Brand & Generic Names

Cytadren

Basic Information

• Habit forming? No
• Prescription needed? Yes
• Available as generic? No
• Drug class: Antiadrenal, antineoplastic

Uses

• Treats Cushing's syndrome.
• Treats breast malignancies.

Dosage & Usage Information

How to take:
Tablets--Swallow with liquid. If you can't swallow whole, crumble tablet and take with liquid or food. Instructions to take on empty stomach mean 1 hour before or 2 hours after eating.

When to take:
Follow doctor's instructions exactly.

If you forget a dose:
Take as soon as you remember up to 2 hours late. If more than 2 hours, wait for next scheduled dose (don't double this dose).

What drug does:
Suppresses adrenal cortex.

Time lapse before drug works:
1 to 2 hours.

Don't take with:
Any other medicines (including over-the-counter drugs such as cough and cold medicines, laxatives, antacids, diet pills, caffeine, nose drops or vitamins) without consulting your doctor.

Overdose

SYMPTOMS:
None expected.

WHAT TO DO:

Overdose unlikely to threaten life. If person takes much larger amount than prescribed, call doctor, poison-control center or hospital emergency room for instructions.

Possible Adverse Reactions or Side Effects

Life-threatening:

None expected.

Common:

Skin rash on face and hands.

Infrequent:

• Dizziness, drowsiness, unexplained fatigue, low back pain, pain on urinating, clumsiness, unusual eye movements, appetite loss.
• Vomiting, skin darkening, depression, headache, muscle pain.

Rare:

Unusual bleeding or bruising.

Warnings & Precautions

Don't take if:

• You have recently been exposed to chicken pox.
• You have shingles (herpes zoster).

Before you start, consult your doctor:

• If you have decreased thyroid function (hypothyroidism).
• If you have any form of infection.

Over age 60:
Adverse reactions and side effects may be more frequent and severe than in younger persons. You may need smaller doses for shorter periods of time.

Pregnancy:
May cause birth defects. Avoid if possible.

Breast-feeding:
Effect not documented. Consult your doctor.

Infants & children:
Effect not documented. Consult your pediatrician.

Prolonged use:
Talk to your doctor about the need for follow-up medical examinations or laboratory studies to check thyroid function, liver function, serum electrolytes (sodium potassium, chloride) and blood pressure.

Skin & sunlight:
No problems expected.

Driving, piloting or hazardous work:
No problems expected.

Discontinuing:
No special problems expected.

Others:

• Advise any doctor or dentist whom you consult that you take this medicine.
• May affect results in some medical tests.
• May cause decreased thyroid function.

Possible Interaction with Other Drugs

GENERIC NAME OR DRUG CLASS	COMBINED EFFECT
Anticoagulants*	Decreased anticoagulant effect.
Clozapine	Toxic effect on the central nervous
	system.
Cortisone-like drugs*	Decreased cortisone effects.
Dexamethasone	Dexamethasone effect decreased by
	half.
Phenprocoumon	Decreased anticoagulant effect.
Sertraline	Incrased depressive effects of both
	drugs.
Trilostane	Too much decrease in adrenal
	function.

Possible Interaction with Other Substances

INTERACTS WITH	COMBINED EFFECT
---------------	---------------
Alcohol:	Increased stomach irritation.
Coffee, tea, cocoa.	Increased stomach irritation.
Cocaine:	No proven problems.
Foods:	No proven problems.
Marijuana:	No proven problems.
Tobacco:	No proven problems.