Product image of Metopirone (Metyrapone) supplied by GNH India

Metopirone

Active Ingredient:
Metyrapone
Origin:
EU

Metopirone (Metyrapone)

Metyrapone, the active ingredient in Metopirone, is a cortisol synthesis inhibitor presented as a tablet for oral use. It is used in diagnostic testing of adrenal insufficiency and in the treatment of Cushing's syndrome, helping clinicians evaluate adrenal function and manage excess cortisol production.

GNH India supplies Metopirone as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with sourcing from EU‑approved manufacturers.

Manufacturer / TM Owner

Hra Pharma Rare Diseases

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

  • Metopirone (metyrapone) is employed in endocrine diagnostic testing and in conditions involving excess cortisol production.
  • Diagnostic testing of adrenal insufficiency: confirms adrenal response by measuring cortisol after a metyrapone challenge.
  • Treatment of Cushing's syndrome: reduces cortisol synthesis in patients with hypercortisolism.
  • Assessment of adrenal function in ACTH stimulation tests: evaluates the adrenal gland’s capacity to produce cortisol.

How It Works

  • Metyrapone inhibits the adrenal enzyme 11β‑hydroxylase (CYP11B1), blocking the final step of cortisol biosynthesis. This reduction in cortisol production leads to a compensatory rise in ACTH secretion, which can be measured for diagnostic purposes or used therapeutically to lower circulating cortisol levels in hypercortisolism.

Side Effects

Metyrapone may cause a range of adverse reactions, which vary in frequency and severity.

Common Side Effects

  • Nausea
  • Dizziness or light‑headedness
  • Headache
  • Fatigue or weakness
  • Abdominal discomfort

Serious or Rare Side Effects

  • Acute adrenal insufficiency
  • Hypertension or significant blood pressure changes
  • Severe electrolyte disturbances such as hypokalemia
  • Allergic reactions including rash or angioedema
  • Hepatic dysfunction or elevated liver enzymes

Precautions & Warnings

  • When using Metopirone, clinicians should consider several safety measures.
  • Monitor adrenal function: assess cortisol levels before and during therapy.
  • Adjust dose in hepatic impairment: use caution in patients with liver disease.
  • Avoid abrupt discontinuation: taper under medical supervision.
  • Use with caution in pregnancy: risk unknown, discuss with physician.
  • Store at ambient temperature: keep tablets in the original container, protect from moisture and light.

Avoid Interactions

Metyrapone can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Ketoconazole: additive inhibition of cortisol synthesis may cause severe adrenal suppression.
  • Carbamazepine: enzyme induction may reduce metyrapone efficacy.
  • Rifampin: increases metabolism, lowering drug levels.

Moderate Interactions (Monitor Closely)

  • Oral contraceptives: may alter steroid metabolism, monitor hormonal levels.
  • Antihypertensives: cortisol reduction can affect blood pressure, adjust as needed.
  • Lithium: potential additive effect on adrenal axis, observe patient closely.

Frequently Asked Questions

Metopirone (metyrapone) is used primarily for diagnostic testing of adrenal insufficiency and for the medical management of Cushing's syndrome, where it helps reduce excessive cortisol production.

Metyrapone blocks the adrenal enzyme 11β‑hydroxylase, preventing the final step of cortisol synthesis. This leads to lower cortisol levels and a compensatory rise in ACTH, which can be measured for diagnostic purposes or used therapeutically to control hypercortisolism.

The prescribed dose of Metopirone is determined by the treating physician based on the specific indication, patient characteristics, and response to therapy. Dosage regimens are individualized and should follow the prescriber’s instructions.

Safety data for metyrapone in pregnancy and lactation are limited. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To order Metopirone, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details, and any necessary import documentation.

Compared with other cortisol synthesis inhibitors such as ketoconazole, metyrapone offers a more selective inhibition of 11β‑hydroxylase and is often preferred for diagnostic testing. Choice of therapy depends on the clinical scenario, side‑effect profile, and physician experience.

Metopirone tablets should be stored at ambient temperature, below 25 °C, in their original packaging. Keep them away from moisture, direct sunlight, and excessive heat to maintain product stability.

Metopirone is taken orally as a tablet. The exact timing and frequency are prescribed by the healthcare provider, often in relation to diagnostic testing protocols or therapeutic regimens for Cushing's syndrome.

The most serious risks include acute adrenal insufficiency, severe hypertension, significant electrolyte disturbances such as hypokalemia, and rare but serious allergic reactions. Patients should be monitored closely for these events.

Metopirone is contraindicated in patients with known hypersensitivity to metyrapone or any excipients in the tablet, and it should be used with caution in individuals with severe hepatic impairment, uncontrolled hypertension, or active infection without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.