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Generic Name: osilodrostat (tablets)

Medically reviewed by Judith Stewart, BPharm Last updated on Mar 31, 2020.

What is Isturisa?

Isturisa is a prescription medicine that is used to treat adults with Cushing’s disease:

  • who cannot have pituitary surgery, or
  • who have had pituitary surgery, but the surgery did not cure their Cushing’s disease

It is not known if this medicine is safe and effective in children.

Important information

Isturisa can cause serious side effects, including:

  • Low cortisol levels in your blood (hypocortisolism).
    Tell your healthcare provider right away if you experience more than one of the following symptoms, as these may be symptoms of very low cortisol level, known as adrenal insufficiency:
    • nausea
    • vomiting
    • tiredness (fatigue)
    • low blood pressure
    • stomach (abdominal) pain
    • loss of appetite
    • dizziness

If you get symptoms of hypocortisolism while taking Isturisa, your healthcare provider may  change your dose or ask you to stop taking it.

Heart problem or a heart rhythm problem, such as an irregular heartbeat which could be a sign of a heart problem called QT prolongation. Call your healthcare provider right away if you have irregular heartbeats.

See Isturisa side effects for more information about side effects.

Before taking Isturisa

Before you take Isturisa, tell your healthcare provider about all of your medical conditions, including if you:

  • have or had heart problems, such as an irregular heartbeat, including a condition called prolonged QT syndrome (QT internal prolongation). Your healthcare provider will check the electrical signal of your heart (called an electrocardiogram) before you start taking Isturisa, 1 week after starting Isturisa, and as needed after that.
  • have a history of low levels of potassium or magnesium in your blood.
  • have liver problems.
  • are breastfeeding or plan to breastfeed. It is not known if Isturisa passes into your breast milk. You should not breastfeed if you take Isturisa and for 1 week after stopping treatment.

Tell your healthcare provider about all the medicines you take, including prescription medicines, over-the-counter medicines, vitamins, and herbal supplements.

Especially tell your healthcare provider if you take medicines used to treat certain heart problems. Ask your healthcare provider if you are not sure whether your medicine is used to treat heart problems.

How should I take Isturisa?

  • Take Isturisa exactly as your healthcare provider tells you. Your healthcare provider will tell you exactly how many tablets to take. Do not change your dose or stop taking this medicine unless your healthcare provider tells you to.
  • Start Isturisa by taking 2 mg two times a day by mouth or as directed by your healthcare provider.
  • After you have started treatment, your healthcare provider may change your dose, depending on how you respond to the treatment.
  • Take Isturisa with or without food.
  • If you miss a dose, take the next dose at your regularly scheduled time.

Isturisa side effects

Isturisa may cause serious side effects, including:

  • See Important information
  • Increase in other adrenal hormone levels. Your other adrenal hormones may increase when you take Isturisa. Your healthcare provider may monitor you for the symptoms associated with these hormonal changes during treatment:
    • Low potassium (hypokalemia).
    • High blood pressure (hypertension).
    • Swelling (edema) in the legs, ankles or other signs of fluid retention.
    • Excessive facial or body hair growth (hirsutism).
    • Acne (in women).

Call your healthcare provider if you have any of these side effects.

The most common side effects include:

  • very low cortisol levels (adrenal insufficiency)
  • tiredness (fatigue)
  • nausea
  • headache
  • swelling of the legs, ankles or other signs of fluid retention (edema)

These are not all of the possible side effects.

Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store Isturisa?

  • Store Isturisa at room temperature between 68°F to 77°F (20°C to 25°C).
  • Keep Isturisa dry.

Keep all medicines out of the reach of children and pets.

General information about the safe and effective use of Isturisa.

Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use this medicine for a condition for which it was not prescribed. Do not give it to other people, even if they have the same symptoms you have. It may harm them. You can ask your healthcare provider or pharmacist for information that is written for healthcare professionals.

What are the ingredients in Isturisa?

Active ingredient: osilodrostat phosphate

Inactive ingredients: colloidal silicon dioxide, croscarmellose sodium, mannitol, microcrystalline cellulose, and magnesium stearate.
Tablet film-coating: hypromellose, titanium dioxide, ferric oxide (yellow), ferric oxide (red) (1 mg and 10 mg only) ferrosoferric oxide (10 mg only), polyethylene   4000, and talc.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.