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Generic name: levoketoconazoleLEE-voe-KEE-toe-KON-a-zole ]
Drug class: Adrenal corticosteroid inhibitors

Medically reviewed by on May 12, 2022. Written by Cerner Multum.

What is Recorlev?

Recorlev is used to treat high cortisol levels in adults with Cushing's syndrome who cannot have surgery or who have had surgery that did not cure their Cushing's syndrome.

Recorlev is not used to treat fungal infections.

Recorlev may also be used for purposes not listed in this medication guide.

Recorlev side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Recorlev may cause serious side effects. Call your doctor at once if you have:

Common side effects of Recorlev may include:

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


Call your doctor at once if you have signs or symptoms of liver problems: swelling around your midsection, right-sided upper stomach pain, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Recorlev can also cause a serious heart problem. Call your doctor at once if you have fast or pounding heartbeats, shortness of breath, and sudden dizziness.

Before taking this medicine

You should not use Recorlev if you are allergic to it or to ketoconazole, or if you have:

You should not take Recorlev while taking other medicines that cause QT prolongation or affect how your liver works.

Tell your doctor if you have ever had:

May harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

Recorlev may affect fertility in men or women. Pregnancy could be harder to achieve while either parent is using Recorlev. Talk to your doctor about your risk.

Do not breastfeed while using this medicine, and for at least 1 day after your last dose.

How should I take Recorlev?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

You may take Recorlev with or without food.

Your treatment may be changed, delayed, or permanently discontinued if you have certain side effects.

You will need blood tests before and during treatment with Recorlev to check your liver function and your blood electrolyte levels.

Your doctor will check your heart function using an electrocardiogram or ECG (sometimes called an EKG).

Your doctor will collect blood or urine samples to measure your cortisol.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Skip the missed dose and use your next dose at the regular time. Do not use two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking Recorlev?

Do not drink alcohol. Dangerous side effects could occur.

What other drugs will affect Recorlev?

Some medicines can make it harder for your body to absorb Recorlev. If you take an antacid, take it 2 hours before you take this medicine. Tell your doctor if you also take a stomach acid reducer, such as Nexium, Prevacid, Prilosec, Protonix, Zantac, and others.

Sometimes it is not safe to use certain medicines at the same time. Some drugs can affect your blood levels of other drugs you use, which may increase side effects or make the medicines less effective.

Recorlev can cause a serious heart problem. Your risk may be higher if you also use certain other medicines for infections, asthma, heart problems, high blood pressure, depression, mental illness, cancer, malaria, or HIV.

Many drugs can affect Recorlev. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all other medicines you use.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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