Continuing Lysodren®

See how to manage side effects and maintain your treatment

Managing Side Effects

You have been prescribed Lysodren® because your doctor has decided this is an appropriate treatment for your disease. Lysodren® exposes you to the risk of side effects. Each patient is unique. Not everyone experiences the same side effects. And some side effects go away during treatment as your body adjusts to the medicine.1

Your doctor may be able to tell you about ways to prevent or reduce some of these side effects. Tell your doctor about any side effects you may be experiencing.

Click or tap each “+” to view tips to help manage the possible side effects.2,3

Body Diagram
Slow thinking or being confused
Feeling dizzy or drowsy
Skin rash
Fatigue
Plus Sign Loss of appetite, weight loss, nausea, vomiting, or diarrhea

Tips to Maintain Your Treatment4

Understand your medication routine.
Confirm the Lysodren® dose, how to take it, and timing with your prescribing physician and pharmacist. Verify the information each time you refill Lysodren®. Take the exact dose prescribed. Stick to the same schedule each day.

Write down your Lysodren® dose schedule and track changes.
Place your daily medication routine on a calendar or chart. Complete your schedule, record your blood test results, and track your dose changes over time. Print a Lysodren® medication tracker available here.

Keep your schedule in an obvious place.
Put the schedule in a place you see often, like the door of your refrigerator or next to the bathroom mirror.

Make taking your medication part of your daily routine.
It is best to take Lysodren® with food, so try to time taking it at mealtimes. You can try setting a timer on your phone, watch, or alarm clock.

Know who your healthcare team is.
Write down the contact information for the team of healthcare professionals involved in your care and treatment. Keep this list handy for you and your caregiver(s) to find when you need it.

Living With ACC5

During and after treatment, your doctor will do regular follow-up tests, which may include exams in the office, blood work, and imaging tests. You might need to take long-term medicines to correct the levels of hormones in your body. To monitor your hormone levels, your doctor will do regular follow-up tests of your blood, urine, and/or saliva.

Coping With Your Feelings

It is quite normal for you and your family to experience a wide range of emotions after cancer diagnosis. Important issues in the life of any person with cancer may include

  • Fear of death
  • Interruption in life plans
  • Changes in body image and self-esteem
  • Changes in social role and lifestyle
  • Money and legal concerns

Everyone will react to these issues in different ways. Both you and your caregiver(s) may have feelings of anxiety, depression, sadness, stress, difficulty sleeping, or eating. It is important to know when and where to seek help for these feelings. These symptoms and fears may lessen as as you adjust to the diagnosis.

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Talk with your doctor about developing a survivorship care plan for you. This plan organizes information about your follow-up care, including6

  • How often you should have checkups
  • The types of tests you will need
  • The potential long-term late effects of the cancer treatments you received
  • Suggestions for healthy living, including diet and physical activity

Seeking Support

Life may be even more difficult when you are diagnosed with a rare cancer. It may be harder to speak to others who don’t know what you are going through. You may feel even more alone.

For this reason, you may want to talk to other people diagnosed with ACC, or their caregivers, to find more information and support. There are many support groups, patient advocacy organizations, and other resources available to patients and caregivers through the internet, such as the American Cancer Society.

Please refer to our list of Patient Advocacy and Support Organizations.

  1. Mitotane. Medscape. Accessed May 16, 2024. https://reference.medscape.com/drug/lysodren-mitotane-342258
  2. Mitotane (Lysodren). Cancer Research UK. Accessed April 9, 2024. https://www.cancerresearchuk.org/about-cancer/treatment/drugs/mitotane-lysodren
  3. Mitotane (Lysodren®) information for patients and families. University of Michigan Comprehensive Cancer Center. The Regents of the University of Michigan. Revised January 2011.
  4. Medication Management and Safety Tips. Johns Hopkins Medicine. Accessed April 19, 2024. https://www.hopkinsmedicine.org/health/ wellness-and-prevention/help-for-managing-multiple-medications
  5. Else T, Hammer GD. A patient’s guide to adrenocortical cancer. Rogel Cancer Center. 2019. Accessed May 23, 2024. https://www.rogelcancercenter.org/adrenal-cancer/resources
  6. American Cancer Society. ASCO Cancer Treatment and Survivorship Care Plans. Accessed April 19, 2024. https://www.cancer.org/cancer/survivorship/long-term-health-concerns/survivorship-care-plans.html
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