Leaflet: information for the user
Itraconazole
Read this leaflet carefully before you start taking the medicine, because it contains important information for you
1. What isHongoseril 100 mg capsulesand what it is used for
2. What you need to know before takingHongoseril 100 mg capsules
3. How to takeHongoseril 100 mg capsules
4. Possible side effects
5. Storage ofHongoseril 100 mg capsules
6. Contents of the pack and additional information
Hongoseril belongs to a group of medicines called “antifungals”. It is indicated for the treatment of infections caused by fungi of the vagina, skin, mouth, eyes, nails or internal organs.
No use Hongoseril 100 mg cápsulas
Inform your doctor if you are taking any other medicine, before taking Hongoseril capsules.
Do not use Hongoseril capsules if you are taking certain medicines, or within 2 weeks after stopping Hongoseril capsules. The following list includes examples of medicines that you should not take with Hongoseril capsules or within 2 weeks after stopping Hongoseril capsules:
Medicines used to treat heart, blood, or circulation problems
Medicines to treat stomach or constipation problems
Medicines to treat headache, sleep, or mental health problems
Medicines to treat urinary problems
Medicines to treat allergies
Medicines to treat erection and ejaculation problems
Other medicines that contain:
Remember: do not take any of the above medicines during 2 weeks after your last treatment with Hongoseril capsules.
This is not a complete list; inform your doctor if you are taking or plan to take any of these medicines or any other medicine.
Warnings and precautions
Be especially careful with Hongoseril 100 mg capsules
Inform your doctor or pharmacist if you are taking, have taken recently, or plan to take any other medicine, including those purchased without a prescription.
There are medicines that you should not take while taking Hongoseril capsules. These medicines are listed above under the heading “Do not take Hongoseril 100 mg capsules”
Do not recommend the use of certain medicines with Hongoseril.
Your doctor may decide that you should not take some medicines at the same time as Hongoseril capsules or within 2 weeks after stopping Hongoseril capsules.
Examples of these medicines are:
Medicines used to treat heart, blood, or circulation problems
Medicines to treat epilepsy, headache, or mental health problems
Medicines to treat urinary problems
Medicines to treat cancer
Medicines to treat tuberculosis
Medicines to treat HIV/AIDS or hepatitis
Medicines used after organ transplantation
Medicines to treat benign prostatic hyperplasia
Medicines to treat respiratory, allergy, or inflammatory problems
Medicines to treat erection and ejaculation problems
Other medicines that contain:
Remember: do not take any of the above medicines during 2 weeks after your last treatment with Hongoseril capsules.
This list is not complete, so you should inform your doctor if you are taking or plan to take any of these medicines or any other medicine.
You should be careful when using Hongoseril capsules with certain medicines.
You may be more likely to experience side effects or the dose of Hongoseril capsules or the other medicine may need to be adjusted. Examples of these medicines are:
Medicines used to treat heart, blood, or circulation problems
Medicines to treat stomach or diarrhea problems
Medicines to treat sleep or mental health problems
...
Medicamines to treat urinary problems
Medicines to treat cancer
Medicines to treat infections
Medicines to treat HIV/AIDS or hepatitis
Medicines used after organ transplantation
Medicines to treat benign prostatic hyperplasia
Medicines to treat respiratory, allergy, or inflammatory problems
Medicines to treat erection and ejaculation problems
Medicines to treat pain
Other medicines that contain:
This list is not complete, so you should inform your doctor if you are taking or plan to take any of these medicines, or any other medicine, so that appropriate measures can be taken.
You should have enough acidity in the stomach to ensure the absorption of Hongoseril capsules. Therefore, medicines that neutralize stomach acid should be taken at least 2 hours before taking Hongoseril capsules or 2 hours after taking this medicine. For the same reason, if you are taking medicines that regulate the production of acid in the stomach, take Hongoseril capsules with a cola drink (see section 3 “How to take Hongoseril 100 mg capsules”).
Consult your doctor or pharmacist if you are unsure.
Taking Hongoseril 100 mg capsules with food and drinks
Take this medicine immediately after finishing one of the main meals.
If you are taking any medicine that regulates the production of acid in the stomach, it is recommended to take this medicine with a cola drink.
Pregnancy and breastfeeding
Pregnancy
Consult your doctor or pharmacist before using any medicine.
Hongoseril will not be used during pregnancy.
If you are fertile and may become pregnant, consult your doctor. You should use effective contraceptive measures to avoid becoming pregnant while taking the medicine. Because Hongoseril capsules may stay in the body for a long time, you should prolong contraceptive measures until the next menstrual period after completing treatment with this medicine (see section 2 “Do not take Hongoseril 100 mg capsules”).
Breastfeeding
Consult your doctor or pharmacist before using any medicine.
If you are breastfeeding, consult your doctor before taking Hongoseril, as small amounts of the medicine may appear in milk.
Driving and operating machinery
Hongoseril 100 mg capsules may cause dizziness, blurry vision, or hearing loss. If you experience any of these symptoms, do not drive or operate machinery.
This medicine contains less than 1 mmol of sodium (23 mg) per capsule; it is essentially “sodium-free”.
If your doctor has told you that you have an intolerance to certain sugars, consult him before taking this medicine.
Follow exactly the administration instructions of Hongoseril capsules indicated by your doctor. Consult your doctor or pharmacist if you have doubts. Remember to take your medication.
Your doctor will indicate the duration of your treatment with this medication. Do not discontinue treatment before.
If you estimate that the medication's action is too strong or weak, inform your doctor or pharmacist.
You must take Hongoseril capsules immediately after meals, as this is when they are best absorbed. Swallow the capsules whole with a little water. The number of capsules you should take and for how long depends on the type of fungus and the location of the infection. Your doctor will tell you exactly how many Hongoseril capsules you should take.
There must be enough acidity in the stomach to ensure the absorption of this medication. Therefore, medications that neutralize stomach acid should be used two hours after taking this medication or two hours before taking Hongoseril 100 mg capsules. For the same reason, if you are taking medications that regulate acid production in the stomach, take Hongoseril capsules with a cola drink.
The following doses are the most common:
TYPE OF INFECTION | CAPSULES PER DAY | DURATION |
Vaginal infection | 2 capsules twice a day or 2 capsules once a day | 1 day 3 days |
Skin infection | 2 capsules once a day or 1 capsule once a day | 7 days 2 weeks |
If the palms of the hands or the soles of the feet are affected, 2 capsules twice a day for 7 days or 1 capsule once a day for 1 month may be needed. | ||
Oral infections | 1 capsule once a day | 2 weeks |
Eye infections | 2 capsules once a day | 3 weeks |
Internal infections | 1 to 4 capsules daily | Longer periods |
?Fungal nail infections: Depending on your personal needs, your doctor will choose between continuous or pulsatile treatment.
TYPE OF INFECTION | CAPSULES PER DAY | DURATION |
Continuous treatment for nails | 2 capsules once a day | 3 months |
-Pulsatile treatment for nails:
This consists of 2 capsules twice a day for 1 week; then stop taking Hongoseril 100 mg capsules for 3 weeks. The cycle is then repeated, once for the hands and twice for the feet (with or without nail infection on the hands). (See the following table)
Week 1 | Week 2 | Week 3 | Week 4 | Week 5 | Week 6 | Week 7 | Week 8 | Week 9 | Week 10 | |
Foot nails with or without hand nail involvement | Take 2 capsules twice a day | No treatment with Hongoseril capsules | Take 2 capsules twice a day | No treatment with Hongoseril capsules | Take 2 capsules twice a day | Discontinue treatment | ||||
Only the hands | Take 2 capsules twice a day | No treatment with Hongoseril capsules | Take 2 capsules twice a day | Discontinue treatment |
Lesions on the skin will disappear a few weeks after completing treatment. This is characteristic of fungal lesions: the medication eliminates the fungus itself, but the lesion does not disappear until new skin grows.
Nail lesions will disappear from 6 to 9 months after completing treatment, as the medication only eliminates the fungus itself. The nail must grow, which takes several months. Therefore, do not worry if you do not notice improvement during treatment: the medication remains in your nails for several months and fulfills its purpose. Therefore, you must discontinue treatment at the time indicated by your doctor, even if you do not see any improvement.
Internal organ infections:Higher doses may be needed and for a long time.
Always follow your doctor's instructions, as they will adapt the treatment to your needs.
Use in Children
Hongoseril capsules should not be used in children. Only in exceptional cases may be prescribed by the doctor.
If you take more Hongoseril 100 mg capsules than you should
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or the Toxicology Information Service, Teléfono 91 562 04 20, indicating the medication and the amount used.
In case of accidental overdose, your doctor will apply supportive measures. Itraconazole is not eliminated by hemodialysis. No specific antidotes are known.
If you forget to take Hongoseril 100 mg capsules
If you forget to take the medication, take the next dose that corresponds to you and continue the treatment as indicated by your doctor. Do not take a double dose to compensate for the missed doses.
If you discontinue treatment with Hongoseril 100 mg capsules
Do not discontinue treatment with Hongoseril without consulting your doctor, as the symptoms of your disease may reappear or worsen.
If you have any other doubts about the use of this product, ask your doctor or pharmacist.
If you consider any of the side effects you are experiencing to be severe or if you notice any side effect not mentioned in this leaflet, inform your doctor or pharmacist.
The following side effects have been seen during the marketing of the medication and clinical trials.
Adverse reactions were classified by frequency using the following convention:
Very common: affects more than 1 in 10 patients
Common: affects between 1 and 10 in 100 patients
Uncommon: affects between 1 and 10 in 1,000 patients
Rare: affects between 1 and 10 in 10,000 patients
Very rare: affects less than 1 in 10,000 patients
Frequency not known: cannot be estimated with available data
Uncommon: sinusitis (nasal sinus irritation and swelling), upper respiratory tract infection, rhinitis (inflammation of the nasal mucosa with watery discharge and frequent sneezing)
?Haematological and lymphatic system disorders
Rare: leucopenia.
Uncommon: excessive and allergic hypersensitivity reaction.
Rare: anaphylactic reactions (allergic reactions), serum disease (allergy that appears after the injection of some sera, characterized by the appearance of urticaria, accumulation of fluids, joint pains, fever, and extreme exhaustion), angioneuritic oedema (swelling due to fluid accumulation that can affect the mouth and upper respiratory tract).
Unknown: symptoms of elevated aldosterone levels (such as high blood pressure or low potassium levels in the blood), although the level in the blood of aldosterone is normal or low
Rare: increased triglycerides.
Common: headache
Rare: tremor, sensation of numbness in the extremities (paresthesia), decreased sensitivity (hypoesthesia), unpleasant taste (bad taste in the mouth).
?Eye disorders
Rare: visual disturbances (including blurred vision and double vision).
?Ear and labyrinth disorders
Rare: permanent or temporary hearing loss, subjective sensation of noise in the ear.
Rare: congestive heart failure.
Rare: dyspnoea, difficulty breathing.
Common: abdominal pain, nausea.
Uncommon: vomiting, discomfort associated with meals, diarrhoea and constipation, accumulation of gases in the intestine (flatulence).
Rare: pancreatitis.
Uncommon: abnormal liver function
Rare: elevated bilirubin levels in the blood (hyperbilirubinaemia), severe hepatotoxicity (including cases of acute severe liver failure).
Uncommon: urticaria, rash, pruritus.
Rare: toxic epidermal necrolysis (severe skin disease characterized by skin rash and the appearance of blisters and scales), Stevens-Johnson syndrome (severe skin and mucous membrane inflammation and eye inflammation), a severe skin disorder (generalised rash with skin peeling and blisters in the mouth, eyes, and genitals, or generalised rash with small pustules or blisters), erythema multiforme (skin disease characterized by the appearance of vesicles, blisters, etc.), exfoliative dermatitis (skin disease characterized by peeling), leucocytoclastic vasculitis (inflammation of the blood vessel walls), alopecia (hair loss), photosensitivity (exaggered skin response to sunlight).
?Renal and urinary disorders
Rare: increased frequency of urination.
Uncommon: menstrual disorders.
Rare: erectile dysfunction.
Rare: oedema (fluid accumulation).
Rare: increased creatine phosphokinase in the blood (parameter that measures liver function)
Description of certain side effects
The following side effects are associated with itraconazole reported in clinical trials of itraconazole oral and intravenous solution, excluding the side effect "inflammation at the injection site" as this side effect is specific to the injection route.
Haematological and lymphatic system disorders:granulocytopenia, thrombocytopenia (decrease in certain blood cells).
Immune system disorders:anaphylactoid reaction
Metabolic and nutritional disorders:hyperglycaemia (elevated blood sugar), hyperpotasemia (elevated potassium levels), hypokalaemia (decreased potassium levels), hypomagnesaemia (decreased magnesium levels),
Psychiatric disorders:sensation of confusion or disorientation
Nervous system disorders:peripheral neuropathy (affecting peripheral nerves with sensation of numbness, tingling, or weakness in the extremities), dizziness, somnolence, tremor.
Cardiac disorders:heart failure, left ventricular insufficiency, tachycardia (rapid heart rate)
Vascular disorders:hypertension, hypotension
Respiratory, thoracic and mediastinal disorders:pulmonary oedema, hoarseness, cough
Gastrointestinal disorders:gastrointestinal disorder
Hepatobiliary disorders:liver insufficiency, hepatitis, icterus (yellowing of the skin, eyes, mucous membranes, and secretions)
Skin and subcutaneous tissue disorders:erythematous rash (exanthema eritematoso), excessive sweating
Musculoskeletal and connective tissue disorders:muscle pain or weakness (myalgia), joint pain (arthralgia)
Renal and urinary disorders:renal insufficiency, urinary incontinence (urine loss)
General disorders and administration site conditions:generalised oedema, facial oedema, chest pain, fever, pain, fatigue, chills
Laboratory investigations:increased alanine aminotransferase, increased aspartate aminotransferase, increased alkaline phosphatase in the blood, increased lactate dehydrogenase in the blood, increased urea in the blood, increased gamma-glutamyltransferase, increased liver enzymes, abnormal urine analysis.
Side effects in the paediatric population
Based on clinical trial data in paediatric patients, the most frequently reported side effects were: headache, vomiting, abdominal pain, diarrhoea, abnormal liver function, low blood pressure, nausea, and urticaria.
In general, the nature of the side effects is similar to that observed in adult patients, although the incidence is higher in paediatric patients.
If you experience any of these side effects, consult your doctor.
If you consider any of the side effects you are experiencing to be severe or if you notice any side effect not mentioned in this leaflet, inform your doctor or pharmacist.
Reporting of side effects
If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish System for the Pharmacovigilance of Medicinal Products for Human Use:https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.
Keep out of sight and reach of children.
Do not use Hongoseril after the expiration date that appears on the packaging after CAD. The expiration date is the last day of the month indicated.
Do not store at a temperature above30°C. Store in the original packaging to protect it from moisture.
Medicines should not be disposed of through drains or in the trash. Deposit the containers and medicines you no longer need at the SIGRE collection point of the pharmacy. If in doubt, ask your pharmacist how to dispose of the containers and medicines you no longer need. By doing so, you will help protect the environment.
Composition of Hongoseril 100 mg capsules
The active ingredient is itraconazole. Each capsule contains 100 mg of itraconazole.
The other components are: sugar spheres (sucrose, cornstarch), hypromellose, and macrogol.
The capsule components are titanium dioxide (E171), indigotindisulfonate sodium (E132), erythrosine sodium, and gelatin.
Appearance of the product and contents of the packaging
Hongoseril 100 mg capsules are presented in pink and blue capsules containing 100 milligrams of itraconazole in packaging of 7 and 14 capsules.
Holder of the marketing authorization
Holder of the marketing authorization:
Isdin SA
Provençals, 33
08019 Barcelona
Spain
Responsible for manufacturing:
TOWA Pharmaceutical Europe, S.L.
C/ de Sant Martí, 75-9708107
Martorelles (Barcelona)
Spain
Last review date of this leaflet:May 2025
The detailed information of this medicine is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.es/.
The average price of Hongoseril 100 mg capsulas in July, 2025 is around 12.99 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.
Have questions about this medication or your symptoms? Connect with a licensed doctor for guidance and personalized care.