Drug & supplement interaction

Brewer's Yeast + Itraconazole

Itraconazole brand names: Sporanox, Sporanox Injection, Tolsura.

Minor Interaction
The bottom line Minor

Brewer's Yeast has a minor interaction with Itraconazole. Theoretically, taking antifungals with some brewer's yeast products might decrease the effectiveness of brewer's yeast.

Read the full interaction report
SeverityMinor
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Brewer's Yeast and Itraconazole

Here is the interaction we found between these two, with the evidence behind it.

Minor

ANTIFUNGALS

Why this applies to Itraconazole

Itraconazole falls under ANTIFUNGALS — the group Brewer's Yeast interacts with.

Theoretically, taking antifungals with some brewer's yeast products might decrease the effectiveness of brewer's yeast.
Some brewer's yeast products contain live yeast. Therefore, simultaneously taking antifungals might kill a significant number of the organisms.
Severity Minor Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the simple version: the concern runs the other way from what most people expect. Itraconazole (Sporanox, Tolsura) is an antifungal, and brewer's yeast is, well, a yeast (a fungus). Some brewer's yeast products contain live, active organisms. So if you take them at the same time, the itraconazole may kill off a good chunk of the live yeast, making the supplement less useful. It does not make your itraconazole stronger or weaker, and it won't change your treatment for the infection you're taking it for.

I'll be honest with you: this is a theoretical idea based on how the two work, not something proven in studies, so I wouldn't lose sleep over it. If you take brewer's yeast for its B vitamins or protein, that nutritional value isn't really the issue here. Still, it's worth a quick chat with your pharmacist before combining them regularly.

References
  1. Lewis SJ, Freedman AR. Review article: the use of biotherapeutic agents in the prevention and treatment of gastrointestinal disease. Aliment Pharmacol Ther 1998;12:807-22. PubMed

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Brewer's Yeast Also Interacts With Other Medications

Brewer's Yeast has 9 major, 87 moderate, 39 minor known drug interactions in our database — the Itraconazole one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Brewer's Yeast

Covers the 2,830 medications we’ve checked against Brewer's Yeast. Pick one to open its full report.

From our Q&A

Questions About Brewer's Yeast or Itraconazole

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Brewer's Yeast or Itraconazole, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Itraconazole

This page covers Brewer's Yeast only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Itraconazole page lists 182 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Grapefruit (major), Siberian Cocklebur (major) and St. John's Wort (major).

By severity: 6 major · 136 moderate · 40 minor.

From our pharmacist’s overview on the Itraconazole page

“Serious fungal infections are what itraconazole (Sporanox, Tolsura) is for, and the drug travels through CYP3A4, the liver enzyme that also handles a large share of supplements. That overlap is why this list reaches 182 ingredients, and it earns genuine care; start with the six rated major.”

Reviewed by 2 · Jul 18, 2026

Open the Itraconazole interaction page

One more smart check

Taking Brewer's Yeast as Part of a Dietary Supplement Product? Check It for Interactions

We hold 126 real supplement products containing Brewer's Yeast, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Brewer's Yeast. Your product may carry other ingredients that interact with Itraconazole too, on top of Brewer's Yeast — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Brewer's Yeast and Itraconazole Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Brewer's Yeast
Top half

#590 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Itraconazole
Top half

#855 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Brewer's Yeast

What is Brewer's Yeast?

Brewer's Yeast
  • Source of B vitamins
  • Diarrhea (certain types)
  • Cold and flu support
  • Digestive health
  • Acne and skin health
  • Blood sugar support

Brewer's yeast is a nutrient-rich fungus that provides B vitamins, protein, and minerals, and a related yeast product (S. boulardii) is used for some types of diarrhea. Most other health claims have limited or weak evidence. It is generally well tolerated as a food or supplement, but talk to your pharmacist or doctor before using it regularly, especially if you have a weakened immune system.

Read the full Brewer's Yeast monograph & all interactions
Medication

About Itraconazole

What Is Itraconazole Used For?

Brand names: Sporanox, Sporanox Injection, Tolsura

Itraconazole capsules (including Sporanox capsules and generic itraconazole capsules) treat serious fungal infections — blastomycosis, histoplasmosis, and aspergillosis — in both people with normal immune systems and those who are immunocompromised. Capsule forms are also approved for nail fungus (onychomycosis) caused by dermatophytes in non-immunocompromised patients. Tolsura (a gelatin-coated capsule formulation) treats blastomycosis, histoplasmosis, and aspergillosis in adults, but is not approved for nail fungus and is not interchangeable with other itraconazole products.

Itraconazole oral solution is specifically approved for oropharyngeal candidiasis (thrush — a fungal infection of the mouth) and esophageal candidiasis (a fungal infection of the food pipe). Only the oral solution has been shown to work for these mouth and throat infections; capsules cannot be substituted for this use.

See full Itraconazole drug information
Keep checking

Other Drugs & Brewer's Yeast

Browse every other medication we’ve checked against Brewer's Yeast — both the ones with a known interaction and the ones without. Select any drug for the full detail.

9Major
87Moderate
39Minor
2,694No known interaction
Major

9 interactions

Moderate

87 interactions

Showing 60 of 87 moderate interactions — see all 87 on the Brewer's Yeast page.

Minor

39 interactions

No interaction 2,694 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Brewer's Yeast and Itraconazole Together: Common Questions

Can you take Brewer's Yeast with Itraconazole?
There is only a minor interaction, which is usually not serious. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Brewer's Yeast and Itraconazole interaction?
We rate it Minor. This interaction is generally not clinically significant, but it remains worth noting and discussing with your pharmacist.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Itraconazole and Brewer's Yeast?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.