Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Itraconazole (Sporanox, Tolsura) and miconazole (Oravig) are both antifungal medications used to treat fungal infections, but they differ in their specific uses and forms. Itraconazole is available in oral capsules and is used for severe fungal infections like blastomycosis, histoplasmosis, and aspergillosis, as well as fungal nail infections. Miconazole, on the other hand, is available as a buccal tablet and is specifically used for oral thrush in the mouth and throat. While itraconazole is taken with food and can be used for several months, miconazole is placed in the mouth once daily for 14 days. Itraconazole is available as a generic, making it more affordable, whereas miconazole does not have a generic version. Common side effects of itraconazole include nausea and rash, while miconazole may cause mouth discomfort and diarrhea. Itraconazole has significant drug interactions and can cause serious heart-related side effects, whereas miconazole's main concern is potential allergic reactions.
Itraconazole (Sporanox) capsule
Oravig (miconazole)
Itraconazole (Sporanox) capsule
Oravig (miconazole)
Summary of Sporanox vs. Oravig
Summary for Antifungal
Prescription only
Itraconazole (Sporanox) capsule is used to treat various fungal infections. You might have to take it for several weeks or months. It interacts with many medications, which can lead to serious heart-related side effects.
Summary for Antifungal
Prescription only
Oravig (miconazole) treats fungal infections in the mouth and throat (oral thrush). This medication comes as a tablet that dissolves against your gum in your mouth, so it might be more difficult to use than other medications. The most common side effects of Oravig (miconazole) include upset stomach (e.g., diarrhea, nausea) and headache.
Indications of Sporanox vs. Oravig
Indications for
Severe fungal infections in people with weakened or healthy immune systems - itraconazole (Tolsura) and itraconazole (Sporanox) capsule: