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Metyrapone

Prescription
Adrenal Steroidogenesis Inhibitor (Diagnostic/Therapeutic)
Last reviewed 22 Apr 2026 · PetCare.AI Editorial Team
Species
Dog, Cat
Brands
1 available
Formulations
1

Mechanism of action

Inhibits 11-beta-hydroxylase, the enzyme catalyzing the final step of cortisol synthesis (11-deoxycortisol → cortisol). Used diagnostically to test pituitary ACTH reserve and therapeutically to reduce cortisol in Cushing's syndrome.

At a glance

Class
Adrenal Steroidogenesis Inhibitor (Diagnostic/Therapeutic)
Schedule
Prescription
Storage
Store at room temperature, protect from light and moisture

Dosing

🐕

Dog

Rarely used therapeutically — trilostane and mitotane preferred for Cushing's
Dose
Route
PO
Frequency
q12h (therapeutic); once (diagnostic)
🐈

Cat

Very limited feline data
Dose
Route
PO
Frequency
q12h
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

Store at room temperature, protect from light and moisture

Safety

Monitoring parameters

Cortisol levelsACTH11-deoxycortisolElectrolytesBlood pressure
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

Metopirone

FAQs

Frequently asked questions

What is Metyrapone?
Metyrapone is a adrenal steroidogenesis inhibitor (diagnostic/therapeutic) used in pets. Inhibits 11-beta-hydroxylase, the enzyme catalyzing the final step of cortisol synthesis (11-deoxycortisol → cortisol). Used diagnostically to test pituitary ACTH reserve and therapeutically to reduce cortisol in Cushing's syndrome.
What is Metyrapone used for in pets?
Metyrapone is used in veterinary medicine for: Rarely used therapeutically — trilostane and mitotane preferred for Cushing's; Very limited feline data.
What is the Metyrapone dose for dogs?
For dogs, Metyrapone is typically dosed as follows — Rarely used therapeutically — trilostane and mitotane preferred for Cushing's: undefined undefined PO q12h (therapeutic); once (diagnostic). Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What is the Metyrapone dose for cats?
For cats, Metyrapone is typically dosed as follows — Very limited feline data: undefined undefined PO q12h. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
Does Metyrapone need a prescription?
Yes. Metyrapone 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

Related medicines

Other medicines in the same class (Adrenal Steroidogenesis Inhibitor).

Trilostane
Rx
Competitively inhibits 3-beta-hydroxysteroid dehydrogenase in the adrenal cortex, blocking conversion of pregnenolone to progesterone and reducing cortisol synthesis
dogcat
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