Lysodren, mitotane - for adrenocortical carcinoma (ACC)

Lysodren therapy

Lysodren^® (Mitotane) suppresses production of adrenal cortex corticosteroid hormones.

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INDICATION AND IMPORTANT SAFETY INFORMATION INCLUDING BOXED WARNING ON ADRENAL CRISIS IN THE SETTING OF SHOCK, SEVERE TRAUMA OR INFECTION

What is LYSODREN^®?

LYSODREN is a prescription medicine used to treat people with cancer of the adrenal glands (adrenocortical carcinoma) that is functional (when the adrenal glands make more corticosteroid hormone than normal) or nonfunctional (when the adrenal glands make less corticosteroid hormone than normal) and the cancer cannot be removed by surgery.

IMPORTANT SAFETY INFORMATION INCLUDING WARNINGS

What is the most important information I should know about LYSODREN^®?

LYSODREN can cause serious side effects including:

Adrenal Insufficiency and Adrenal Crisis.

Adrenal Insufficiency. LYSODREN can cause your adrenal glands to stop making enough corticosteroid hormones (adrenal insufficiency) or make this problem worse in people with cancer of the adrenal glands (adrenocortical carcinoma). Your healthcare provider may temporarily stop, reduce your dose, or permanently stop treatment with LYSODREN if you develop adrenal insufficiency during treatment.
Adrenal Crisis. LYSODREN can cause your adrenal glands to suddenly stop making enough corticosteroid hormones (adrenal crisis). You are at increased risk for developing adrenal crisis if you experience shock, severe injury, or infection during treatment with LYSODREN. Adrenal crisis may lead to death. Tell your healthcare provider right away if you get an injury, infection, or other illness during treatment with LYSODREN. Your healthcare provider will temporarily stop LYSODREN if shock, severe injury, or infections happen during treatment. Tell your healthcare provider if you have any planned surgery

Your healthcare provider will check your levels of corticosteroid hormones during treatment and may give you corticosteroid medicine if you develop adrenal gland problems. Tell your healthcare provider right away if you develop any signs or symptoms of adrenal gland problems, including:

severe weakness
confusion
pain in the lower back and legs
stomach (abdominal) pain
nausea, vomiting, or diarrhea
feeling lightheaded or dizzy
passing out
feeling very tired
decreased appetite
weight loss
areas of darkened skin
craving salt
low blood sugar
feeling irritable or depressed
hair loss

What should I tell my doctor before taking LYSODREN^®?

have an injury, infection or illness
plan to have surgery. Tell your healthcare providers you are taking LYSODREN. You may need to stop taking LYSODREN before any surgery and dental procedures.
have cysts on your ovaries
have liver or kidney problems
have bleeding problems
are pregnant or plan to become pregnant. LYSODREN can harm your unborn baby.
are breastfeeding or plan to breastfeed. LYSODREN can pass into your breast milk and may harm your baby

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Taking LYSODREN with certain other medicines may affect the way LYSODREN and the other medicines work and may increase your risk of side effects.
Especially tell your healthcare provider if you take:

spironolactone
hormonal birth control
warfarin
midazolam or other CYP3A substrates

What are the most common side effects of LYSODREN^®?

The most common side effects of LYSODREN include:

Eating disorders (Anorexia)
Upper stomach area (abdominal) discomfort
Nausea (upset stomach)
Vomiting
Diarrhea
Depression
Dizziness or lightheadedness
Rash
High cholesterol
Increase of triglycerides
Decreased thyroid hormones
Decreased testosterone (in males)

These are not all of the possible side effects of LYSODREN. For more information, ask your healthcare provider or pharmacist.

Call your doctor for medical advice about side effects. To report SUSPECTED ADVERSE REACTIONS, contact Direct Success Pharmacy, Inc. at 1-844-LYSODREN (1-844-597-6373) or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please see full US Prescribing Information, including boxed warning, for LYSODREN^® (mitotane), tablets.

HRA Pharma Rare Diseases, 200 avenue de Paris, 92320, Chatillon, FRANCE
Tel: +33 (0) 1 40 33 94 14 / Fax: +33 (0) 1 40 33 30 87

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Last updated: March 2024; LYS – US – 0047

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