Package Leaflet: Information for the User
Itraconazole
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you
Contents of the pack
Hongoseril belongs to a group of medicines called “antifungals”. It is used to treat infections caused by fungi of the vagina, skin, mouth, eyes, nails, or internal organs.
Do not take Hongoseril 100 mg Capsules
Tell your doctor if you are taking any other medicines before you start taking Hongoseril Capsules.
Do not take Hongoseril Capsules if you are taking certain medicines, or within 2 weeks after finishing Hongoseril Capsules. The following list includes examples of medicines that you must not take with Hongoseril Capsules or within 2 weeks after finishing Hongoseril Capsules:
Medicines used to treat heart, blood, or circulation problems
Medicines for stomach or constipation problems
Medicines for headache, sleep, or mental health problems
Medicines for urinary problems
Medicines for allergies
Medicines for 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; tell 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
Tell your doctor or pharmacist if you are taking, have recently taken, or are planning to take any other medication, including those purchased without a prescription.
There are medications that should not be takenwhile taking Hongoserilcapsules. These medications are listed above under the heading "Do not take Hongoseril100 mg capsules"
It is not recommended to use certain medications with Hongoseril.
Your doctor may decide that you should not take some medications at the same time as Hongoseril capsules or in the 2 weeks following their completion.
Examples of these medications are:
Medications to treat heart, blood, or circulation problems
Medications to treat epilepsy, headaches, or mental health problems
Medications to treat urinary problems
Medications to treat cancer
Medications to treat tuberculosis
Medications to treat human immunodeficiency virus (HIV) or hepatitis
Medications used after organ transplantation
Medications to treat benign prostatic hyperplasia
Medications to treat lung problems or allergies
Medications to treat erection and ejaculation problems
Other medications that contain:
Remember: do not take any of the above medications for 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 medications or any other medication.
Caution should be exercised when usingHongoserilcapsules with certain medications.
You may be more likely to experience adverse effects or it may be necessary to modify the dose of Hongoseril capsules or the other medication. Examples of these medications are:
Medications to treat heart, blood, or circulation problems
Medications to treat stomach or diarrhea problems
Medications to treat sleep disorders or mental health problems
Medications to treat urinary problems
Medications to treat cancer
Medications to treat infections
Medications to treat human immunodeficiency virus (HIV) or hepatitis
Medications used after organ transplantation
Medications to treat benign prostatic hyperplasia
Medications to treat lung problems, allergies, or inflammatory conditions
Medications to treat erection and ejaculation problems
Medications to treat pain
Other medications that contain:
This list is not complete, so you should inform your doctor if you are taking or plan to take any of these medications or any other medication, so that the necessary measures can be taken.
There should be sufficient stomach acidity to ensure the absorption of Hongoseril capsules. Therefore, medications that neutralize stomach acidity should be used at least 2 hours before taking Hongoseril capsules or after 2 hours of taking this medication. For the same reason, if you are taking medications that regulate stomach acid production, take Hongoseril capsules with a cola drink (see section 3 "How to take Hongoseril 100 mg capsules").
In case of doubt, consult your doctor or pharmacist.
Taking Hongoseril 100 mg capsules with food and drinks
Take this medication immediately after finishing one of the main meals.
If you are taking any medication that regulates stomach acid production, it is recommended to take this medication with a cola drink.
Pregnancy and breastfeeding
Pregnancy
Consult your doctor or pharmacist before using any medication.
Hongoseril should not be used in case of pregnancy.
If you are of childbearing age and can become pregnant, consult your doctor. You should use effective contraceptives to ensure you do not become pregnant while taking the medication. Because Hongoseril capsules can remain in the body for some time, you should extend contraceptive measures until the next menstrual period after completing treatment with this medication (see section 2 "Do not take Hongoseril 100 mg capsules").
Breastfeeding
Consult your doctor or pharmacist before using any medication.
If you are breastfeeding, consult your doctor before taking Hongoseril, as small amounts of the medication may appear in breast milk.
Driving and using machines
Hongoseril 100 mg capsules can sometimes cause dizziness, blurred or double vision, or hearing loss. If you experience any of these symptoms, do not drive or operate machinery.
This medication contains less than 1 mmol of sodium (23 mg) per capsule; this is essentially "sodium-free".
If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medication.
Follow the administration instructions for Hongoseril capsules exactly as indicated by your doctor. Consult your doctor or pharmacist if you have any doubts. Remember to take your medication.
Your doctor will indicate the duration of your treatment with this medication. Do not stop treatment before.
If you think the effect of the medication is too strong or too weak, inform your doctor or pharmacist.
You should take Hongoseril capsules immediately after meals, as they are better 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 to take.
There should be sufficient stomach acidity to ensure the absorption of this medication. Therefore, medications that neutralize stomach acidity should be used after 2 hours of taking this medication or 2 hours before taking Hongoseril 100 mg capsules. For the same reason, if you are taking medications that regulate stomach acid production, 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 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. | ||
Mouth 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 |
? Nail infections: depending on your personal needs, your doctor will opt for continuous or pulsed treatment.
TYPE OF INFECTION | CAPSULES PER DAY | DURATION |
Continuous treatment for nails | 2 capsules once a day | 3 months |
It consists of 2 capsules twice a day for 1 week; then stop taking Hongoseril 100 mg capsules for 3 weeks. Then repeat the cycle, once for hand nails and twice for foot nails (with or without nail infection). (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 | Interrupt treatment | ||||
Only hand nails | Take 2 capsules twice a day | No treatment with Hongoseril capsules | Take 2 capsules twice a day | Interrupt treatment |
In skin infections, the lesions will disappear a few weeks after finishing treatment. This is characteristic of fungal spots: the medication eliminates the fungus itself, but the lesion does not disappear until new skin grows.
Nail lesions will disappear 6 to 9 months after finishing treatment, as the medication only eliminates the fungus itself. The nail has to grow, and this 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 mission. Therefore, you should stop treatment when your doctor indicates, even if you do not see any improvement.
Internal organ infections:Higher doses and longer treatment periods may be necessary.
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 can it be prescribed by a doctor.
If you take more Hongoseril 100 mg capsules than you should
In case of overdose or accidental ingestion, consult your doctor or pharmacist or the Toxicology Information Service, Telephone 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 treatment as indicated by your doctor. Do not take a double dose to make up for forgotten doses.
If you interrupt treatment with Hongoseril 100 mg capsules
Do not interrupt treatment with Hongoseril without consulting your doctor, as 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 that any of the adverse effects you suffer from is serious or if you notice any adverse effect not mentioned in this prospectus, inform your doctor or pharmacist.
The following adverse effects are mentioned during the marketing of the medicine and clinical trials.
Adverse reactions were classified according to frequency using the following convention:
Very frequent: affecting more than 1 in 10 patients
Frequent: affecting between 1 and 10 in 100 patients
Uncommon: affecting between 1 and 10 in 1,000 patients
Rare: affecting between 1 and 10 in 10,000 patients
Very rare: affecting less than 1 in 10,000 patients
Frequency not known: cannot be estimated with available data
Uncommon: sinusitis (irritation and swelling of the nasal sinuses), upper respiratory tract infection, rhinitis (inflammation of the nasal mucosa that occurs with the production of watery mucus and frequent sneezing)
? Blood and lymphatic system disorders
Rare: leucopenia.
Uncommon: hypersensitivity and allergic reaction.
Rare: anaphylactic reactions (allergic), serum sickness (allergy that appears after the injection of some sera and is characterized by the appearance of urticaria, fluid accumulation, joint pain, fever, and extreme exhaustion), angioedema (swelling due to fluid accumulation that can affect the mouth and upper respiratory tract).
Rare: increased triglycerides.
Frequent: headache
Rare: tremor, tingling sensation in the limbs (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 transient hearing loss, subjective sensation of noises in the ear.
Rare: congestive heart failure, decreased heart rate.
Rare: shortness of breath, difficulty breathing (dyspnea).
Frequent: abdominal pain, nausea.
Uncommon: vomiting, discomfort associated with meals, diarrhea and constipation, gas accumulation in the intestine (flatulence).
Rare: pancreatitis.
Uncommon: abnormal liver function
Rare: elevated bilirubin levels in blood (hyperbilirubinemia), severe hepatotoxicity (including cases of severe acute liver failure).
Uncommon: urticaria, rash, itching.
Rare: toxic epidermal necrolysis (severe skin disease characterized by skin rash and the appearance of blisters and scales), Stevens-Johnson syndrome (severe erythema of the skin, mucous membranes, and eyes), a severe skin disorder (widespread rash with skin peeling and blisters in the mouth, eyes, and genitals, or 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), leukocytoclastic vasculitis (inflammation of the blood vessel wall), alopecia (hair loss), photosensitivity (exaggerated skin response to sunlight).
? Renal and urinary disorders
Rare: increased frequency of urination.
Uncommon: menstrual disorders.
Rare: erectile dysfunction.
Rare: edema (fluid accumulation).
Rare: increased creatine phosphokinase in blood (parameter that measures liver function)
Description of certain adverse effects
The following adverse effects associated with itraconazole were reported in clinical trials of itraconazole oral and intravenous solution, excluding the adverse effect "inflammation at the injection site" since this effect is specific to the injection route.
Blood and lymphatic system disorders: granulocytopenia, thrombocytopenia (decrease in some blood cells).
Immune system disorders: anaphylactoid reaction
Metabolism and nutrition disorders: hyperglycemia (increased sugar in blood), hyperkalemia (increased potassium in blood), hypokalemia (decreased potassium in blood), hypomagnesemia (decreased magnesium in blood),
Psychiatric disorders: feeling of confusion or disorientation
Nervous system disorders: peripheral neuropathy (peripheral nerve damage with tingling, numbness, or weakness in the limbs), dizziness, somnolence, tremor.
Cardiac disorders: heart failure, left ventricular failure, tachycardia (rapid heart rate)
Vascular disorders: high blood pressure (hypertension), low blood pressure (hypotension)
Respiratory, thoracic, and mediastinal disorders: pulmonary edema, hoarseness, cough
Gastrointestinal disorders: gastrointestinal disorder
Hepatobiliary disorders: liver failure, hepatitis, jaundice (yellowing of the skin, eyes, mucous membranes, and secretions)
Skin and subcutaneous tissue disorders: erythematous rash (exanthematous rash), excessive sweating
Musculoskeletal and connective tissue disorders: muscle pain or weakness (myalgia), joint pain (arthralgia)
Renal and urinary disorders: renal failure, urinary incontinence (loss of urine)
General disorders and administration site conditions: excessive fluid accumulation in body tissues (generalized edema), fluid accumulation in the face (facial edema), chest pain, fever, pain, fatigue, chills
Investigations: increased alanine aminotransferase, increased aspartate aminotransferase, increased alkaline phosphatase in blood, increased lactate dehydrogenase in blood, increased urea in blood, increased gamma-glutamyltransferase, increased liver enzymes, abnormal urine analysis.
Adverse effects in the pediatric population
Based on clinical trial data in pediatric patients, the most frequently reported adverse effects were: headache, vomiting, abdominal pain, diarrhea, abnormal liver function, low blood pressure, nausea, and urticaria.
In general, the nature of the adverse effects is similar to that observed in adult patients, although the incidence is higher in pediatric patients.
If you experience any of these adverse effects, consult your doctor.
If you consider that any of the adverse effects you suffer from is serious or if you notice any adverse effect not mentioned in this prospectus, inform your doctor or pharmacist.
Reporting adverse effects
If you experience any type of adverse effect, consult your doctor or pharmacist, even if it is a possible adverse effect that does not appear in this prospectus. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting adverse effects, you can contribute to providing more information on the safety of this medicine.
Keep out of sight and reach of children.
Do not use Hongoseril after the expiration date shown on the packaging after CAD. The expiration date is the last day of the month indicated.
Do not store at a temperature above 30°C. Store in the original packaging to protect it from moisture.
Medicines should not be thrown away through the sewage system or in the trash. Deposit the packaging and medicines you no longer need at the SIGRE Point of the pharmacy. In case of doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This way, 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 components of the capsule are titanium dioxide (E171), indigo carmine (E132), erythrosine sodium, and gelatin.
Product appearance and package contents
Hongoseril 100 mg capsules are presented in pink and blue capsules containing 100 milligrams of itraconazole in packages of 7 and 14 capsules.
Marketing authorization holder
Marketing authorization holder:
Isdin SA
Provençals, 33
08019 Barcelona
Spain
Manufacturer
TOWA Pharmaceutical Europe, S.L.
C/ de Sant Martí, 75-97
08107 Martorelles (Barcelona)
Spain
Date of the last revision of this prospectus: August 2025
Detailed information about this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) (http://www.aemps.gob.es/).
The average price of HONGOSERIL 100 mg CAPSULES in October, 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.