Azole Antifungal and Tacrolimus: Drug Interaction Guide
Quick answer: This is a major interaction — avoid combining Azole Antifungal and Tacrolimus unless specifically directed by your doctor.
How Azole Antifungal interacts with Tacrolimus
Azole antifungals (fluconazole, voriconazole, itraconazole) potently inhibit CYP3A4 and P-glycoprotein, dramatically increasing tacrolimus levels and risk of nephrotoxicity and neurotoxicity.
What you should do
Reduce tacrolimus dose by 50-66% at initiation, monitor trough levels every 2-3 days, and adjust based on therapeutic drug monitoring.
Key facts
Severity
Major — avoid combination
Mechanism
Azole antifungals (fluconazole, voriconazole, itraconazole) potently inhibit CYP3A4 and P-glycoprotein, dramatically inc...
Action
Reduce tacrolimus dose by 50-66% at initiation, monitor trough levels every 2-3 days, and adjust based on therapeutic dr...
Frequently asked questions
Can I take Azole Antifungal and Tacrolimus together?
No — this combination should generally be avoided. Reduce tacrolimus dose by 50-66% at initiation, monitor trough levels every 2-3 days, and adjust based on therapeutic drug monitoring.
What is the severity of this interaction?
The interaction between Azole Antifungal and Tacrolimus is classified as Major — avoid combination. Azole antifungals (fluconazole, voriconazole, itraconazole) potently inhibit CYP3A4 and P-glycoprotein, dramatically increasing tacrolimus levels and risk of nephrotoxicity and neurotoxicity.
What should I do if I'm prescribed both?
Reduce tacrolimus dose by 50-66% at initiation, monitor trough levels every 2-3 days, and adjust based on therapeutic drug monitoring. Always consult your prescribing clinician — do not stop or change medications without medical guidance.
Last reviewed: by iMedic Medical Editorial Team. Our editorial process.