Low thyroxine (t4) after Trilostane (Vetoryl) in dogs

The FDA has received 112 reports of low thyroxine (t4) in dogs after Trilostane. That is 0.9% of all reports for this medicine, compared with 0.1% across reports for all dog medicines, so it is reported unusually often with this medicine.

112Reports
63%Marked serious
1.8%Recovered
11%Died or euthanised
126 daysTypical onset
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How soon it started

Same day
1 1.2%
1–2 days
5 6.1%
3–7 days
3 3.7%
1–4 weeks
12 15%
Over a month
61 74%

How the animals did

Recovered with lasting effects
2 1.8%
Still unwell when reported
28 25%
Died
2 1.8%
Euthanised
10 8.9%
Not known
70 63%

Problems reported at the same time

Age of the animals

Under 1 year
0
1–3 years
0
4–7 years
17
8–11 years
53
12+ years
41

About this medicine

Trilostane treats Cushing's disease (an overactive adrenal gland).

Products with this ingredient include Vetoryl. The FDA hides brand names in its public data, so these reports cover every product with the same active ingredients.

Questions owners ask

Can Trilostane cause low thyroxine (t4) in dogs?
112 reports link the two, but a report alone does not prove the medicine was the cause: other illnesses, other medicines or coincidence can be involved. Your vet can judge it for your animal.
How soon after a dose was it reported?
In half of the reports with dates, it started within 126 days of the first dose.
What should I do?
Don't give another dose until you've spoken to your vet, and keep the packaging so you can tell them the product and dose. Your vet can also report it to the FDA (or you can, through the manufacturer or FDA form 1932a).

Low thyroxine (t4) with similar medicines

All reported side effects of Trilostane in dogs · Medicines most reported with low thyroxine (t4)