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Isturisa
Osilodrostat
$8775.00
1mg · 3 × 60 tablets · 3 months supply
BrandBranded medicine· By Recordati
$2925.00 per month
Strength
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Annual cost
$35100a year at this pack size
Prescription required
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About Isturisa
Overview
Isturisa (osilodrostat) is a prescription medicine taken as tablets. It treats excess cortisol produced by the body in adults with Cushing’s syndrome when surgery is not an option or has not been curative. It works by blocking an enzyme in the adrenal glands that is needed for the final step of cortisol production.
What it treats
Endogenous hypercortisolemia (excess cortisol produced by the body) in adults with Cushing’s syndrome when surgery is not an option or has not been curative.
Safety information
Side effects
Common side effects include adrenal insufficiency (too little cortisol), tiredness, nausea, headache, swelling, reduced appetite, joint pain, muscle pain and diarrhoea. Contact your doctor if you develop side effects. Serious risks include low cortisol and potentially life-threatening adrenal insufficiency. Cortisol suppression can continue after treatment is interrupted or stopped, so ongoing monitoring is needed. Isturisa can also prolong the QT interval, a change in the heart’s electrical activity. An electrocardiogram (ECG) is required for all patients, with caution needed in those with risk factors for QT prolongation. Increased adrenal hormone precursors and androgens can cause low blood potassium, worsening high blood pressure, swelling and excessive hair growth. Your doctor will monitor for these effects.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
The label lists no contraindications for Isturisa. However, treatment requires close monitoring for low cortisol and potentially life-threatening adrenal insufficiency. Your prescriber may need to reduce or interrupt treatment. Cortisol suppression can persist after treatment is interrupted or stopped, so regular monitoring should continue. An electrocardiogram (ECG) is required for all patients. Isturisa should be used with caution in people with risk factors for QTc prolongation, a change in the heart’s electrical activity. Monitoring is also needed for low potassium, worsening high blood pressure, swelling and excessive hair growth. Breastfeeding is not recommended during treatment or for at least one week after treatment ends.
Interactions
Tell your doctor if you take medicines known as strong CYP3A4 inhibitors or strong CYP3A4 and CYP2B6 inducers. These can affect your Isturisa treatment, and your prescriber may need to adjust your dose. Also let your doctor know if you stop taking a strong CYP3A4 and CYP2B6 inducer, as your Isturisa dose may need to be reduced.
Using Isturisa
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store below 25°C in a dry place, in the original pack, away from direct light and moisture. Do not keep it in a bathroom. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label ISTURISA (OSILODROSTAT) TABLET, COATED ISTURISA (OSILODROSTAT) TABLET, COATED ISTURISA (OSILODROSTAT) TABLET, COATED [RECORDATI RARE DISEASES, INC.] (DailyMed, retrieved 19 September 2026).
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