itixo sb 65mg capsule - Itraconazole (65mg) medicine

Itraconazole 65 mg Capsule: Complete Medicine Guide

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🏭 Aleixo Pharma 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 26, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category This medicine should not be used during pregnancy for the treatment of onychomycosis. For other indications, it should be used only if the potential benefit justifies the potential risk to the fetus. Effective contraception should be used during treatment and until the next menstrual period after treatment ends. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Sep 26, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Yellowing of skin or eyes, dark urine, or severe abdominal pain
  • Shortness of breath, swelling of legs, or sudden weight gain
  • Swelling of face, lips, or throat, or difficulty breathing
  • Severe skin rash with blisters or peeling
  • Numbness, tingling, or pain in hands or feet
  • Unusual tiredness or weakness
  • Fast or irregular heartbeat

If experiencing severe symptoms, call emergency services immediately.

What is itixo sb 65mg capsule used for?

This medicine is an antifungal capsule containing Itraconazole 65 mg. It is used to treat various fungal infections of the skin, nails, and internal organs. It works by breaking down the fungal cell membrane. Take it with food as prescribed by your doctor.

  • Generic Name: Itraconazole (65mg)
  • Manufacturer: Aleixo Pharma
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 itixo sb 65mg capsule के बारे में (Hindi Summary)

उपयोग: यह दवा एक एंटीफंगल कैप्सूल है जिसमें इट्राकोनाज़ोल 65 मिलीग्राम होता है। इसका उपयोग त्वचा, नाखून और शरीर के आंतरिक अंगों के फंगल संक्रमण के इलाज के लिए किया जाता है। यह फंगस की कोशिका भित्ति को नष्ट करके काम करती है। इसे डॉक्टर के निर्देशानुसार भोजन के साथ लें।

साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में सिरदर्द, मतली, पेट दर्द, दस्त और दाने शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें लिवर की समस्या, हृदय विफलता और गंभीर एलर्जी शामिल हो सकती है। यदि आपको पीलिया, सांस लेने में कठिनाई, या चेहरे पर सूजन दिखे तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे भोजन के साथ लें ताकि अवशोषण बेहतर हो और पेट की परेशानी कम हो। एंटासिड या एसिड कम करने वाली दवाओं को इस दवा से 2 घंटे पहले या बाद में लें। इस दवा के साथ शराब न पिएं। यदि आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर को बताएं। दवा को कमरे के तापमान पर सूखी जगह पर रखें।

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

💊 itixo sb 65mg capsule Uses & Benefits

  • [{"condition":"Dermatophytosis (tinea corporis, tinea cruris, tinea pedis)","description":"This medicine is used to treat fungal infections of the skin caused by dermatophytes.
  • It helps relieve itching, redness, and scaling.","evidence":"Well-established"},{"condition":"Onychomycosis","description":"This medicine is used to treat fungal nail infections.
  • It helps clear the infection and allows healthy nail to grow.","evidence":"Well-established"},{"condition":"Aspergillosis","description":"This medicine is used to treat invasive aspergillosis in patients who cannot tolerate or do not respond to other antifungal medicines.","evidence":"Well-established"},{"condition":"Blastomycosis","description":"This medicine is used to treat blastomycosis, a fungal infection that can affect the lungs and skin.","evidence":"Well-established"},{"condition":"Histoplasmosis","description":"This medicine is used to treat histoplasmosis, a fungal infection that primarily affects the lungs.","evidence":"Well-established"},{"condition":"Candidiasis","description":"This medicine is used to treat certain types of candidiasis, including oral and esophageal candidiasis, in patients who are refractory to other treatments.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Seborrheic dermatitis","description":"Sometimes prescribed off-label for seborrheic dermatitis due to its antifungal activity against Malassezia species.","evidence":"Limited"},{"condition":"Fungal keratitis","description":"Occasionally used off-label in the treatment of fungal keratitis, although topical antifungals are preferred.","evidence":"Limited"}]

Primary treatment for: Fungal infections

Also treats: Dermatophytosis, Onychomycosis, Aspergillosis, Blastomycosis, Histoplasmosis, Candidiasis

📋 Drug Information

Generic Name(s)Itraconazole (65mg)
Brand Nameitixo sb 65mg capsule
ManufacturerAleixo Pharma
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassOPHTHAL
Action ClassFungal ergosterol synthesis inhibitor
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. 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 enhance absorption and minimize stomach upset.
2
Avoid taking antacids, proton pump inhibitors, or H2 blockers within two hours of this medicine.
3
Do not consume alcohol while on this medicine to reduce the risk of liver toxicity.
4
Inform your doctor immediately if you experience shortness of breath, swelling of legs, or rapid weight gain.
5
Complete the full prescribed course even if symptoms improve, to prevent recurrence.
6
Report any numbness, tingling, or pain in hands or feet to your doctor.
7
Use effective contraception during treatment and until your next menstrual period if you are a woman of childbearing potential.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Itchy, red, scaly skin patches
This medicine is commonly prescribed for skin fungal infections.
Likely Use
✅
Thick, discolored nails
This medicine is used for nail fungal infections.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is absorbed from the gastrointestinal tract. Absorption is improved when taken with food. The bioavailability is approximately 55% when taken with food. Peak plasma concentrations are reached within 2 to 5 hours after oral administration.
DistributionThis medicine is highly lipophilic and distributes widely into body tissues, including skin, nails, and fatty tissues. It has a large volume of distribution. It accumulates in keratinous tissues, which contributes to its efficacy in skin and nail infections.
Protein BindingThis medicine is highly protein-bound, approximately 99.8%, primarily to albumin.
MetabolismThis medicine is extensively metabolized in the liver by cytochrome P450 enzymes, primarily CYP3A4. It produces several 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 after multiple doses due to saturation of metabolism.
ExcretionThis medicine is excreted mainly as inactive metabolites in the urine (approximately 35%) and feces (approximately 54%). Less than 0.03% is excreted unchanged in urine.
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 indication. For skin infections, improvement may be seen within 1-2 weeks. For nail infections, it may take several weeks to months.
Peak Plasma TimePeak plasma concentrations are reached within 2 to 5 hours after oral administration.
Duration of ActionThe duration of action depends on the indication and treatment duration. The medicine remains in the body for several days after the last dose due to its long half-life.

How It Works

This medicine works by inhibiting the fungal cytochrome P450 enzyme 14-alpha-demethylase, which is responsible for converting lanosterol to ergosterol. Ergosterol is a critical component of the fungal cell membrane. By blocking this step, the medicine disrupts the synthesis of ergosterol, leading to a weakened and permeable fungal cell membrane. This results in leakage of cellular contents and ultimately fungal cell death. The medicine is selective for fungal enzymes over human enzymes, which reduces its toxicity to human cells.

Mechanism Steps

1
Binding to fungal CYP51: This medicine binds to the heme iron of fungal cytochrome P450 14-alpha-demethylase (CYP51).
2
Inhibition of ergosterol synthesis: This binding inhibits the conversion of lanosterol to ergosterol, a key component of the fungal cell membrane.
3
Disruption of membrane integrity: The lack of ergosterol leads to a fragile and permeable fungal cell membrane.
4
Fungal cell death: The compromised membrane causes leakage of essential cellular components, resulting in fungal cell death.

💡 How to Take itixo sb 65mg capsule

Strength: Itraconazole 65 mg immediate-release capsule

1Take this medicine exactly as prescribed by your doctor.
2Swallow the capsule whole with a full glass of water.
3Take it with a meal to improve absorption and reduce stomach upset.
4Do not take antacids or acid reducers within 2 hours of this medicine.
5Do not crush or chew the capsule.
6Complete the full course of treatment even if you feel better.

Dosage Information

Adult DosageThe dose of this medicine must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function. For dermatophyte infections, a typical dose is 100-200 mg once daily for 1-4 weeks. For onychomycosis, a pulse regimen of 200 mg twice daily for 1 week per month for 2-3 months may be used. For systemic fungal infections, doses may range from 100-400 mg daily. Always follow your doctor's prescription exactly.
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 adjustment may be necessary based on renal and hepatic function. Consult your doctor.
Renal ImpairmentDose adjustment may be needed in patients with renal impairment. Consult your doctor for individualized dosing.
Hepatic ImpairmentThis medicine is contraindicated in patients with severe liver disease. In patients with mild to moderate liver impairment, dose adjustment may be necessary. Consult your doctor.
Maximum Daily DoseThe maximum daily dose should not exceed 400 mg, but the exact dose depends on the indication and must be determined by a qualified clinician.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Improves absorption and reduces stomach upset.
Grapefruit juice
Avoid
May increase drug levels and risk of side effects.
Alcohol
Avoid
May increase risk of liver problems.

⏰ 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 itixo sb 65mg capsule

✅ Common Side Effects

Headache (Common (5-10%))
Usually resolves on its own. Consult your doctor if it persists or becomes severe.
Nausea (Common (5-10%))
Take the medicine with food to reduce nausea. If it continues, consult your doctor.
Abdominal pain (Common (5-10%))
Take with food. If pain is severe or persistent, contact your doctor.
Diarrhoea (Common (5-10%))
Stay hydrated. If diarrhoea is severe or bloody, seek medical advice.
Rash (Common (5-10%))
If rash is mild, monitor. If it spreads or is accompanied by other symptoms, consult your doctor.

🚨 Serious Side Effects

Severe liver injury (Rare (<0.1%))
Seek immediate medical attention if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Heart failure (Rare (<0.1%))
Seek immediate medical attention if you experience shortness of breath, swelling of legs, or sudden weight gain.
Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency help if you have swelling of face, lips, or throat, difficulty breathing, or severe rash.
Peripheral neuropathy (Rare (<0.1%))
Report numbness, tingling, or pain in hands or feet to your doctor.

⚠️ Rare Side Effects

Hearing loss
Consult your doctor if you notice any hearing changes.
Photosensitivity
Use sunscreen and avoid excessive sun exposure.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Cisapride Major
Pimozide Major
Quinidine Major
Methadone Major
Disopyramide Major
Dofetilide Major
Levodopa Major
Midazolam (oral) Major
Triazolam Major
Simvastatin Major

🚨 Major Interactions

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

⚡ Moderate Interactions

  • Warfarin
  • Digoxin
  • Phenytoin
  • Rifampicin
  • Isoniazid
  • Carbamazepine
  • Phenobarbital
  • Clarithromycin
  • Erythromycin
  • Protease inhibitors (e.g., ritonavir, indinavir)

🍷 Alcohol Interaction

Avoid consuming alcohol while taking this medicine, as it may increase the risk of liver damage and other side effects.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to itraconazole or other azole antifungals","Evidence of ventricular dysfunction such as heart failure or a history of heart failure","Concurrent use with cisapride, pimozide, quinidine, methadone, disopyramide, dofetilide, levodopa, midazolam (oral), triazolam, simvastatin, lovastatin","Pregnancy for the treatment of onychomycosis","Women of childbearing potential not using effective contraception"]

⚠️ Warnings & Precautions

["This medicine should be taken with food to ensure adequate absorption.","Avoid use in patients with heart failure or a history of heart failure.","Monitor liver function in patients with pre-existing liver disease.","Use with caution in patients with renal impairment.","This medicine can interact with many drugs; review all concomitant medications.","Do not use during pregnancy for onychomycosis.","Breastfeeding is not recommended during treatment.","Avoid alcohol while taking this medicine.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Do not share this medicine with others."]

🤱 Lactation Safety

This medicine is excreted in breast milk. Breastfeeding is not recommended while taking this medicine. Consult your doctor for guidance.

💊 Overdose Management

There is no specific antidote for overdose with this medicine. In case of overdose, seek immediate medical attention. Treatment should be symptomatic and supportive. Gastric lavage may be considered if the overdose is recent. Monitor vital signs and liver function.

⏰ 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. Take this medicine with food to improve absorption and reduce stomach upset. Avoid taking antacids or stomach acid reducers within two 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 if you have a history of heart failure, liver disease, or kidney disease. This medicine can interact with many other medicines, including certain antibiotics, antidepressants, and cholesterol-lowering drugs. Always tell your doctor about all the medicines, supplements, and herbal products you are taking. Do not stop taking this medicine without consulting your doctor, even if you feel better. Complete the full course as prescribed to prevent the infection from returning. 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 to catch up. Store this medicine at room temperature, away from moisture and direct sunlight. Keep it out of reach of children. If you are pregnant, planning to become pregnant, or breastfeeding, inform your doctor before taking this medicine. This medicine may cause dizziness; avoid driving or operating heavy machinery until you know how it affects you.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to the side effects of this medicine, especially heart failure and liver toxicity. Dose adjustment may be necessary based on renal and hepatic function. Regular monitoring is advised.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. Effective contraception should be used during treatment and until the next menstrual period after treatment ends. This medicine should not be used for onychomycosis during pregnancy.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine, as it can interact with other medications used during surgery. It may also affect heart function, so monitoring may be needed.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine, as it can interact with certain medications used in dental procedures. It may also increase the risk of bleeding if you are on blood thinners.

💚 Lifestyle Tips for Better Results

🏃
Maintain good hygiene to prevent fungal infections.
🥗
Keep your skin dry, especially in folds and feet.
😴
Wear breathable clothing and footwear.
💧
Avoid sharing personal items like towels and nail clippers.
🧘
Follow a healthy diet and stay hydrated.
🌞
Complete the full course of treatment as prescribed.

🏋️ Exercise Considerations

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

🥗 Diet Recommendations

Take the medicine with a meal.
Avoid grapefruit juice.
Limit alcohol intake.
Eat a balanced diet rich in fruits and vegetables.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It is generally safe to continue your daily activities, but take precautions.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience serious side effects such as signs of liver injury, heart failure, or severe allergic reaction, stop the medicine and seek immediate medical attention. Your doctor will advise you on whether to continue or stop.

📅 Long-Term Use Effects

Long-term use of this medicine may increase the risk of liver injury, heart failure, and peripheral neuropathy. Regular monitoring of liver function and heart function is recommended. The medicine may also cause drug interactions that require dose adjustments. Consult your doctor for regular check-ups if you are on prolonged therapy.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Topical antifungals

For mild skin fungal infections, topical creams may be sufficient.

Evidence: Well-established
Terbinafine

An alternative oral antifungal for dermatophyte infections.

Evidence: Well-established
Fluconazole

Another oral antifungal for certain fungal infections.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine may interact with live vaccines. Consult your doctor before receiving any vaccination while on this medicine.

📦 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, away from direct sunlight and moisture. If crossing time zones, continue taking the medicine at the same intervals as prescribed; consult your doctor for specific advice. Declare the medicine at customs if required. Keep it in your carry-on luggage to avoid loss.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old man with toenail fungus
He was prescribed this medicine for onychomycosis. He took it with food as directed and completed the 3-month course. His nails gradually cleared and grew healthy. He reported mild stomach upset initially, which resolved after taking it with meals.
💡 Lesson: Consistent adherence and taking the medicine with food improves outcomes and tolerability.
👤 A 32-year-old woman with recurrent vaginal candidiasis
She was given this medicine after other treatments failed. She experienced headache and nausea but completed the course. Her symptoms resolved completely. She was advised to avoid alcohol and to use contraception during treatment.
💡 Lesson: Even with mild side effects, completing the prescribed course is essential for cure.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Improvement in skin infections may be seen within 1-2 weeks. Nail infections may take several weeks to months to clear.

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 should I do if I miss a dose?

A: 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.

Q: Is this medicine safe during pregnancy?

A: This medicine should not be used during pregnancy for onychomycosis. For other indications, consult your doctor to weigh the benefits and risks.

Q: Can I drink alcohol while taking this medicine?

A: No, avoid alcohol as it may increase the risk of liver problems.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney 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 itixo sb 65mg 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 many fungal infections but requires the full prescribed course and may take weeks to months for complete cure, especially for nail infections.
  • Myth: It is safe to stop this medicine once symptoms improve.
    Fact: Stopping early can lead to recurrence of the infection. Always complete the full course as prescribed.
  • Myth: This medicine can be taken on an empty stomach.
    Fact: This medicine should be taken with food to ensure proper absorption and reduce stomach upset.

🔄 Alternative Options

Generic Alternatives

  • Itraconazole 65 mg capsule

Brand Alternatives

  • Itraconazole 65 mg capsule (various manufacturers)

📊 Comparison with Similar Medicines

[{"medicine":"Itraconazole","class":"Triazole antifungal","spectrum":"Broad","common_uses":"Dermatophytosis, onychomycosis, systemic mycoses","route":"Oral"},{"medicine":"Fluconazole","class":"Triazole antifungal","spectrum":"Broad","common_uses":"Candidiasis, cryptococcosis","route":"Oral, IV"},{"medicine":"Terbinafine","class":"Allylamine antifungal","spectrum":"Dermatophytes","common_uses":"Onychomycosis, tinea infections","route":"Oral, topical"}]

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