User:Mr. Ibrahem/Mitotane

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Mr. Ibrahem/Mitotane
Clinical data
Trade namesLysodren
Other names1,1-(Dichlorodiphenyl)-2,2-dichloroethane; o,p'-DDD
AHFS/Drugs.comMonograph
MedlinePlusa608050
License data
Pregnancy
category
  • C
Routes of
administration
By mouth
Legal status
Legal status
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability40%
Protein binding6%
Elimination half-life18–159 days
Identifiers
  • (RS)-1-chloro-2-[2,2-dichloro-1-(4-chlorophenyl)-ethyl]-benzene
Chemical and physical data
FormulaC14H10Cl4
Molar mass320.03 g·mol−1
3D model (JSmol)
ChiralityRacemic mixture
Melting point76 to 78 °C (169 to 172 °F)
  • Clc1ccccc1C(c2ccc(Cl)cc2)C(Cl)Cl
  • InChI=1S/C14H10Cl4/c15-10-7-5-9(6-8-10)13(14(17)18)11-3-1-2-4-12(11)16/h1-8,13-14H checkY
  • Key:JWBOIMRXGHLCPP-UHFFFAOYSA-N checkY
  (verify)

Mitotane, sold under the brand name Lysodren among others, is a medication used to treat adrenocortical carcinoma and Cushing's syndrome.[1] It is taken by mouth.[1] During treatment corticosteroids are often needed.[1]

Common side effects include loss of appetite, nausea, diarrhea, sleepiness, and rash.[1] Other complications may include bleeding from the cancers, brain damage, and adrenal insufficiency.[1] Use during pregnancy may harm the baby.[2] It works by blocking the adrenal cortex.[3]

Mitotane was introduced for medical use in 1960.[4] In the United Kingdom 100 tablets of 0.5 mg costs the NHS about £590 as of 2021.[3] This amount in the United States is about 1,100 USD.[5]

References[edit]

  1. ^ a b c d e f g "Mitotane Monograph for Professionals". Drugs.com. Archived from the original on 4 March 2016. Retrieved 18 November 2021.
  2. ^ "Mitotane (Lysodren) Use During Pregnancy". Drugs.com. Archived from the original on 28 November 2020. Retrieved 18 November 2021.
  3. ^ a b BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 979. ISBN 978-0857114105.
  4. ^ Marcello D. Bronstein (1 October 2010). Cushing's Syndrome: Pathophysiology, Diagnosis and Treatment. Springer Science & Business Media. pp. 156–. ISBN 978-1-60327-449-4.
  5. ^ "Lysodren Prices, Coupons & Patient Assistance Programs". Drugs.com. Archived from the original on 17 January 2021. Retrieved 18 November 2021.