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Mitotane

Published: July 26, 2026Updated: July 26, 2026

Mitotane is an antineoplastic medication primarily used to treat inoperable adrenal cortical carcinoma. It works by directly suppressing the adrenal cortex and modifying the peripheral metabolism of steroids, reducing corticosteroid production. This medication is specifically indicated for cases where surgical removal of the adrenal tumor is not possible.

Quick summary

An adrenal cytotoxic agent used to treat inoperable adrenal cortical carcinoma by suppressing adrenal cortex function and steroid metabolism.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy
BOXED WARNING

This medication carries a boxed (black box) warning — the strongest type of FDA warning. Review the full prescribing information before use.

Key facts at a glance

ATC
L01XX23
RxNorm
7004
Generic
Mitotane
Class
atc-l01
Brands
Lysodren
Availability
rx
Lactation
unknown
Routes
oral
Forms
tablet
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Treatment of inoperable adrenal cortical carcinoma (adrenocortical cancer) when surgical resection is not feasible

Adrenal cytotoxic agent that directly suppresses the adrenal cortex and modifies peripheral steroid metabolism, reducing 17-hydroxycorticosteroid levels

Known adrenal cytotoxic agent with incompletely understood mechanism of action; requires careful monitoring of steroid levels and adrenal function during treatment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy