biotraz 200mg capsule - Itraconazole (200mg) medicine

Itraconazole 200 mg Capsule: Complete Medicine Guide

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🏭 Bioworld Pharma 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category This medicine should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. It is not recommended for use in pregnant women except in life-threatening fungal infections. Women of childbearing potential should use effective contraception during treatment and for at least 2 months after the last dose. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Sep 25, 2026

When to Call Your Doctor IMMEDIATELY

  • Yellowing of skin or eyes (jaundice)
  • Dark urine or pale stools
  • Severe abdominal pain or swelling
  • Shortness of breath or difficulty breathing
  • Swelling of face, lips, or throat
  • Rapid or irregular heartbeat
  • Sudden weight gain or swelling of ankles
  • Numbness or tingling in hands or feet
  • Ringing in ears or hearing loss
  • Severe skin rash with fever

If experiencing severe symptoms, call emergency services immediately.

What is biotraz 200mg capsule used for?

This medicine is an antifungal capsule containing itraconazole 200 mg. It treats systemic fungal infections by disrupting fungal cell membranes. Take it with food, avoid alcohol, and follow your doctor's instructions carefully.

  • Generic Name: Itraconazole
  • Manufacturer: Bioworld Pharma
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 biotraz 200mg capsule के बारे में (Hindi Summary)

उपयोग: यह दवा इट्राकोनाज़ोल 200 मिलीग्राम कैप्सूल है, जो एक एंटीफंगल दवा है। यह शरीर में फंगल संक्रमण के इलाज के लिए इस्तेमाल की जाती है, जैसे कि ब्लास्टोमाइकोसिस, हिस्टोप्लाज्मोसिस, एस्परगिलोसिस, और नाखूनों के फंगल संक्रमण। यह दवा फंगस की कोशिका झिल्ली को नष्ट करके उन्हें मार देती है। इसे भोजन के साथ लेना चाहिए। इसका सेवन डॉक्टर के निर्देशानुसार ही करें।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, दस्त, पेट दर्द, सिरदर्द और दाने शामिल हैं। गंभीर दुष्प्रभावों में लिवर की क्षति (पीलिया, गहरे रंग का पेशाब, थकान), हृदय विफलता (सूजन, सांस लेने में कठिनाई), और गंभीर एलर्जी प्रतिक्रिया (चेहरे, होंठ या गले में सूजन, सांस लेने में कठिनाई) शामिल हैं। यदि आपको कोई भी गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे भोजन के साथ लें। एंटासिड या एसिड कम करने वाली दवाओं के साथ इसे 2 घंटे के अंतराल पर लें। शराब का सेवन न करें। अपने डॉक्टर को अपनी सभी दवाओं के बारे में बताएं। लिवर की जांच करवाते रहें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर से सलाह लें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 biotraz 200mg capsule Uses & Benefits

[{"condition":"Blastomycosis","description":"Treatment of pulmonary and extrapulmonary blastomycosis caused by Blastomyces dermatitidis.","evidence":"Well-established"},{"condition":"Histoplasmosis","description":"Treatment of chronic pulmonary or disseminated histoplasmosis in immunocompromised patients.","evidence":"Well-established"},{"condition":"Aspergillosis","description":"Treatment of invasive aspergillosis in patients who are intolerant to amphotericin B.","evidence":"Well-established"},{"condition":"Onychomycosis","description":"Treatment of fungal nail infections caused by dermatophytes and yeasts.","evidence":"Well-established"},{"condition":"Mucosal candidiasis","description":"Treatment of oropharyngeal and esophageal candidiasis that is refractory to fluconazole.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Coccidioidomycosis","description":"May be used off-label for treatment of coccidioidomycosis in patients who cannot tolerate other antifungals.","evidence":"Limited"},{"condition":"Paracoccidioidomycosis","description":"Occasionally used off-label for paracoccidioidomycosis, a fungal infection common in Latin America.","evidence":"Limited"}]

Primary treatment for: Fungal infections

Also treats: Blastomycosis, Histoplasmosis, Aspergillosis, Onychomycosis, Mucosal candidiasis

📋 Drug Information

Generic Name(s)Itraconazole
Brand NameAlcros 100 Capsule
ManufacturerBioworld Pharma
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassOPHTHAL
Action ClassFungal ergosterol synthesis inhibitor
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Keep away from moisture and heat. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always take this medicine with a full meal to ensure proper absorption.
2
Avoid taking antacids or acid-reducing medications within 2 hours of this medicine.
3
Monitor for signs of liver problems such as yellowing of eyes or skin, dark urine, or severe fatigue.
4
Report any swelling of ankles, feet, or sudden weight gain to your doctor immediately.
5
Do not stop taking this medicine early, even if you feel better, as it may lead to recurrence.
6
Inform your doctor about all other medications you are taking, especially blood thinners and heart medications.
7
Use effective contraception during treatment and for at least 2 months after the last dose if you are of childbearing age.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Fungal nail infection
This medicine is commonly prescribed for this.
Likely Use
✅
Systemic fungal infection
This medicine is used for serious fungal infections.
Likely Use
❌
Common cold
This medicine is not effective against viral infections.
Not Primary
❌
Bacterial infection
This medicine is not an antibiotic.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is absorbed from the gastrointestinal tract, with absorption being enhanced by food and gastric acidity. The bioavailability is approximately 55% when taken with a meal. Peak plasma concentrations are reached within 2 to 5 hours after oral administration.
DistributionThis medicine is highly lipophilic and distributes widely into tissues, including fatty tissues, skin, nails, and lungs. It has a large volume of distribution (approximately 10 L/kg). It accumulates in keratinous tissues, which contributes to its efficacy in nail and skin infections.
Protein BindingThis medicine is approximately 99.8% bound to plasma proteins, primarily albumin.
MetabolismThis medicine is extensively metabolized in the liver by cytochrome P450 enzymes, primarily CYP3A4. It undergoes oxidative metabolism to form multiple metabolites, including hydroxyitraconazole, which also has antifungal activity.
Half-LifeThe elimination half-life of this medicine is approximately 21 hours after a single dose, but it increases to 30-40 hours with repeated dosing due to saturation of metabolism.
ExcretionThis medicine is excreted mainly in the feces as metabolites, with a small amount excreted in urine. About 35% of a dose is excreted in urine as inactive metabolites, and 54% in feces.
BioavailabilityThe oral bioavailability of this medicine is approximately 55% when taken with food. It is lower when taken on an empty stomach.
Onset of ActionThe onset of action varies depending on the infection being treated. For skin and nail infections, improvement may be seen within 2 to 4 weeks. For systemic infections, clinical improvement may take several days to weeks.
Peak Plasma TimePeak plasma concentrations are reached 2 to 5 hours after oral administration.
Duration of ActionThe antifungal effect persists for several weeks after discontinuation due to accumulation in tissues, particularly in the skin and nails.

How It Works

This medicine works by inhibiting the fungal cytochrome P450 enzyme 14α-demethylase, which is responsible for converting lanosterol to ergosterol. Ergosterol is a critical component of the fungal cell membrane. Without ergosterol, the fungal cell membrane becomes weak and permeable, leading to leakage of cellular contents and ultimately cell death. This medicine is fungistatic at lower concentrations and fungicidal at higher concentrations, depending on the fungal species and drug concentration.

Mechanism Steps

1
Binding to fungal CYP51: This medicine binds to the heme iron of fungal cytochrome P450 14α-demethylase, inhibiting its activity.
2
Blockade of ergosterol synthesis: Inhibition of 14α-demethylase prevents the conversion of lanosterol to ergosterol, leading to depletion of ergosterol in the fungal cell membrane.
3
Membrane disruption: The lack of ergosterol compromises the integrity and function of the fungal cell membrane, causing increased permeability.
4
Fungal cell death: The damaged membrane leads to leakage of essential cellular components and ultimately fungal cell lysis and death.

💡 How to Take biotraz 200mg capsule

Strength: Capsule, 200 mg

1Take this medicine with a full meal to improve absorption.
2Swallow the capsule whole with a glass of water.
3Do not crush, chew, or open the capsule.
4Take at the same time each day to maintain consistent blood levels.
5Avoid taking antacids or acid-reducing medicines within 2 hours of this medicine.
6If you miss a dose, follow the missed dose instructions.
7Do not take more than the prescribed dose.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 200 mg taken orally once daily, but the exact dose and duration depend on the type and severity of the fungal infection. For onychomycosis, a pulse dosing regimen of 200 mg twice daily for one week per month for 2 to 3 months may be used. For systemic infections, the dose may be 200 mg once daily for several weeks to months. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine. Dose selection should be cautious, and liver and kidney function should be monitored. No specific dose adjustment is recommended solely based on age, but individualization is advised.
Renal ImpairmentIn patients with mild to moderate renal impairment, no dose adjustment is necessary. In severe renal impairment (creatinine clearance <30 mL/min), this medicine should be used with caution; dose reduction may be considered based on clinical response and tolerability.
Hepatic ImpairmentIn patients with hepatic impairment, this medicine should be used with caution. Dose reduction may be necessary. Liver function should be monitored closely. Avoid use in patients with severe hepatic impairment unless the benefit outweighs the risk.
Maximum Daily DoseThe maximum recommended daily dose is 400 mg per day, but this should only be used under strict medical supervision for specific indications.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset and improves absorption.
Grapefruit
Avoid
May increase drug levels and side effects.
Alcohol
Avoid
Increases risk of liver toxicity.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of biotraz 200mg capsule

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Headache (Common (5-10%))
Rest and stay hydrated. Consult doctor if severe or persistent.
Diarrhea (Common (5-10%))
Stay hydrated. Avoid fatty foods. Consult doctor if it lasts more than 2 days.
Abdominal pain (Common (5-10%))
Take with food. If pain is severe, contact your doctor.
Rash (Common (5-10%))
Monitor for worsening. If rash spreads or is accompanied by fever, seek medical attention.

🚨 Serious Side Effects

Liver damage (hepatotoxicity) (Rare (<0.1%))
Seek immediate medical attention if you notice yellowing of skin or eyes, dark urine, severe fatigue, or abdominal pain.
Heart failure (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of ankles or feet, shortness of breath, or rapid weight gain.
Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Call emergency services if you have difficulty breathing, swelling of face, lips, or throat, or a severe rash.
Peripheral neuropathy (Rare (<0.1%))
Report numbness, tingling, or burning in hands or feet to your doctor immediately.
Hearing loss (Rare (<0.1%))
Inform your doctor if you experience ringing in ears or decreased hearing.

⚠️ Rare Side Effects

Hypertension
Monitor blood pressure. Consult doctor if elevated.
Hypokalemia
Report muscle weakness or cramps to your doctor.
Edema
Elevate legs and reduce salt intake. Consult doctor if persistent.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Cisapride Major
Pimozide Major
Quinidine Major
Methadone Major
Simvastatin Major
Warfarin Moderate
Digoxin Moderate
Phenytoin Moderate
Rifampin Moderate
Antacids Minor

🚨 Major Interactions

  • Cisapride
  • Pimozide
  • Quinidine
  • Methadone
  • Disopyramide
  • Dofetilide
  • Levodopa
  • Midazolam
  • Triazolam
  • HMG-CoA reductase inhibitors (statins)

⚡ Moderate Interactions

  • Warfarin
  • Digoxin
  • Phenytoin
  • Rifampin
  • Rifabutin
  • Carbamazepine
  • Phenobarbital
  • Isoniazid
  • Clarithromycin
  • Erythromycin

🍷 Alcohol Interaction

Avoid consuming alcohol while taking this medicine. Alcohol can increase the risk of liver damage and may worsen side effects such as nausea and dizziness.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to itraconazole or other azole antifungals","Concurrent use with cisapride, pimozide, quinidine, dofetilide, or levomethadyl","Concurrent use with methadone","Concurrent use with disopyramide","Concurrent use with simvastatin or lovastatin","Concurrent use with triazolam or oral midazolam","Pregnancy (except in life-threatening infections)","Ventricular dysfunction or history of heart failure"]

⚠️ Warnings & Precautions

["This medicine should be taken with food to ensure adequate absorption.","Do not use in patients with evidence of ventricular dysfunction or heart failure.","Monitor liver function closely; discontinue if signs of liver injury occur.","Avoid concurrent use with drugs that prolong QT interval.","Use with caution in patients with renal impairment; dose adjustment may be needed.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.","Do not share this medicine with others, even if they have similar symptoms.","Keep out of reach of children."]

🤱 Lactation Safety

This medicine is excreted in human breast milk. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.

💊 Overdose Management

In case of overdose, seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if ingestion is recent. Monitor vital signs and cardiac function. Contact a poison control center for guidance.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not take more or less than the recommended dose. Swallow the capsule whole with a full glass of water, preferably with a meal. Avoid taking antacids or acid-reducing medicines within 2 hours of taking this medicine, as they can reduce its absorption. Do not drink alcohol while taking this medicine, as it may increase the risk of liver problems. Inform your doctor about all other medicines you are taking, especially blood thinners, heart medications, and other antifungals. Your doctor may monitor your liver function with blood tests before and during treatment. If you miss a dose, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose. Store this medicine at room temperature away from moisture and heat. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to side effects such as liver toxicity and heart failure. Close monitoring of liver and cardiac function is advised. Dose adjustment may be necessary based on renal and hepatic function.

🤰 Pregnancy Planning (TTC)

This medicine should be avoided during pregnancy and in women planning to become pregnant. Use effective contraception during treatment and for at least 2 months after the last dose. Consult your doctor if you are planning pregnancy.

🏥 Post-Surgery Considerations

If you are undergoing surgery, inform your surgeon and anesthesiologist that you are taking this medicine, as it can interact with anesthetic agents and other medications. It may need to be temporarily stopped before surgery.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine before any dental procedure. It may interact with medications used during dental work, and there is a risk of bleeding if you are also on blood thinners.

💚 Lifestyle Tips for Better Results

🏃
Maintain good hygiene to prevent fungal infections.
🥗
Keep your skin and nails clean and dry.
😴
Avoid sharing personal items like towels and nail clippers.
💧
Wear breathable footwear to prevent athlete's foot.
🧘
Eat a balanced diet to support your immune system.
🌞
Get adequate rest and manage stress.

🏋️ Exercise Considerations

This medicine may cause dizziness or fatigue. Avoid strenuous exercise if you feel unwell. Consult your doctor before starting any new exercise routine.

🥗 Diet Recommendations

Take this medicine with a full meal.
Avoid grapefruit and grapefruit juice.
Limit alcohol consumption.
Stay well hydrated.
Include probiotics to support gut health if advised by your doctor.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or blurred vision in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is generally safe to continue your daily activities, but take precautions if you experience side effects.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. Complete the full prescribed course even if symptoms improve. If you experience serious side effects, contact your doctor immediately; they may advise you to stop.

📅 Long-Term Use Effects

Long-term use of this medicine may increase the risk of liver toxicity, heart failure, and peripheral neuropathy. Regular monitoring of liver function and cardiac status is recommended. Prolonged use may also lead to fungal resistance. Use the lowest effective dose for the shortest duration necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Topical antifungals

For mild skin and nail infections, topical creams or lacquers may be sufficient.

Evidence: Well-established
Other oral antifungals

Fluconazole or terbinafine may be alternatives depending on the infection.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. However, if you are immunocompromised, discuss vaccination timing with your doctor.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature and protect it from moisture and heat. If crossing time zones, continue taking it at the same interval as prescribed, but consult your doctor for specific advice. Keep it in your carry-on luggage to avoid loss or temperature extremes.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 52-year-old man with toenail fungus
He was prescribed this medicine for onychomycosis. He took it with breakfast every day for 3 months. His nails gradually improved, and he experienced only mild stomach upset initially, which resolved after taking it with food. He completed the full course and saw clear nails after 6 months.
💡 Lesson: Consistency and taking the medicine with food are key to successful treatment and minimizing side effects.
👤 A 38-year-old woman with chronic vaginal candidiasis
She had recurrent vaginal yeast infections that did not respond to topical treatments. Her doctor prescribed this medicine for 2 weeks. She noticed improvement within a few days. She was advised to avoid alcohol and to monitor for any signs of liver problems. She completed the course and had no recurrence for several months.
💡 Lesson: This medicine can be effective for resistant fungal infections, but close monitoring and adherence are essential.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Improvement may be seen within a few days to weeks, depending on the infection. Complete treatment as prescribed.

Q: Can I take this medicine with food?

A: Yes, take it with a full meal to improve absorption and reduce stomach upset.

Q: What are the serious side effects?

A: Serious side effects include liver damage, heart failure, and severe allergic reactions. Seek immediate medical help if you experience symptoms like yellowing of eyes, swelling, or difficulty breathing.

Q: Is this medicine safe during pregnancy?

A: It is not recommended during pregnancy except in life-threatening infections. Consult your doctor.

Q: Can I drink alcohol while taking this medicine?

A: No, avoid alcohol as it increases the risk of liver toxicity.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my liver function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for biotraz 200mg capsule

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure any fungal infection quickly.
    Fact: This medicine is effective for specific fungal infections and requires a full course of treatment. It does not work for all types of fungi.
  • Myth: You can stop taking this medicine as soon as symptoms improve.
    Fact: You must complete the full prescribed course to prevent recurrence and resistance.
  • Myth: This medicine is safe to take with any other medication.
    Fact: This medicine interacts with many drugs. Always inform your doctor about all medicines you take.

🔄 Alternative Options

Generic Alternatives

  • Itraconazole

Brand Alternatives

  • Candiforce 200
  • Itrasys 200
  • Sporanox 200

📊 Comparison with Similar Medicines

[{"medicine":"Itraconazole","class":"Triazole","route":"Oral","common_uses":"Systemic fungal infections, onychomycosis","half_life":"21-40 hours"},{"medicine":"Fluconazole","class":"Triazole","route":"Oral, IV","common_uses":"Candidiasis, cryptococcosis","half_life":"30 hours"},{"medicine":"Terbinafine","class":"Allylamine","route":"Oral, Topical","common_uses":"Onychomycosis, dermatophytosis","half_life":"36 hours"}]

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