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Molecule

Metyrosine

Catecholamine Synthesis Inhibitor
Available on requestCardiology
Presentations
2
Brands
1
Manufacturers
1
Available from stock
0

Metyrosine is a catecholamine synthesis inhibitor indicated in the treatment of patients with pheochromocytoma for 1. It is available as capsules for oral use. MedsAcross supplies Metyrosine for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Catecholamine Synthesis Inhibitor, Catecholamine Synthesis Inhibitors
ATC classification
C02KB01 Metyrosine · Other blood pressure medicines, subgroup C02K, subgroup C02KB
US FDA first approval
3 October 1979
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Capsule
Identifiers
UNII DOQ0J0TPF7RxCUI 266604CAS 672-87-7DrugBank DB00765Q6824116

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

DEMSER is indicated in the treatment of patients with pheochromocytoma for: 1. Preoperative preparation of patients for surgery 2. Management of patients when surgery is contraindicated 3. Chronic treatment of patients with malignant pheochromocytoma DEMSER is not recommended for the control of essential hypertension.

Source: US FDA prescribing information

Dosing overview

The recommended initial dosage of DEMSER for adults and children 12 years of age and older is 250 mg orally four times daily. This may be increased by 250 mg to 500 mg every day to a maximum of 4 g/day in divided doses. When used for preoperative preparation, the optimally effective dosage of DEMSER should be given for at least five to seven days. Optimally effective dosages of DEMSER usually are between 2 and 3 g/day, and the dose should be titrated by monitoring clinical symptoms and catecholamine excretion. In patients who are hypertensive, dosage should be titrated to achieve normalization of blood pressure and control of clinical symptoms. In patients who are usually normotensive, dosage should be titrated to the amount that will reduce urinary metanephrines and/or vanillylmandelic acid by 50% or more.

Source: US FDA prescribing information

Warnings and precautions

Maintain Fluid Volume During and After Surgery When DEMSER is used preoperatively, alone or especially in combination with alpha-adrenergic blocking drugs, adequate intravascular volume must be maintained intraoperatively (especially after tumor removal) and postoperatively to avoid hypotension and decreased perfusion of vital organs resulting from vasodilatation and expanded volume capacity. Following tumor removal, large volumes of plasma may be needed to maintain blood pressure and central venous pressure within the normal range. In addition, life-threatening arrhythmias may occur during anesthesia and surgery, and may require treatment with a beta-blocker or lidocaine. During surgery, patients should have continuous monitoring of blood pressure and electrocardiogram.

Source: US FDA prescribing information

Side effects

Central Nervous System Sedation: The most common adverse reaction to DEMSER is moderate to severe sedation, which has been observed in almost all patients. It occurs at both low and high dosages. Sedative effects begin within the first 24 hours of therapy, are maximal after two to three days, and tend to wane during the next few days. Sedation usually is not obvious after one week unless the dosage is increased, but at dosages greater than 2000 mg/day some degree of sedation or fatigue may persist. In most patients who experience sedation, temporary changes in sleep pattern occur following withdrawal of the drug. Changes consist of insomnia that may last for two or three days and feelings of increased alertness and ambition. Even patients who do not experience sedation while on DEMSER may report symptoms of psychic stimulation when the drug is discontinued.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

2 presentations of Metyrosine, sorted by availability.

MedicineManufacturerRegisterAvailability
Metyrosine 250 mg capsuleOralGeneric name—US FDAAvailable on request
Demser 250 mg capsuleOralBausch HealthUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 3 October 1979Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Metyrosine in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Metyrosine available for export from India?

Yes, on request. MedsAcross lists 2 presentations of Metyrosine and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Metyrosine have?

The catalogue lists 1 brand names for Metyrosine, including Demser.

Is Metyrosine approved by the US FDA?

Yes. The US FDA first approved Metyrosine on 3 October 1979, according to Drugs@FDA.

Does Metyrosine need cold chain shipping?

No listed presentation of Metyrosine is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Metyrosine in?

Metyrosine is classified under ATC code C02KB01 (Metyrosine).

References

  1. Demser prescribing information (Bausch Health). U.S. National Library of Medicine, DailyMed. Retrieved 1 July 2021

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