Can you take Lonapegsomatropin with Sporanox?
1 drug interaction and 31 additional warnings found for the following 2 drugs:
- lonapegsomatropin
- Sporanox (itraconazole)
Drug interactions
Moderate drug interactions
Moderate:
itraconazole lonapegsomatropin
Applies to: Sporanox (itraconazole) and lonapegsomatropin
Talk to your healthcare provider before using lonapegsomatropin together with itraconazole as lonapegsomatropin may alter the blood levels and effects of itraconazole. The importance of this interaction may be higher in certain patients, depending on what itraconazole is being used to treat. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Contact your healthcare provider if your symptoms worsen or your condition changes during treatment with these medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Food/lifestyle interactions
Moderate food/lifestyle interactions
Moderate:
itraconazole Food/Lifestyle
Applies to: Sporanox (itraconazole)
Food increases the absorption of itraconazole capsules but decreases the absorption of itraconazole oral solution. Capsules should be taken immediately after a full meal and the solution be taken on an empty stomach to ensure best results.
Disease interactions
30 potential interactions Applies to: 28 conditions, including Underactive Thyroid, Weight Loss, COPD, Arrhythmia, and Breast Cancer.
Achlorhydria
Moderate:
Sporanox
The itraconazole in Sporanox has a moderate potential interaction with Achlorhydria.
Itraconazole 100-mg capsules should be administered after a full meal. Under fasted conditions, absorption of itraconazole from the 100-mg capsule formulation was diminished with decreased gastric acidity. Studies conducted under fasted conditions showed that taking the 100-mg capsule formulation with 8 ounces of a non-diet cola beverage enhanced absorption of itraconazole in AIDS patients with relative or absolute achlorhydria; this increase relative to the effects of a full meal is unknown.
Acute Abdomen
Major:
lonapegsomatropin
Lonapegsomatropin has a major potential interaction with Acute Abdomen.
Treatment with somatropin and somatrogon is contraindicated in patients with acute critical illness due to any complications following open heart surgery, abdominal surgery, multiple trauma, or acute respiratory failure. Patients with these conditions have an increased risk of mortality.
Adrenal Insufficiency
Moderate:
lonapegsomatropin
Lonapegsomatropin has a moderate potential interaction with Adrenal Insufficiency.
Patients with or at risk for pituitary hormone deficiency(s) may experience reduced serum cortisol and/or unmasking of central (secondary) hypoadrenalism. Glucocorticoid replacement may require increased maintenance or stress doses. Monitor for reduced serum cortisol and/or the need for glucocorticoid dose increases.
Arrhythmia
Moderate:
Sporanox
The itraconazole in Sporanox has a moderate potential interaction with Arrhythmia.
Some azole antifungals have been associated with prolongation of the QT interval on the ECG. Rare cases of QT prolongation and torsade de pointes have been reported during postmarketing experience; such reports usually involved seriously ill patients with multiple confounding risk factors, such as structural heart disease, electrolyte abnormalities, and concomitant medications. These drugs should be administered with caution to patients with potentially proarrhythmic conditions, such as congenital/acquired QT prolongation, cardiomyopathy (especially when heart failure is present), sinus bradycardia, and existing symptomatic arrhythmias. Concomitant use with other medications that have potential to increase the risk of cardiotoxicity should be avoided.
Bladder Cancer
Major:
lonapegsomatropin
Lonapegsomatropin has a major potential interaction with Bladder Cancer.
Somatropin and somatrogon are contraindicated in the presence of any active malignancy. Any preexistent malignancy should be inactive and its treatment should be completed prior to somatropin therapy. This includes the presence of any intracranial tumor. Somatropin and somatrogon should be discontinued if there is any evidence of recurrence.
Brain Tumor
Major:
lonapegsomatropin
Lonapegsomatropin has a major potential interaction with Brain Tumor.
Somatropin and somatrogon are contraindicated in the presence of any active malignancy. Any preexistent malignancy should be inactive and its treatment should be completed prior to somatropin therapy. This includes the presence of any intracranial tumor. Somatropin and somatrogon should be discontinued if there is any evidence of recurrence.
Breast Cancer
Major:
lonapegsomatropin
Lonapegsomatropin has a major potential interaction with Breast Cancer.
Somatropin and somatrogon are contraindicated in the presence of any active malignancy. Any preexistent malignancy should be inactive and its treatment should be completed prior to somatropin therapy. This includes the presence of any intracranial tumor. Somatropin and somatrogon should be discontinued if there is any evidence of recurrence.
COPD
Major:
Sporanox
The itraconazole in Sporanox has a major potential interaction with COPD.
Itraconazole may possess a dose-related negative inotropic effect. Transient, asymptomatic decreases in left ventricular ejection fraction were observed with IV administration in healthy volunteers; these resolved before the next infusion. Additionally, cases of congestive heart failure (CHF), peripheral edema, and pulmonary edema have been reported during postmarketing experience in patients treated for onychomycosis and/or systemic fungal infections. Itraconazole should not be used to treat onychomycosis in patients with evidence of ventricular dysfunction such as CHF or history of CHF; itraconazole should not be used for other indications in such patients unless the benefit clearly outweighs the risk. The risks and benefits of itraconazole therapy should be reviewed carefully in patients with risk factors for CHF (including cardiac disease [e.g., ischemic and valvular disease], significant pulmonary disease [e.g., chronic obstructive pulmonary disease], renal failure and other edematous disorders). Patients with risk factors for CHF should be advised of the signs/symptoms of CHF, treated with caution, and monitored for signs/symptoms of CHF during therapy.
Cystic Fibrosis
Moderate:
Sporanox
The itraconazole in Sporanox has a moderate potential interaction with Cystic Fibrosis.
In a study using itraconazole oral solution in cystic fibrosis patients, therapeutic drug levels varied and were not reached in some patients. Alternative therapy should be considered for patients who do not respond to itraconazole oral solution or itraconazole 100-mg capsules.
Diabetes Mellitus
Moderate:
lonapegsomatropin
Lonapegsomatropin has a moderate potential interaction with Diabetes Mellitus.
The use of growth hormone has been associated with resistance to insulin. Patients with diabetes mellitus or impaired glucose tolerance should be observed closely during therapy. The dose of antihyperglycemic drugs (insulin or oral/injectable agents) may require adjustment.
Diabetic Retinopathy
Major:
lonapegsomatropin
Lonapegsomatropin has a major potential interaction with Diabetic Retinopathy.
Somatropin, somatrogon , and lonapegsomatropin are contraindicated in patients with active proliferative or severe non-proliferative diabetic retinopathy since treatment may worsen condition.
Fluid Retention
Major:
Sporanox
The itraconazole in Sporanox has a major potential interaction with Fluid Retention.
Itraconazole may possess a dose-related negative inotropic effect. Transient, asymptomatic decreases in left ventricular ejection fraction were observed with IV administration in healthy volunteers; these resolved before the next infusion. Additionally, cases of congestive heart failure (CHF), peripheral edema, and pulmonary edema have been reported during postmarketing experience in patients treated for onychomycosis and/or systemic fungal infections. Itraconazole should not be used to treat onychomycosis in patients with evidence of ventricular dysfunction such as CHF or history of CHF; itraconazole should not be used for other indications in such patients unless the benefit clearly outweighs the risk. The risks and benefits of itraconazole therapy should be reviewed carefully in patients with risk factors for CHF (including cardiac disease [e.g., ischemic and valvular disease], significant pulmonary disease [e.g., chronic obstructive pulmonary disease], renal failure and other edematous disorders). Patients with risk factors for CHF should be advised of the signs/symptoms of CHF, treated with caution, and monitored for signs/symptoms of CHF during therapy.
Heart Disease
Major:
Sporanox
The itraconazole in Sporanox has a major potential interaction with Heart Disease.
Itraconazole may possess a dose-related negative inotropic effect. Transient, asymptomatic decreases in left ventricular ejection fraction were observed with IV administration in healthy volunteers; these resolved before the next infusion. Additionally, cases of congestive heart failure (CHF), peripheral edema, and pulmonary edema have been reported during postmarketing experience in patients treated for onychomycosis and/or systemic fungal infections. Itraconazole should not be used to treat onychomycosis in patients with evidence of ventricular dysfunction such as CHF or history of CHF; itraconazole should not be used for other indications in such patients unless the benefit clearly outweighs the risk. The risks and benefits of itraconazole therapy should be reviewed carefully in patients with risk factors for CHF (including cardiac disease [e.g., ischemic and valvular disease], significant pulmonary disease [e.g., chronic obstructive pulmonary disease], renal failure and other edematous disorders). Patients with risk factors for CHF should be advised of the signs/symptoms of CHF, treated with caution, and monitored for signs/symptoms of CHF during therapy.
Immunodeficiency
Moderate:
Sporanox
The itraconazole in Sporanox has a moderate potential interaction with Immunodeficiency.
The oral bioavailability of itraconazole 100-mg capsules may be decreased in some immunocompromised patients (e.g., neutropenic patients, AIDS patients, organ transplant recipients); in addition, since hypochlorhydria has been reported in HIV-infected patients, the absorption of itraconazole may be reduced in these patients. The dose of itraconazole 100-mg capsules should be adjusted based on the clinical response of such patients.
Itraconazole oral solution is not recommended for initial treatment in severely neutropenic patients at immediate risk of systemic candidiasis.
Liver Disease
Major:
Sporanox
The itraconazole in Sporanox has a major potential interaction with Liver Disease.
Limited data are available on the use of oral itraconazole in patients with liver dysfunction. Itraconazole has been associated with rare cases of serious hepatotoxicity (including liver failure and death). Caution is recommended when this drug is used in patients with liver dysfunction; such patients should be carefully monitored during therapy. Treatment with itraconazole is strongly discouraged in patients with elevated or abnormal liver enzymes, with active liver disease, or who had liver toxicity with other drugs unless the situation is serious or life-threatening and the expected benefit exceeds the risk. Liver function monitoring is recommended for patients with preexisting hepatic function abnormalities or those who had liver toxicity with other drugs.
Lung Cancer
Major:
lonapegsomatropin
Lonapegsomatropin has a major potential interaction with Lung Cancer.
Somatropin and somatrogon are contraindicated in the presence of any active malignancy. Any preexistent malignancy should be inactive and its treatment should be completed prior to somatropin therapy. This includes the presence of any intracranial tumor. Somatropin and somatrogon should be discontinued if there is any evidence of recurrence.
Neutropenia
Moderate:
Sporanox
The itraconazole in Sporanox has a moderate potential interaction with Neutropenia.
The oral bioavailability of itraconazole 100-mg capsules may be decreased in some immunocompromised patients (e.g., neutropenic patients, AIDS patients, organ transplant recipients); in addition, since hypochlorhydria has been reported in HIV-infected patients, the absorption of itraconazole may be reduced in these patients. The dose of itraconazole 100-mg capsules should be adjusted based on the clinical response of such patients.
Itraconazole oral solution is not recommended for initial treatment in severely neutropenic patients at immediate risk of systemic candidiasis.
Organ Transplant
Moderate:
Sporanox
The itraconazole in Sporanox has a moderate potential interaction with Organ Transplant.
The oral bioavailability of itraconazole 100-mg capsules may be decreased in some immunocompromised patients (e.g., neutropenic patients, AIDS patients, organ transplant recipients); in addition, since hypochlorhydria has been reported in HIV-infected patients, the absorption of itraconazole may be reduced in these patients. The dose of itraconazole 100-mg capsules should be adjusted based on the clinical response of such patients.
Itraconazole oral solution is not recommended for initial treatment in severely neutropenic patients at immediate risk of systemic candidiasis.
Papilledema Associated with Increased Intracranial Pressure
Moderate:
lonapegsomatropin
Lonapegsomatropin has a moderate potential interaction with Papilledema Associated with Increased Intracranial Pressure.
Intracranial hypertension with papilledema, visual changes, nausea and/or vomiting has been reported in a small number of patients treated with somatropin, somatrogon , and lonapegsomatropin . Fundoscopic examination should be performed before treatment initiation to exclude preexisting papilledema, and should be continued periodically during treatment. If papilledema is observed during treatment, therapy should be stopped. Treatment could be restarted at a lower dose once intracranial hypertension has been resolved. Patients with Turner Syndrome might be at increased risk of developing intracranial hypertension.
Prostate Cancer
Major:
lonapegsomatropin
Lonapegsomatropin has a major potential interaction with Prostate Cancer.
Somatropin and somatrogon are contraindicated in the presence of any active malignancy. Any preexistent malignancy should be inactive and its treatment should be completed prior to somatropin therapy. This includes the presence of any intracranial tumor. Somatropin and somatrogon should be discontinued if there is any evidence of recurrence.
Pulmonary Impairment
Major:
lonapegsomatropin
Lonapegsomatropin has a major potential interaction with Pulmonary Impairment.
Somatropin and somatrogon is contraindicated in patients with Prader-Willi Syndrome who are severely obese, have a history of upper airway obstruction or sleep apnea, or have severe respiratory impairment. There have been reports of sudden death when somatropin was used in such patients.
Major:
lonapegsomatropin
Lonapegsomatropin has a major potential interaction with Pulmonary Impairment.
Treatment with somatropin and somatrogon is contraindicated in patients with acute critical illness due to any complications following open heart surgery, abdominal surgery, multiple trauma, or acute respiratory failure. Patients with these conditions have an increased risk of mortality.
Renal Dysfunction
Major:
Sporanox
The itraconazole in Sporanox has a major potential interaction with Renal Dysfunction.
Itraconazole may possess a dose-related negative inotropic effect. Transient, asymptomatic decreases in left ventricular ejection fraction were observed with IV administration in healthy volunteers; these resolved before the next infusion. Additionally, cases of congestive heart failure (CHF), peripheral edema, and pulmonary edema have been reported during postmarketing experience in patients treated for onychomycosis and/or systemic fungal infections. Itraconazole should not be used to treat onychomycosis in patients with evidence of ventricular dysfunction such as CHF or history of CHF; itraconazole should not be used for other indications in such patients unless the benefit clearly outweighs the risk. The risks and benefits of itraconazole therapy should be reviewed carefully in patients with risk factors for CHF (including cardiac disease [e.g., ischemic and valvular disease], significant pulmonary disease [e.g., chronic obstructive pulmonary disease], renal failure and other edematous disorders). Patients with risk factors for CHF should be advised of the signs/symptoms of CHF, treated with caution, and monitored for signs/symptoms of CHF during therapy.
Moderate:
Sporanox
The itraconazole in Sporanox has a moderate potential interaction with Renal Dysfunction.
Limited data are available on the use of oral itraconazole in patients with renal dysfunction; itraconazole exposure may be lower in some of these patients. Caution is advised when using itraconazole in patients with renal dysfunction and dose adjustment may be needed. Patients with renal dysfunction should be carefully monitored when using the 65-mg capsule formulation.
Scoliosis
Moderate:
lonapegsomatropin
Lonapegsomatropin has a moderate potential interaction with Scoliosis.
Progression of scoliosis can occur in patients who experience rapid growth. Since somatropin and somatrogon increase growth rate, children with a history of scoliosis should be monitored for progression of this condition. Physicians should be alert for this skeletal abnormality which can be commonly seen in patients with Turner and Prader-Willi syndromes, and can manifest during somatropin and somatrogon treatment.
Sepsis
Major:
lonapegsomatropin
Lonapegsomatropin has a major potential interaction with Sepsis.
Treatment with somatropin and somatrogon is contraindicated in patients with acute critical illness due to any complications following open heart surgery, abdominal surgery, multiple trauma, or acute respiratory failure. Patients with these conditions have an increased risk of mortality.
Skin Cancer
Major:
lonapegsomatropin
Lonapegsomatropin has a major potential interaction with Skin Cancer.
Somatropin and somatrogon are contraindicated in the presence of any active malignancy. Any preexistent malignancy should be inactive and its treatment should be completed prior to somatropin therapy. This includes the presence of any intracranial tumor. Somatropin and somatrogon should be discontinued if there is any evidence of recurrence.
Sleep Apnea
Major:
lonapegsomatropin
Lonapegsomatropin has a major potential interaction with Sleep Apnea.
Somatropin and somatrogon is contraindicated in patients with Prader-Willi Syndrome who are severely obese, have a history of upper airway obstruction or sleep apnea, or have severe respiratory impairment. There have been reports of sudden death when somatropin was used in such patients.
Underactive Thyroid
Moderate:
lonapegsomatropin
Lonapegsomatropin has a moderate potential interaction with Underactive Thyroid.
The use of growth hormone has been associated with the development of hypothyroidism. Patients should be monitored baseline and periodically for adequate thyroid function. Inadequate treatment of hypothyroidism may inhibit the optimal response to growth hormone.
Weight Loss
Major:
lonapegsomatropin
Lonapegsomatropin has a major potential interaction with Weight Loss.
Somatropin and somatrogon is contraindicated in patients with Prader-Willi Syndrome who are severely obese, have a history of upper airway obstruction or sleep apnea, or have severe respiratory impairment. There have been reports of sudden death when somatropin was used in such patients.
More resources
lonapegsomatropin
A total of 656 drugs are known to interact with lonapegsomatropin.
- Lonapegsomatropin is in the drug class growth hormones.
- Lonapegsomatropin is used to treat the following conditions:
Sporanox
A total of 597 drugs are known to interact with Sporanox.
- Sporanox is in the drug class azole antifungals.
-
Sporanox is used to treat the following conditions:
- Aspergillosis, Aspergilloma
- Aspergillosis, Invasive
- Blastomycosis
- Candida Urinary Tract Infection
- Candidemia
- Coccidioidomycosis
- Cryptococcal Meningitis, Immunosuppressed Host
- Cryptococcosis
- Dermatophytosis
- Esophageal Candidiasis
- Febrile Neutropenia
- Fungal Infection Prophylaxis
- Histoplasmosis
- Microsporidiosis
- Onychomycosis, Fingernail
- Onychomycosis, Toenail
- Oral Thrush
- Paracoccidioidomycosis
- Sporotrichosis
- Systemic Fungal Infection
- Tinea Capitis
- Tinea Versicolor
- Vaginal Yeast Infection
Drug Interaction Classification
| Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
| Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
| 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. | |
| No interaction information available. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.