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 11‑beta‑hydroxylase inhibitor presented as an oral tablet for oral use. It is used in the diagnostic testing of adrenal insufficiency and in the treatment of Cushing's syndrome in adults.

GNH India supplies Metopirone as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

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 diagnostics and therapy related to cortisol production.

  • Adrenal insufficiency (diagnostic testing): helps assess adrenal reserve by stimulating ACTH response.
  • Cushing's syndrome (treatment): reduces cortisol synthesis in patients with endogenous hypercortisolism.
  • ACTH stimulation test (diagnostic): used to evaluate pituitary‑adrenal axis function.

How It Works

  • Metyrapone selectively inhibits adrenal 11‑beta‑hydroxylase, an enzyme required for the final step of cortisol synthesis. By blocking this conversion, the drug decreases cortisol production, leading to reduced circulating cortisol levels and a compensatory rise in ACTH, which can be used diagnostically or therapeutically to manage hypercortisolism.

Side Effects

Metyrapone may cause a range of adverse reactions, some of which are common and others that are serious or rare.

Common Side Effects

  • Nausea
  • Dizziness
  • Headache
  • Fatigue

Serious or Rare Side Effects

  • Adrenal insufficiency
  • Severe hypotension
  • Allergic reaction (e.g., rash, angioedema)

Precautions & Warnings

When using Metopirone, several safety considerations should be observed.

  • Monitor cortisol levels: regular testing to avoid adrenal crisis.
  • Assess electrolyte balance: watch for hyponatremia and potassium shifts.
  • Avoid abrupt discontinuation: taper under medical supervision.
  • Use caution in hepatic impairment: adjust monitoring.
  • Store at ambient temperature: keep in the original pack, protect from moisture and light.

Avoid Interactions

Metyrapone can interact with other medications, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Ketoconazole: additive inhibition of cortisol synthesis may cause severe adrenal suppression.
  • Mifepristone: opposing effects on glucocorticoid pathways may reduce efficacy.

Moderate Interactions (Monitor Closely)

  • Carbamazepine: enzyme induction may reduce metyrapone levels.
  • Rifampin: may increase metabolism, lowering effect.
  • Oral contraceptives: may alter hormone levels, monitor closely.

Frequently Asked Questions

Metopirone (metyrapone) is used primarily for diagnostic testing of adrenal insufficiency and for the treatment of Cushing's syndrome. It helps evaluate adrenal function and reduces cortisol production in patients with excess cortisol.

Metyrapone inhibits the adrenal enzyme 11‑beta‑hydroxylase, which is essential for the final step of cortisol synthesis. By blocking this enzyme, the drug lowers cortisol levels and triggers a rise in ACTH, useful for both diagnostic and therapeutic purposes.

The dosage of Metopirone is individualized. A qualified prescriber determines the appropriate dose based on the specific indication, patient characteristics, and clinical response. Patients should follow the prescribing information provided by their healthcare professional.

The pregnancy category for metyrapone is unknown. It should be used during pregnancy or lactation only if the potential benefit justifies the potential risk to the fetus or infant. Consultation with a healthcare provider is essential.

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

Metopirone differs from alternatives such as ketoconazole or osilodrostat by specifically targeting 11‑beta‑hydroxylase. Ketoconazole has broader enzyme inhibition and may cause more hepatic effects, while osilodrostat also inhibits 11‑beta‑hydroxylase but with a different potency and safety profile. Choice depends on clinical context and physician judgment.

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

Metopirone is taken orally, usually with a glass of water. The exact timing (e.g., with or without food) and frequency are determined by the prescribing clinician based on the therapeutic goal.

The most serious risks include adrenal insufficiency, which can lead to life‑threatening hypotension, severe hypotension itself, and allergic reactions such as rash or angioedema. Patients should be monitored closely for these events.

Metopirone should be avoided in individuals with known hypersensitivity to metyrapone or any excipients, and in patients with severe hepatic impairment unless specifically directed by a specialist. Caution is also advised for those with uncontrolled cardiovascular disease.

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.