AZOLES AND PROTON PUMP INHIBITORS

The bioavailability of ketoconazole is reduced by omeprazole (AUC reduced by about 80%) and rabeprazole (bioavailability reduced by 30%). Other proton pump inhibitors are expected to behave similarly. Omeprazole also markedly reduces the absorption of itraconazole capsules (AUC decreased by 65%), but not the oral solution. Posaconazole absorption is predicted to be reduced by proton pump inhibitors. Omeprazole levels may be increased by ketoconazole (and therefore possibly itraconazole), and markedly increased by fluconazole and voriconazole. Voriconazole may more than double the levels of esomeprazole.
An increase in the antifungal dose has been suggested to overcome this interaction, as has giving ketoconazole or itraconazole with an acidic drink such as cola, which increases its bioavailability. The manufacturers of posaconazole advise avoiding concurrent use. Fluconazole and oral itraconazole solution appear to be unaffected, and they may therefore be alternatives. However, as fluconazole significantly increases omeprazole levels, a dose adjustment may be required with long-term treatment. Voriconazole does not require a dose adjustment when given with omeprazole. However, the manufacturers of voriconazole recommend halving the dose of omeprazole, but this is probably only necessary with higher doses. The dose of esomeprazole will only need adjusting in those taking voriconazole if the esomeprazole dose is very high (e.g. 240 mg).
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