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Meds A-Z

Trilostane

Detailed information about Trilostane

Official label facts Owner quick guide first Marketing clearly labeled
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Pet Owner Quick Guide

Start here: what this medicine is for, what it does, and when it's usually needed.

Usually used for:

For the treatment of pituitary-dependent and adrenal-dependent hyperadrenocorticism in dogs.

What it does:

Used to treat hyperadrenocorticism (Cushing’s disease) in dogs by inhibiting cortisol production. Requires regular monitoring via ACTH stimulation tests and electrolyte checks.

When it's needed:

Do not use in dogs with acute or serious liver/kidney disease or in pregnant bitches. Avoid use with potassium-sparing diuretics and exercise caution with ACE inhibitors.

Call your vet sooner if you notice:

  • Do not use in dogs with acute or serious liver/kidney disease or in pregnant bitches. Avoid use with potassium-sparing diuretics and exercise caution with ACE inhibitors.

Commonly reported reactions:

  • (2 reports)
  • (2 reports)
  • (1 reports)

What to ask your vet today:

  • Is this medicine the right fit for my pet’s current symptoms?
  • Which warning signs mean I should call back right away?
  • How should I handle missed doses or refusal to take the medicine?
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Image for Trilostane

Trilostane

Drug type: Generic ingredient • Branded profile FDA branded products available

Species: Dog

Manufacturer: MSK

Quick Facts

Official label facts first, then secondary summaries. Marketing content is separated below.

Species: Dog
Manufacturer: MSK
Form: Capsule
Identifiers:
NADA: 141291 NDC Package: 17033-105-30 NDC Package: 17033-110-30 NDC Package: 17033-111-30 NDC Package: 17033-112-30 NDC Package: 17033-130-30 NDC Package: 17033-160-30 NDC Package: 58597-7038-6 NDC Package: 62157-361-01 NDC Package: 62157-401-01 NDC Package: 62157-556-01 NDC Package: 62157-557-01 NDC Package: 62157-560-01 NDC Package: 62157-596-01 NDC Package: 62157-927-01 NDC Package: 62991-2736-1 NDC Package: 62991-2736-2 NDC Package: 62991-2736-3 NDC Package: 62991-2736-4 NDC Package: 62991-2736-5
Source metadata:

Warnings / Contraindications

Do not use in dogs with acute or serious liver/kidney disease or in pregnant bitches. Avoid use with potassium-sparing diuretics and exercise caution with ACE inhibitors.

  • High: Do not use in dogs with acute or serious liver/kidney disease or in pregnant bitches. Avoid use with potassium-sparing diuretics and exercise caution with ACE inhibitors.
Source metadata:

Adverse Reactions

Snapshot first, detailed rows second. This section summarizes signal data and is not a diagnosis.

Tap or hover a reaction to see what it means in plain language.

Tracked signals
32
Reported cases
32
Serious reports
23
Species represented
2
Most Reported Reactions
Reaction Cases Species Serious cases
2 Cat, Dog 2
2 Cat, Dog 2
1 Cat 1
1 Cat 1
1 Cat 1
1 Cat 1
1 Dog 1
1 Cat 1

Species coverage: Cat (17) Dog (15)

View detailed reaction table
Reaction Species Seriousness Frequency Reports
Dog Non-serious - 1
Cat Serious - 1
Cat Non-serious - 1
Cat Serious - 1
Dog Serious - 1
Cat Serious - 1
Cat Non-serious - 1
Dog Serious - 1
Dog Serious - 1
Cat Serious - 1
Cat Serious - 1
Dog Serious - 1
Cat Serious - 1
Dog Serious - 1
Cat Serious - 1
Cat Serious - 1
Dog Serious - 1
Dog Serious - 1
Dog Non-serious - 1
Cat Serious - 1
Dog Serious - 1
Dog Non-serious - 1
Cat Serious - 1
Dog Non-serious - 1
Cat Serious - 1
Dog Serious - 1
Cat Serious - 1
Cat Serious - 1
Dog Non-serious - 1
Cat Serious - 1
Cat Non-serious - 1
Dog Non-serious - 1
Source metadata:

Storage & Handling

Store at controlled room temperature (25°C / 77°F) with excursions allowed between 15–30°C (59–86°F). Keep capsules in original container, tightly closed, and handle with care.

Source metadata: No source yet.

Documents

Official label facts are separated from secondary summaries.

Promotional Materials (Marketing)

This content is marketing material and not clinical guidance.

No marketing assets are linked yet.

No source yet.

Source metadata: No source yet.
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Technical appendix (vet reference)

Canonical medication sections are above. This legacy block remains available for deeper cross-reference without cluttering the primary workflow.

At a Glance

Quick facts and links to official labeling and safety signals.

Data freshness
  • Medication catalog: Source PetWisePlus | Refreshed Feb 12, 2026, 7:40 PM UTC
  • Animal Drugs @ FDA: Source FDA | Refreshed Feb 16, 2026, 11:00 AM UTC
    Applications/products are imported from FDA export data.
  • Animal Drugs @ FDA previews: Source FDA | Refreshed Feb 9, 2026, 3:05 AM UTC
    Label highlights/doc links are fetched from FDA preview endpoints.
  • Animal Drug Product Listing Directory (NDC): Source FDA | Refreshed Feb 16, 2026, 11:00 AM UTC
    Package/product NDCs from FDA’s electronic listing directory (XLS).
  • openFDA reaction terms: Source FDA openFDA | Refreshed Feb 16, 2026, 11:01 AM UTC
  • openFDA case summaries: Source FDA openFDA | Refreshed Feb 12, 2026, 10:41 PM UTC
Official (FDA)
Identity: Generic ingredient • FDA branded products available
Official FDA brands: VETORYL® CAPSULES
Case-reported brands (openFDA): MSK
Catalog species: Dog FDA-labeled species: Dog
Rx/OTC: RX
Form/route: Capsule Oral
Applications: NADA 141-291
Documents: 3 (FOI: 2) • SPL: 1 Label highlights Official documents
Safety (openFDA)
Top reactions: Dog 56 Cat 8 View
Case summaries: 11 (showing 8) View
openFDA reports are unverified and do not prove causation.

Explore
Linked using: Fda_Label (0.95), Usage_Inferred (0.78), Usage_Inferred (0.78)

Diagnosis Codes
ICD10_CM: E24.9
Cushing syndrome, unspecified

Counseling and Monitoring Highlights

Global Pet owner/Vet mode is controlled in the header. This section avoids duplicate in-page persona tabs.

Owner-facing counseling points
  • Do not use in dogs with acute or serious liver/kidney disease or in pregnant bitches. Avoid use with potassium-sparing diuretics and exercise caution with ACE inhibitors. (Contraindication, High)
Top reaction signals
Abnormal movement NOS (1) Abnormal ultrasound finding (1) Accidental exposure (1) Anisocoria (1) Appetite loss (1) Azotaemia (1) Behavioural disorder NOS (1) Collapse NOS (see also Cardio-vascular and Neurological disorders) (1) Death (1) Death by euthanasia (1) Decreased appetite (1) Decreased appetite (1) Diabetes mellitus (1) Diarrhoea (1) Dilated renal pelvis (1) Drug prescribing error (1)

Identifiers & Packages

Normalized identifiers (NDC/NADA/ANADA) and package metadata from regulator listings.

Identifiers
NADA: 141291 NDC Package: 17033-105-30 NDC Package: 17033-110-30 NDC Package: 17033-111-30 NDC Package: 17033-112-30 NDC Package: 17033-130-30 NDC Package: 17033-160-30 NDC Package: 58597-7038-6 NDC Package: 62157-361-01 NDC Package: 62157-401-01 NDC Package: 62157-556-01 NDC Package: 62157-557-01 NDC Package: 62157-560-01 NDC Package: 62157-596-01 NDC Package: 62157-927-01 NDC Package: 62991-2736-1 NDC Package: 62991-2736-2 NDC Package: 62991-2736-3 NDC Package: 62991-2736-4 NDC Package: 62991-2736-5 NDC Package: 63732-2018-4 NDC Package: 63732-2018-5 NDC Package: 63732-2018-6 NDC Package: 63732-2018-7
Package NDC Product NDC Form / Route Status
17033-105-30 17033 -
17033-110-30 17033 -
17033-111-30 17033 -
17033-112-30 17033 -
17033-130-30 17033 -
17033-160-30 17033 -
58597-7038-6 58597 -
62157-361-01 62157 -
62157-401-01 62157 -
62157-556-01 62157 -
62157-557-01 62157 -
62157-560-01 62157 -
62157-596-01 62157 -
62157-927-01 62157 -
62991-2736-1 62991 -
62991-2736-2 62991 -
62991-2736-3 62991 -
62991-2736-4 62991 -
62991-2736-5 62991 -
63732-2018-4 63732 -

Enriched Documents

Documents are tiered by source trust: Official, Clinical, Manufacturer, Marketing.

  • VETORYL N141291C0048.pdf • Official label • Official • May 20, 2024
    FDA official labeling for application 141291
  • UCM508381.pdf • FOI summary • Official • May 20, 2024
    FDA FOI summary for application 141291
  • UCM173123.pdf • FOI summary • Official • May 20, 2024
    FDA FOI summary for application 141291

Data Sources & Revision History

Every non-trivial field is expected to include provenance and update timestamps.

Official 6 Clinical 2 Manufacturer 0 Marketing 0
Current Field Facts
  • overdose_info: Overdose can cause acute adrenal insufficiency with signs of collapse, severe weakness, and gastrointestinal upset. Immediate emergency treatment with IV fluid… (Clinical, 2026-02-12)
  • storage_handling: Store at controlled room temperature (25°C / 77°F) with excursions allowed between 15–30°C (59–86°F). Keep capsules in original container, tightly closed, and … (Clinical, 2026-02-12)
  • contraindications: Do not use in dogs with acute or serious liver/kidney disease or in pregnant bitches. Avoid use with potassium-sparing diuretics and exercise caution with ACE … (Official, 2026-02-12)
  • side_effects: Common side effects include decreased appetite, vomiting, diarrhea, and lethargy; may lead to an Addisonian crisis if cortisol is overly suppressed. (Official, 2026-02-12)
  • usage: Used to treat hyperadrenocorticism (Cushing’s disease) in dogs by inhibiting cortisol production. Requires regular monitoring via ACTH stimulation tests and el… (Official, 2026-02-12)
Recent Revisions
  • side_effects updated 2026-02-12 19:40 by etl_backfill • Backfilled from existing medication fields
  • contraindications updated 2026-02-12 19:40 by etl_backfill • Backfilled from existing medication fields
  • usage updated 2026-02-12 19:40 by etl_backfill • Backfilled from existing medication fields

FDA Products & Applications (Animal Drugs @ FDA)

Official sponsor/proprietary-name/application-status records linked by active ingredient.

Product Sponsor Application Status Published
VETORYL® CAPSULES
RX
Trilostane
Capsule Oral
Dechra, Ltd. NADA 141-291 Approved May 20, 2024

Data source: FDA Animal Drugs @ FDA (public search export).

What It's For (FDA Label Highlights)

Extracted from FDA Animal Drugs @ FDA product labeling. Always confirm details with your veterinarian.

Species: Dog, No Use Class Stated Or Implied
Composition / specifications
Each capsule contains 5, 10, 20, 30, 60, or 120 mg trilostane.
Dogs
Indication

For the treatment of pituitary-dependent and adrenal-dependent hyperadrenocorticism in dogs.

Dosage
The starting dose for the treatment of hyperadrenocorticism in dogs is 1.0 to 3.0 mg/lb (2.2 to 6.7 mg/kg) once a day based on body weight and capsule size. Capsules should be administered with food.
Limitations

FDA page: Open in Animal Drugs @ FDA

Official Documents (FDA)

Direct links to FDA-hosted PDFs and SPL packages (when available).

Documents
  • Summary
    This supplement provides for the addition of a 10 mg capsule size.
  • Summary
    For the treatment of pituitary-dependent hyperadrenocorticism in dogs and for the treatment of hyperadrenocorticism due to adrenocortical tumor in dogs.
SPL Packages

FDA page: Open in Animal Drugs @ FDA

Usage

Used to treat hyperadrenocorticism (Cushing’s disease) in dogs by inhibiting cortisol production. Requires regular monitoring via ACTH stimulation tests and electrolyte checks.

Source: FDA Animal Drugs @ FDA • Reference

Contraindications

Do not use in dogs with acute or serious liver/kidney disease or in pregnant bitches. Avoid use with potassium-sparing diuretics and exercise caution with ACE inhibitors.

Side Effects

Common side effects include decreased appetite, vomiting, diarrhea, and lethargy; may lead to an Addisonian crisis if cortisol is overly suppressed.

Source: FDA openFDA • Reference

Top Reported Reactions (openFDA)

Aggregated reaction terms from FDA openFDA reports (not verified; does not prove causation).

Dog
Digestive
Vomiting (1335) Diarrhea (974) Vomiting (9) Vomiting (9) Vomiting (9) Vomiting (9) Vomiting (9) Vomiting (8) Diarrhea (7) Diarrhea (7) Diarrhea (7) Diarrhea (7) Diarrhea (7) Diarrhea (7)
Neurologic
Tiredness (lethargy) (1282) Tiredness (lethargy) (8) Tiredness (lethargy) (8) Tiredness (lethargy) (8) Tiredness (lethargy) (8) Tiredness (lethargy) (7) Tiredness (lethargy) (7)
Effectiveness
Lack of efficacy - NOS (10) Lack of efficacy - NOS (10) Lack of efficacy - NOS (10) Lack of efficacy - NOS (10) Lack of efficacy - NOS (10) Lack of efficacy - NOS (10)
Other
Underdose (1342) Elevated serum alkaline phosphatase (1241) Hyperkalaemia (1218) Weight loss (1029) Elevated alanine aminotransferase (1005) Elevated serum alkaline phosphatase (10) Elevated serum alkaline phosphatase (10) Elevated serum alkaline phosphatase (10) Elevated serum alkaline phosphatase (10) Elevated serum alkaline phosphatase (10) Elevated serum alkaline phosphatase (10) Weight loss (9) Weight loss (9) Weight loss (9) Weight loss (9) Weight loss (9) Weight loss (9) Hypocortisolaemia (6) Hypocortisolaemia (6) Hypocortisolaemia (6) Hypocortisolaemia (6) Hypocortisolaemia (6) Hypocortisolaemia (6) Not eating (6) Not eating (6) Not eating (6) Not eating (6) Not eating (6) Not eating (6)
Cat
Digestive
Decreased appetite (3)
Other
Abnormal ultrasound finding (2) Anisocoria (2) Death by euthanasia (2) Drug prescribing error (2) Hyperglycaemia (2) Abnormal radiograph finding (1) Accidental exposure (1)

Data source: FDA openFDA Animal & Veterinary adverse event reports.

Adverse Event Case Summaries (openFDA)

These are individual FDA adverse event reports. They are unverified and do not prove the medication caused the reaction.

Dog, ['Terrier - Bull - American Pit', 'Dog (unknown)'], Female, 8 month, 32.205 kilogram • Drug: MSK, Unassigned, Oral, Dose: 60 Milligram per animal, Frequency: 1 per day • Reactions: Head twitching, Abnormal movement NOS, Injection site tenderness • Outcome: Ongoing

  • Report ID: USA-USFDACVM-2025-US-055018
  • Serious AE: No
  • Treated For AE: No
  • Sex: Female
  • Age: 8.00 Month
  • Weight: 32.205 Kilogram
  • Case-reported brand: MSK
  • Case-reported manufacturer: MSK
  • Route: Oral
  • Form: Unassigned
  • Dose: 60 Milligram per animal
  • Frequency: 1 per day
Reactions Reported:
Head twitching Abnormal movement NOS Injection site tenderness
Outcomes: Ongoing

Dog, Dog (unknown), Female, 14 year, 17.3 kilogram • Drug: MSK, Capsule, Dose: 10 Milligram per animal, Frequency: 12 per hour • Reactions: Collapse NOS, Death • Outcome: Died

  • Report ID: USA-USFDACVM-2025-US-055856
  • Serious AE: Yes
  • Treated For AE: No
  • Sex: Female
  • Age: 14.00 Year
  • Weight: 17.300 Kilogram
  • Case-reported brand: MSK
  • Case-reported manufacturer: MSK
  • Form: Capsule
  • Dose: 10 Milligram per animal
  • Frequency: 12 per hour
Reactions Reported:
Collapse NOS Death
Outcomes: Died

Dog, ['Pug', 'Crossbred Canine/dog'], Female, 14 year, 10 kilogram • Drug: MSK, Capsule, Oral, Dose: 15 Milligram per animal, Frequency: 24 per hour • Reactions: Diarrhea, Vomiting, Elevated blood urea nitrogen, Appetite loss, Hyperkalaemia… • Outcome: Ongoing

  • Report ID: USA-USFDACVM-2025-US-055954
  • Serious AE: Yes
  • Treated For AE: Yes
  • Sex: Female
  • Age: 14.00 Year
  • Weight: 10.000 Kilogram
  • Case-reported brand: MSK
  • Case-reported manufacturer: MSK
  • Route: Oral
  • Form: Capsule
  • Dose: 15 Milligram per animal
  • Frequency: 24 per hour
Reactions Reported:
Diarrhea Vomiting Elevated blood urea nitrogen Appetite loss Hyperkalaemia Elevated alanine aminotransferase Elevated serum alkaline phosphatase Thrombocytosis Lymphopenia Gastrointestinal irritation Tremors Tiredness (lethargy) Not himself/herself
Outcomes: Ongoing

Dog, Shih Tzu, Female, 7 year, 7.9 kilogram • Drug: MSK, Capsule, Oral, Dose: 5 Milligram per animal, Frequency: 12 per hour • Reactions: Elevated serum alkaline phosphatase • Outcome: Outcome Unknown

  • Report ID: USA-USFDACVM-2025-US-055962
  • Serious AE: No
  • Treated For AE: No
  • Sex: Female
  • Age: 7.00 Year
  • Weight: 7.900 Kilogram
  • Case-reported brand: MSK
  • Case-reported manufacturer: MSK
  • Route: Oral
  • Form: Capsule
  • Dose: 5 Milligram per animal
  • Frequency: 12 per hour
Reactions Reported:
Elevated serum alkaline phosphatase
Outcomes: Outcome Unknown

Dog, Shiba Inu, Female, 6 year, 15 kilogram • Drug: MSK, Capsule, Oral, Dose: 40 Milligram per animal, Frequency: 24 per hour • Reactions: Elevated serum alkaline phosphatase, Hypocortisolaemia, Weight loss, Muscle atrophy, General illness • Outcome: Outcome Unknown

  • Report ID: USA-USFDACVM-2025-US-055961
  • Serious AE: No
  • Treated For AE: No
  • Sex: Female
  • Age: 6.00 Year
  • Weight: 15.000 Kilogram
  • Case-reported brand: MSK
  • Case-reported manufacturer: MSK
  • Route: Oral
  • Form: Capsule
  • Dose: 40 Milligram per animal
  • Frequency: 24 per hour
Reactions Reported:
Elevated serum alkaline phosphatase Hypocortisolaemia Weight loss Muscle atrophy General illness
Outcomes: Outcome Unknown

Dog, Terrier - Boston, Male, 10 year, 11.36 kilogram • Drug: MSK, Capsule, Oral, Dose: 20 Milligram per animal, Frequency: 24 per hour • Reactions: Vomiting, Tiredness (lethargy), Decreased appetite • Outcome: Recovered/Normal

  • Report ID: USA-USFDACVM-2025-US-055963
  • Serious AE: Yes
  • Treated For AE: Yes
  • Sex: Male
  • Age: 10.00 Year
  • Weight: 11.360 Kilogram
  • Case-reported brand: MSK
  • Case-reported manufacturer: MSK
  • Route: Oral
  • Form: Capsule
  • Dose: 20 Milligram per animal
  • Frequency: 24 per hour
Reactions Reported:
Vomiting Tiredness (lethargy) Decreased appetite
Outcomes: Recovered/Normal

Cat, Himalayan, Male, 12.5 year, 5.806 kilogram • Drug: MSK, Capsule, Oral, Dose: 5 Milligram per animal, Frequency: 12 per hour • Reactions: Weight loss, Unresponsive to stimuli, Hypernatremia, Decreased appetite, Anisocoria… • Outcome: Outcome Unknown

  • Report ID: USA-USFDACVM-2021-US-023707
  • Serious AE: Yes
  • Treated For AE: Yes
  • Sex: Male
  • Age: 12.50 Year
  • Weight: 5.806 Kilogram
  • Case-reported brand: MSK
  • Case-reported manufacturer: MSK
  • Route: Oral
  • Form: Capsule
  • Dose: 5 Milligram per animal
  • Frequency: 12 per hour
Reactions Reported:
Weight loss Unresponsive to stimuli Hypernatremia Decreased appetite Anisocoria Hypoglycaemia Drug prescribing error
Outcomes: Outcome Unknown

Cat, Domestic Shorthair, Male, 12 year, 8.13 kilogram • Drug: MSK, Capsule, Oral, Dose: 10 Milligram per animal, Frequency: 24 per hour • Reactions: Hyperglycaemia, Diabetes mellitus, Renal failure, Decreased appetite, Weakness… • Outcome: Ongoing

  • Report ID: USA-USFDACVM-2021-US-020960
  • Serious AE: Yes
  • Treated For AE: Yes
  • Sex: Male
  • Age: 12.00 Year
  • Weight: 8.130 Kilogram
  • Case-reported brand: MSK
  • Case-reported manufacturer: MSK
  • Route: Oral
  • Form: Capsule
  • Dose: 10 Milligram per animal
  • Frequency: 24 per hour
Reactions Reported:
Hyperglycaemia Diabetes mellitus Renal failure Decreased appetite Weakness Hyperkalaemia Haematuria Dilated renal pelvis Abnormal ultrasound finding Skin thinning Azotaemia Enlarged kidney Reduced faecal output
Outcomes: Ongoing

Data source: FDA openFDA Animal & Veterinary adverse event reports.

Overdose Information

Overdose can cause acute adrenal insufficiency with signs of collapse, severe weakness, and gastrointestinal upset. Immediate emergency treatment with IV fluids and corticosteroids is required.

Storage & Handling

Store at controlled room temperature (25°C / 77°F) with excursions allowed between 15–30°C (59–86°F). Keep capsules in original container, tightly closed, and handle with care.

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