Metopirone 250 mg capsule

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Medication name

Generic name:
Metyrapone - oral

Pronunciation
(me-TIR-a-pone)

Brand name(s)
Metopirone

Uses

Metyrapone is used to test if your pituitary gland is sending the proper signals to your adrenal glands. Normally the pituitary gland in your brain sends signals to your adrenal glands to make a natural substance called cortisol. Cortisol is important for keeping your body functioning well and for good health.

How to use

Take this medication by mouth with milk or a snack as directed by your doctor. The dosage is based on your weight.

If you are directed to use the single-dose test, take your dose of metyrapone at midnight. Early the next morning, your doctor will take a blood sample from you.

If you are directed to use the multiple-dose test, take this medication exactly at the times recommended by your doctor. For one day, several days before taking this medication, you will need to collect all your urine for a 24-hour period for testing, and then again on the day after you take this medication.

It is important to take this medication as directed to assure proper test results.

Side effects

Nausea, upset stomach, headache, dizziness, or drowsiness may occur. If any of these effects last or get worse, tell your doctor promptly.

Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:

  • rash
  • itching/swelling (especially of the face/tongue/throat)
  • severe dizziness
  • trouble breathing

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking metyrapone, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

  • decreased adrenal gland function (primary adrenal insufficiency)
  • thyroid problems

This drug may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. A below-normal response to this medication may occur in pregnant women.

It is unknown if this medication passes into breast milk. Consult your doctor before breastfeeding.

Drug interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Some products that may interact with this drug include:

  • acetaminophen
  • cyproheptadine
  • estrogens
  • hydantoins (such as phenytoin)

If you are taking corticosteroids (such as hydrocortisone, prednisone), these medications must be stopped before and during metyrapone testing. Consult your doctor for more details about how to do so safely.

Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: fast/irregular heartbeat, severe dizziness, anxiety, confusion, weakness, vomiting, stomach pain.

Notes

Do not share this medication with others.

Blood or urine tests will be done to test your response to this medication. Consult your doctor for more details.

Missed dose

If you miss a dose, contact your doctor right away for advice and instructions.

Storage

Store at room temperature away from moisture, light, and heat. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Important note

HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

Information last revised March 2024.

Selected from NATIONAL DRUG DATA FILE (NDDF) data included with permission and copyrighted by First Databank, Inc., 2019. This copyrighted material has been downloaded from a licensed data provider.

The above information is intended to supplement, not substitute for, the expertise and judgment of your health care professional. You should consult your health care professional before taking any drug, changing your diet, or commencing or discontinuing any course of treatment.