Generic Name: Mitotane (MYE toe tane)
Brand Name: Lysodren
Medically reviewed on July 4, 2018
- This medicine lowers how much natural steroid is made by your adrenal gland. If you have a fever, an infection, surgery, or you are hurt, talk with your doctor. Your body's normal response to these stresses may be affected. You may need extra doses of oral or injection steroids. These extra steroids will help your body deal with these stresses.
Uses of Mitotane:
- It is used to treat cancer of the adrenal gland.
- It may be given to you for other reasons. Talk with the doctor.
What do I need to tell my doctor BEFORE I take Mitotane?
- If you have an allergy to mitotane or any other part of mitotane.
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you are breast-feeding. Do not breast-feed while you take mitotane. You will also need to avoid breast-feeding after you stop mitotane until there is no more of mitotane in your body. Talk with your doctor to see how long you need to avoid breast-feeding after you stop this drug.
This medicine may interact with other drugs or health problems.
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take mitotane with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
What are some things I need to know or do while I take Mitotane?
- Tell all of your health care providers that you take mitotane. This includes your doctors, nurses, pharmacists, and dentists.
- Have blood work checked as you have been told by the doctor. Talk with the doctor.
- If you have upset stomach, throwing up, loose stools (diarrhea), or are not hungry, talk with your doctor. There may be ways to lower these side effects.
- You may have more chance of getting an infection. Wash hands often. Stay away from people with infections, colds, or flu.
- If you are taking warfarin, talk with your doctor. You may need to have your blood work checked more closely while you are taking it with mitotane.
- This medicine may cause high cholesterol and triglyceride levels. Talk with the doctor.
- This medicine may affect growth in children and teens in some cases. They may need regular growth checks. Talk with the doctor.
- This medicine may cause harm to the unborn baby or loss of the unborn baby if you take it while you are pregnant.
- Use birth control that you can trust to prevent pregnancy while you take mitotane. You will also need to use it after you stop mitotane until there is no more of mitotane in your body. Talk with your doctor to see how long you need to use birth control after you stop mitotane.
- If you get pregnant while taking mitotane or within several months after the last dose, call your doctor right away.
How is this medicine (Mitotane) best taken?
Use mitotane as ordered by your doctor. Read all information given to you. Follow all instructions closely.
- You will need to take special care when handling mitotane. Check with the doctor or pharmacist to see how to handle mitotane.
- Swallow whole. Do not chew, break, or crush.
- To gain the most benefit, do not miss doses.
- Keep taking mitotane as you have been told by your doctor or other health care provider, even if you feel well.
What do I do if I miss a dose?
- Take a missed dose as soon as you think about it.
- If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
- Do not take 2 doses at the same time or extra doses.
See also: Dosage Information (in more detail)
What are some side effects that I need to call my doctor about right away?
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of a weak adrenal gland like a very bad upset stomach or throwing up, very bad dizziness or passing out, muscle weakness, feeling very tired, mood changes, not hungry, or weight loss.
- Signs of infection like fever, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores, or wound that will not heal.
- Signs of thyroid problems like a change in weight without trying, feeling nervous and excitable, feeling restless, feeling very weak, hair thinning, low mood (depression), neck swelling, not able to focus, not able to handle heat or cold, period (menstrual) changes, shakiness, or sweating.
- Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
- Change in eyesight.
- Feeling confused.
- Feeling very sleepy.
- Low mood (depression).
- Change in balance.
- Change in speech.
- Enlarged breasts.
- Ovarian cysts have happened with mitotane in women who have not been through menopause. Sometimes, very bad effects like ruptured cysts have happened. Call your doctor right away if you have vaginal bleeding that is not normal or pelvic pain.
What are some other side effects of Mitotane?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:
- Upset stomach or throwing up.
- Loose stools (diarrhea).
- Not hungry.
- Feeling sleepy.
- Feeling tired or weak.
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
See also: Side effects (in more detail)
If OVERDOSE is suspected:
If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
How do I store and/or throw out Mitotane?
- Store at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
Consumer information use
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else's drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about mitotane, please talk with your doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
More about mitotane
- Mitotane Side Effects
- During Pregnancy
- Dosage Information
- Drug Interactions
- Compare Alternatives
- Support Group
- En Español
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- Drug class: miscellaneous antineoplastics
Other brands: Lysodren