ISSN 2398-2942      

Trilostane

icanis

Synonym(s): WIN 24, 540, Modrenal, Vetoryl


Introduction

Name

  • Trilostane.

Class of drug

  • Adrenocortical suppressant (inhibits the 3-beta-hydroxysteroid dehydrogenase isomerase enzyme system).

Description

Chemical name

  • (4-alpha, 5-alpha, 17-beta)-4,5-epoxy-3,17-dihydroxyandrost-2-ene-2-carbonitrile.

Molecular formula

  • C20H27NO3.

Molecular weight

  • 329.44.

Physical properties

  • White or almost white crystalline powder.

Storage requirements

  • Store in a dry place.

Uses

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Indications

Administration

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Pharmacokinetics

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Precautions

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Interactions

with other drugs

  • Do not use with other drugs suppressing adrenal function, eg mitotane Mitotane. The risk of hyperkalemia developing should be considered if trilostane is used in conjunction with potassium-sparing diuretics or ACE inhibitors ACE inhibitor: overview. The concurrent use of such drugs should be subject to a risk-benefit analysis by the veterinary surgeon, as there have been a few reports of deaths (including sudden death) in dogs when treated concurrently with trilostane and an ACE inhibitor.

Adverse Reactions

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Further Reading

Publications

Refereed papers

  • Recent references from VetMedResource and PubMed.
  • Ramsey I & Ristic J (2007) The diagnosis of canine hyperadrenocorticism. In Practice 29, 226-454.
  • Ramsey I & Neiger R (2007) The treatment of canine hyperadrenocorticism. In Practice 29, 512-519.
  • Bell R, Neiger R, McGrotty Y & Ramsey I K (2006) Study of the effects of once daily trilostane administration on cortisol concentrations and ACTH responsiveness in hyperadrenocorticoid dogs. Vet Rec 159, 277-281 PubMed.
  • Ramsey I (2006) Diagnosis of canine hyperadrenocorticism. UK Vet 11 (1), 21-28.
  • Ramsey I (2005) Pathophysiology of hyperadrenocorticism. UK Vet 10 (8), 31-37.
  • Barker E, Campbell S, Tebb A, Neiger R, Herrtage M E, & Ramsey I K (2005) A comparison of the survival times of dogs treated for hyperadrenocorticism with trilostane or mitotane. JVIM 19, 810-815 PubMed.
  • Chapman P S, Kelly D F, Archer J, Brockman D J, Neiger R (2004) Adrenal necrosis in a dog receiving trilostane for the treatment of hyperadrenocorticism. JSAP 45, 307-310 PubMed.
  • Wenger M, Sieber-Ruckstuhl NS, Muller C and Reusch CE (2004) Effect of trilostane on serum concentrations of aldosterone, cortisol, and potassium in dogs with pituitary-dependent hyperadrenocorticism. Am J Vet Res 65, 1245-1250 PubMed.
  • Neiger R (2003) Treatment of canine hyperadrenocorticism (Cushing's Disease) with trilostane. UK Vet (2), 19-22.
  • Ruckstuhl N S, Nett C S & Reusch C E (2002) Results of clinical examinations, laboratory tests, and ultrasonography in dogs with pituitary-dependent hyperadrenocorticism treated with trilostane. Am J Vet Res 63, 506512.
  • Neiger R, Ramsey I, O'Connor J, Hurley K J & Mooney C T (2002) Trilostane treatment of 78 dogs with pituitary-dependent hyperadrenocorticism. Vet Rec 150,799-804 PubMed.
  • Neiger R & Hurley K (2000) Long-term efficacy and safety of trilostane for treatment of canine hyperadrenocorticism. JVIM 14, 376.

Other sources of information

  • www.canine-cushings.co.uk
  • Vetoryl® Capsules: www.dechra-us.com
  • Eastwood J M, Elwood C M (2003) Prolonged hypoadrenocorticism in five dogs treated with trilostane for pituitary dependent hyperadrenocorticism(abstract). Proceedings of the British Small Animal Veterinary Association, BSAVA Publications, UK, 587.
  • Eastwood J M, Elwood C M & Hurley K J (2001) Trilostane treatment of four dogs with functional adrenocortical neoplasiaESVIM Congress, Dublin.
  • Neiger R & Hurley K (2001) 24 hour cortisol values in dogs with hyperadrenocorticism on trilostaneBSAVA Congress, Birmingham.
  • Ramsey I & McGrotty Y (2001) The effect of trilostane on ACTH stimulation tests performed at two different times post-treatmentESVIM Congress, Dublin.
  • Hurley K (1998) Trilostane in the treatment of canine hyperadrenocorticismESVIM Congress, Vienna, Austria.
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