Ketoconazole Disease Interactions
There are 2 disease interactions with ketoconazole:
Ketoconazole (Includes Ketoconazole) ↔ Hepatotoxicity
Severe Potential Hazard, High plausibility
Applies to: Liver Disease
The use of oral ketoconazole has been associated with occasional cases of hepatotoxicity. The injuries are typically hepatocellular in nature and reversible upon discontinuation of therapy, although fatalities have been reported rarely. Several cases of hepatitis have been reported in children. Liver function tests should be performed prior to initiation of therapy and regularly during treatment in patients receiving prolonged therapy with ketoconazole, particularly those with a current or past history of liver disease. Therapy should be withdrawn if persistent elevations or worsening of liver enzyme levels occur, or if the abnormalities are accompanied by symptoms of possible liver injury. Since ketoconazole is primarily metabolized by the liver, empirically reducing the dosage may also be appropriate in patients with existing liver disease.
Ketoconazole (Includes Ketoconazole) ↔ Achlorhydria
Moderate Potential Hazard, High plausibility
Applies to: Achlorhydria
Nizoral (brand of ketoconazole) tablets require acidity for proper dissolution and absorption. Therefore, the drug may not be effective in patients with achlorhydria. Taking the medication with an acidic beverage such as orange or cranberry juice may help, but an alternative antifungal agent should be considered.
You should also know about...
ketoconazole drug Interactions
There are 495 drug interactions with ketoconazole
ketoconazole alcohol/food Interactions
There is 1 alcohol/food interaction with ketoconazole
See also...
Drug Interaction Classification
The classifications below are a general guideline only. It is difficult to determine the relevance of a particular drug interaction to any individual given the large number of variables.
| Major | Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. |
| Moderate | Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. |
| Minor | Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. |
Do not stop taking any medications without consulting your healthcare provider.
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