficacy or quality rating. methodology →

Rated against independent regulatory sources·Last updated August 20, 2026·How we rate
Verified againstopenFDANIH DailyMedRxClass
$0.84 /mL
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This medication~$0.84
Cheapest in class · clotrimazole~$0.21
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Key facts

Active ingredient
Itraconazole
Form
Capsule
Strength
Itraconazole 10MG/ML **Federal Register Determination That Product was not Discontinued or Withdrawn for Safety or Effectiveness reasons**
Type
Prescription (Rx)
Brand or generic
Brand-name
Manufacturer
Janssen Pharms
Half-life
Terminal (elimination) half-life is about 16 to 28 hours after a single dose, rising to roughly 34 to 42 hours with repeated (steady-state) dosing. (how long it stays in your system)
What the pharmacy pays
~$0.84 per ml — not your price
FDA application
NDA020657
Availability
Discontinued (per FDA)

How long does Itraconazole stay in your body?

The elimination half-life of itraconazole is Terminal (elimination) half-life is about 16 to 28 hours after a single dose, rising to roughly 34 to 42 hours with repeated (steady-state) dosing. — the time it takes the body to clear about half of it. As a rule of thumb, a medicine is mostly gone after roughly 4 to 5 half-lives, though this varies from person to person with age and kidney or liver function. The label reports the terminal half-life explicitly (not a distribution phase). Itraconazole has an ACTIVE metabolite, hydroxy-itraconazole, whose in-vitro antifungal activity is comparable to the parent and whose trough plasma concentrations are about twice those of itraconazole, so effective antifungal exposure persists beyond the parent's half-life. Populations: in cirrhotic (hepatic impairment) subjects the elimination half-life roughly doubled to about 37 hours (vs ~16 hours in healthy subjects after a single 100 mg capsule). In renal impairment, the mean terminal half-life was similar to healthy subjects (range of means ~42-49 hours vs 48 hours after a single IV dose), though overall AUC exposure fell ~30-40% in moderate-to-severe impairment; dialysis has no effect on itraconazole or hydroxy-itraconazole half-life. The label does not give a separate geriatric half-life. Note also non-linear pharmacokinetics: itraconazole accumulates with multiple dosing (clearance saturates), which is why the half-life lengthens at steady state.

This is general information, not medical advice. It doesn’t tell you when a drug test would read negative (tests detect substances for different, often longer, windows) or when it’s safe to take another dose — ask your pharmacist or prescriber. Source: Itraconazole capsules — FDA label (DailyMed), Clinical Pharmacology, Pharmacokinetics and Metabolism.

Drug class

How this class works, per Antifungal Ergosterol Synthesis Inhibitors — StatPearls, NCBI Bookshelf (NIH).

May treat (source: NIH RxClass)

Dosage forms

Capsule

The forms currently marketed in the U.S., per the FDA National Drug Code Directory.

Ways to save

Ask for the generic

Same active ingredient, far cheaper. Is there a generic? →

Request a 90-day supply

Bulk fills usually lower the per-dose price vs monthly refills.

Use copay cards

Manufacturer copay cards & patient-assistance programs — especially for brand drugs.

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Frequently asked questions

What does Sporanox treat?
Sporanox (Itraconazole) may be used to treat aspergillosis, blastomycosis, chronic mucocutaneous candidiasis, oral candidiasis, vulvovaginal candidiasis, coccidioidomycosis, based on NIH RxClass drug-classification data (conditions a drug may treat — not a verbatim copy of the FDA-approved label). This is general reference, not medical advice.
How does Sporanox work?
Sporanox is a azole antifungal. 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.
How is Sporanox rated?
pharmaranks gives Sporanox a composite score of 3.5 out of 5, currently based on 1 weighted source (FDA regulatory recall-safety data weighted highest). See our methodology at /how-we-rate.
How much does Sporanox cost?
Nobody can tell you what you will pay — your price is set by your insurer's formulary, your deductible and the pharmacy's markup, and none of those are published. What IS published is what the pharmacy paid to acquire it: about $0.84 per ml, per the CMS NADAC survey. Treat that as the floor, not the quote — ask the pharmacist for the cash price as well as your copay, because for cheap generics the cash price often wins. Pharmacies pay less for a same-class option, Clotrimazole — about $0.21 on the same basis.
Is there a coupon or discount for Sporanox?
pharmaranks is an independent ratings site, not a pharmacy — we don't issue coupons or sell Sporanox. To pay less, ask your prescriber or pharmacist whether a generic equivalent exists, check the manufacturer's copay/savings card and patient-assistance program, and compare a pharmacy discount card against your insurance copay. Prices vary by pharmacy, insurance, and location, so always confirm at the counter. This is general reference, not medical or financial advice.
Who makes Sporanox?
Sporanox is marketed by Janssen Pharms. You can see Janssen Pharms's full profile, rating, and other products on pharmaranks.
Is Sporanox a brand-name or generic drug?
Sporanox is a brand-name product with the active ingredient Itraconazole.
Is Sporanox available over the counter?
No. Sporanox is a prescription (Rx) medication in the US — you need a prescription from a licensed clinician (in person or via telehealth); it isn't sold over the counter. For some conditions there are OTC alternatives — ask your pharmacist.
What forms does Sporanox come in?
Sporanox is currently marketed as capsule, per the FDA's National Drug Code Directory.
What class of drug is Sporanox?
Sporanox is classified as azole antifungal, per the FDA's Established Pharmacologic Class.
Is Sporanox FDA-registered?
Sporanox is on record with the U.S. FDA under application number NDA020657. You can verify this on its official FDA label.
Has Sporanox been recalled by the FDA?
Sporanox has no FDA recalls recorded under its own application in the openFDA enforcement database. Its recall-safety score reflects its manufacturer's overall recall record. This is general reference, not medical advice — check the FDA recall database for the latest alerts.
Is Sporanox safe?
There's no single safe-or-not verdict. pharmaranks gives Sporanox a recall-safety score of 70/100, based on its FDA recall history (no recalls under its own FDA application) — not an efficacy or side-effect rating. Review its FDA-label side effects and warnings before use, and always consult a licensed professional.

Information is sourced from public FDA regulatory data. Provided for general reference only — not medical advice. Always consult a licensed professional and the current prescribing information.

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