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Cosyntropin

Prescription
Synthetic ACTH (Diagnostic Agent)
Last reviewed 21 Apr 2026 · PetCare.AI Editorial Team
Species
Dog, Cat
Brands
1 available
Formulations
1

Mechanism of action

Synthetic peptide consisting of the first 24 amino acids of natural ACTH (corticotropin), which is the biologically active portion. Stimulates adrenal cortisol production — used diagnostically in the ACTH stimulation test to evaluate adrenal function.

At a glance

Class
Synthetic ACTH (Diagnostic Agent)
Schedule
Prescription
Storage
Refrigerate powder 2–8°C; reconstituted use within 12h at room temperature; unused portions can be frozen in aliquots

Dosing

🐕

Dog

Gold standard for diagnosing hypoadrenocorticism (Addison's) and monitoring tril
Dose
Route
IV, IM
Frequency
Single diagnostic dose
🐈

Cat

Used for feline hyperadrenocorticism and hypoadrenocorticism diagnosis
Dose
5 mcg/kg
Route
IV, IM
Frequency
Single diagnostic dose
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Formulations

💊

Other — 1

Strength

Storage

Refrigerate powder 2–8°C; reconstituted use within 12h at room temperature; unused portions can be frozen in aliquots

Safety

Monitoring parameters

Pre-ACTH and post-ACTH cortisol levelsNormal post-ACTH cortisol: 6–17 mcg/dL (dogs)Addison's: both pre and post <2 mcg/dLCushing's on treatment: post-ACTH 1.5–5 mcg/dL (target)
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Interactions

No documented interactions.

Brands

Other markets

Cortrosyn

FAQs

Frequently asked questions

What is Cosyntropin?
Cosyntropin is a synthetic acth (diagnostic agent) used in pets. Synthetic peptide consisting of the first 24 amino acids of natural ACTH (corticotropin), which is the biologically active portion. Stimulates adrenal cortisol production — used diagnostically in the ACTH stimulation test to evaluate adrenal function.
What is Cosyntropin used for in pets?
Cosyntropin is used in veterinary medicine for: Gold standard for diagnosing hypoadrenocorticism (Addison's) and monitoring tril; Used for feline hyperadrenocorticism and hypoadrenocorticism diagnosis.
What is the Cosyntropin dose for dogs?
For dogs, Cosyntropin is typically dosed as follows — Gold standard for diagnosing hypoadrenocorticism (Addison's) and monitoring tril: undefined undefined IV/IM Single diagnostic dose. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What is the Cosyntropin dose for cats?
For cats, Cosyntropin is typically dosed as follows — Used for feline hyperadrenocorticism and hypoadrenocorticism diagnosis: 5 mcg/kg IV/IM Single diagnostic dose. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
Does Cosyntropin need a prescription?
Yes. Cosyntropin is a prescription medication and should only be administered under veterinary supervision.
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

References

References

The PetCare.AI drug reference is built from 13 authoritative sources cited across 580 drug monographs.

Textbooks & handbooks — 5

  • Plumb's Veterinary Drug Handbook
  • Withrow & MacEwen's Small Animal Clinical Oncology
  • Merck Veterinary Manual
  • NRC Nutrient Requirements of Dogs and Cats
  • Veterinary Pharmacology and Therapeutics (Riviere & Papich)

Clinical guidelines & consensus — 4

  • ASPCA Animal Poison Control Center Guidelines
  • AAHA Diabetes Management Guidelines
  • ASPCA Poison Control Guidelines
  • RECOVER CPR Guidelines

Journals & peer-reviewed studies — 2

  • EPIC Study (J Vet Intern Med 2016)
  • JVIM FAT CAT Study

Regulatory & approvals — 1

  • CDSCO Veterinary Drug Approval Registry (1969–2026)

Databases — 1

  • Washington State University VCPL MDR1 Database
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