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Adrenocortical cytotoxic

Mitotane (Specialist drug)

Brand names: Lysodren

Adult dose

Dose: Specialist initiation only — refer to BNF/SmPC
Route: PO
Frequency: divided

Clinical pearls

  • Advanced adrenocortical carcinoma; specialist oncology
  • Co-prescribe hydrocortisone + fludrocortisone replacement

Contraindications

  • Severe hepatic impairment
  • Pregnancy
  • Concurrent live vaccines

Side effects

  • Adrenal insufficiency (mandatory hydrocortisone replacement)
  • CNS effects (sedation, lethargy)
  • GI upset
  • Hepatotoxicity
  • Hypercholesterolaemia
  • Skin rash

Interactions

  • Many CYP3A4 substrates — induces metabolism
  • Warfarin
  • Hormonal contraceptives

Monitoring

  • Mitotane levels
  • Cortisol
  • Lipids
  • LFTs

Reference: BNF; SmPC; https://bnf.nice.org.uk/drugs/mitotane-specialist-drug/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.