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What should I discuss with my healthcare provider before taking mitotane (Lysodren)?
You should not use this medication if you are allergic to mitotane.
If you have any of these other conditions, you may need a dose adjustment or special tests to safely use this medication:
FDA pregnancy category C. It is not known whether mitotane is harmful to an unborn baby. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment.
It is not known whether mitotane passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take mitotane (Lysodren)?
You may receive your first few doses of mitotane in a hospital setting where you can be monitored in case the medication causes serious side effects.
Take mitotane exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label.
You may take mitotane with or without food.
Always wear rubber gloves when handling mitotane tablets. Do not crush or break a tablet, or use a tablet that has been accidentally broken. The medicine from a crushed or broken tablet can be dangerous if it gets on your skin. If skin contact occurs, wash the area with soap and water. Ask your doctor or pharmacist how to safely dispose of the broken tablet.
Your doctor may occasionally change your dose to make sure you get the best results from this medication. You may also need to take steroid medication to best treat your condition. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor.
Contact your doctor at once if you develop signs of infection such as fever, chills, sore throat, flu symptoms, loss of appetite, nausea and vomiting, mouth sores, or unusual weakness.
If you have any type of infection, serious injury or medical emergency, you may need to stop taking this medication for a short time. Your doctor will determine when you can start taking mitotane again.
Carry an ID card or wear a medical alert bracelet stating that you are taking mitotane, in case of an emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are using mitotane.
To be sure this medication is helping your condition and is not causing harmful effects, your doctor will need to check your progress on a regular basis. You must remain under the care of a doctor while taking mitotane. Do not miss any scheduled appointments.
It may take up to several months of using mitotane before your symptoms improve. For best results, keep using your medications as directed. Talk with your doctor if your symptoms do not improve or if they get worse.
Store mitotane at room temperature away from moisture and heat.
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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