Product image of Metycor (Metyrapone) supplied by GNH India

Metycor

Active Ingredient:
Metyrapone
Origin:
EU

Metycor (Metyrapone)

Metyrapone, the active ingredient in Metycor, is a 11-beta-hydroxylase inhibitor presented as a tablet for oral use. It is employed in the diagnostic testing of adrenal insufficiency and in the treatment of Cushing's syndrome in adult patients.\n\nGNH India supplies Metycor as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Esteve Pharmaceuticals, S.A.

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Indications & Clinical Uses

  • Metycor acts on adrenal steroidogenesis and is used for conditions that require modulation of cortisol production.\n\nDiagnostic testing of adrenal insufficiency: helps assess the capacity of the adrenal glands to produce cortisol.\nCushing's syndrome: reduces excess cortisol synthesis to control hypercortisolism.\nResearch investigations: used as a tool to study adrenal function and steroid biosynthesis pathways.

How It Works

  • Metyrapone selectively inhibits the enzyme 11-beta-hydroxylase (CYP11B1) in the adrenal cortex, blocking the final step of cortisol synthesis. By preventing conversion of 11-deoxycortisol to cortisol, it lowers circulating cortisol levels and allows clinicians to evaluate adrenal reserve or treat cortisol‑excess states.

Side Effects

  • Metycor may cause a range of adverse reactions, most of which are mild and reversible.\n\nCommon Side Effects:\n- Nausea\n- Fatigue\n- Dizziness\n- Headache\n- Abdominal discomfort\n- Transient hypoglycemia\n\nSerious or Rare Side Effects:\n- Acute adrenal insufficiency\n- Severe hypotension\n- Allergic reactions (rash, angioedema)\n- Hepatic dysfunction\n- Hyponatremia\n- Severe hypokalemia

Precautions & Warnings

  • Before initiating therapy, clinicians should consider several safety factors.\n\nPregnancy: safety unknown; use only if benefit outweighs risk.\nBreastfeeding: unknown excretion; avoid unless essential.\nRenal impairment: dose adjustment may be required; monitor renal function.\nHepatic impairment: monitor liver enzymes regularly.\nConcomitant glucocorticoids: may mask signs of adrenal insufficiency.\nStore at room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

  • Metycor can interact with other medicines that affect steroid metabolism or cardiovascular status.\n\nMajor Interactions (Avoid):\n- Ketoconazole: additive inhibition of cortisol synthesis may cause severe adrenal suppression.\n- Strong CYP11B1 inducers (e.g., rifampin): reduce Metyrapone efficacy.\n- High‑dose glucocorticoid replacement: may mask adrenal insufficiency symptoms.\n\nModerate Interactions (Monitor Closely):\n- Antihypertensive agents: may enhance hypotensive effects.\n- Oral hypoglycemics or insulin: increased risk of hypoglycemia.\n- Diuretics: may exacerbate electrolyte disturbances.

Frequently Asked Questions

Metycor contains the active ingredient Metyrapone and is used primarily for two clinical purposes: to aid in the diagnostic evaluation of adrenal insufficiency by testing cortisol production, and to treat Cushing's syndrome by lowering excess cortisol levels in adult patients.

Metyrapone blocks the enzyme 11‑beta‑hydroxylase (CYP11B1) in the adrenal cortex, preventing the final conversion of 11‑deoxycortisol to cortisol. This inhibition reduces circulating cortisol, allowing clinicians to assess adrenal reserve or manage conditions of cortisol excess.

The dose of Metycor is individualized. A qualified prescriber determines the appropriate amount and dosing schedule based on the patient’s clinical condition, laboratory results, and response to therapy. No fixed regimen is provided here.

Safety data for Metyrapone during pregnancy and lactation are limited. The product is classified as having an unknown pregnancy category, so it should only be used when the potential benefit justifies the possible risk to the fetus or infant.

To place an order, 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 (including any cold‑chain requirements) and necessary import documentation.

The most common alternative for cortisol reduction is ketoconazole, an antifungal that also inhibits steroid synthesis but through multiple enzymes. Metyrapone is more selective for 11‑beta‑hydroxylase, often resulting in fewer drug‑interaction concerns, whereas ketoconazole carries a higher risk of hepatic toxicity and broader enzyme inhibition.

Metycor tablets should be stored at room temperature, below 25 °C, in their original packaging. Keep them away from moisture, direct sunlight, and excessive heat to maintain potency throughout the shelf life.

Metycor is taken orally as a tablet. It should be swallowed whole with a glass of water, preferably on an empty stomach unless the prescriber advises otherwise. The exact timing relative to meals is determined by the treating physician.

Serious adverse events include acute adrenal insufficiency, severe hypotension, allergic reactions such as rash or angioedema, hepatic dysfunction, and significant electrolyte disturbances like hyponatremia or hypokalemia. Patients should seek immediate medical attention if any of these occur.

Metycor is contraindicated in patients with known hypersensitivity to Metyrapone or any tablet excipients, and it should be avoided in individuals with uncontrolled adrenal insufficiency, severe hepatic impairment, or those receiving high‑dose glucocorticoid therapy that could mask adrenal crisis.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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