Corticorelin ovine triflutate

Synthetic ACTH (1 24) AnalogRx: PrescriptionCompound: Approved

Also known as: ACTH (1-24), Acthrel, corticorelin, Cortrosyn, Cosyntropin, CRF (ovine), oCRH, ovine CRH, Tetracosactide

Educational Only — Not medical advice. Consult a qualified clinician before using any peptide.

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Summary

Corticorelin ovine trifluoroacetate (cosyntropin) is a synthetic 24‑amino‑acid peptide identical to the N‑terminal segment of ovine ACTH, used primarily for the diagnostic ACTH stimulation test.

Mechanism of Action

Agonist of melanocortin 2 receptor (MC2R) on adrenal cortical cells, stimulating cortisol synthesis and release.

Routes of Administration

IntramuscularIntravenousSubcutaneous

Goals & Uses

  • ACTH stimulation testDiagnosticHigh
  • Assessment of adrenal insufficiencyDiagnosticHigh
  • Differential diagnosis of Cushing's syndromeDiagnosticHigh
  • Inferior petrosal sinus sampling (IPSS) adjunctDiagnosticHigh
  • Evaluation of hypothalamic-pituitary-adrenal (HPA) axis functionDiagnosticModerate

Contraindications

  • Concurrent heparin administrationDrug InteractionModerate
  • Hypersensitivity to cosyntropin or any component of the formulationAllergyHigh
  • Hypersensitivity to corticorelin or ovine proteinsAllergy/ImmunologyHigh

Adverse Effects

  • AnaphylaxisImmunologicRareSevere life-threatening allergic reaction
  • Facial flushingCardiovascular/DermatologicCommon
  • Injection site reactionsLocalUncommon
  • HeadacheNeurologicCommonPain in the head or upper neck
  • HypotensionCardiovascularUncommonLow blood pressure
  • FlushingVascularCommonWarmth and redness of the skin
  • TachycardiaCardiovascularUncommonAbnormally fast heart rate
  • NauseaGastrointestinalCommonFeeling of sickness or urge to vomit
  • DyspneaRespiratoryRareShortness of breath

Drug Interactions

  • HeparinModerate
  • KetoconazoleModerate
  • Exogenous glucocorticoidsModerate
  • Glucocorticoids (exogenous)Moderate
  • MetyraponeLow

Population Constraints

  • PregnancyReproductive SafetyRelative
  • Pediatric patientsAgeRelative
  • ElderlyAgeRelative
  • Patients with known allergy to ovine proteinsAllergyAbsolute

Regulatory Status

  • European UnionApprovedApproved: ACTH stimulation testEMA‑approved under similar indications.
  • United StatesApprovedApproved: ACTH stimulation testFDA‑approved as Cosyntropin for diagnostic use.
  • United KingdomApprovedApproved: ACTH stimulation testMHRA‑approved.

Approved for diagnostic evaluation of adrenal insufficiency and for assessment of cortisol reserve.

Evidence & Sources

No sources recorded yet.

Frequently Asked Questions

What is Corticorelin ovine triflutate?

Corticorelin ovine trifluoroacetate (cosyntropin) is a synthetic 24‑amino‑acid peptide identical to the N‑terminal segment of ovine ACTH, used primarily for the diagnostic ACTH stimulation test.

What is Corticorelin ovine triflutate used for?

Corticorelin ovine triflutate is educationally associated with: ACTH stimulation test, Assessment of adrenal insufficiency, Differential diagnosis of Cushing's syndrome, Inferior petrosal sinus sampling (IPSS) adjunct, Evaluation of hypothalamic-pituitary-adrenal (HPA) axis function. Educational only — not medical advice.

How is Corticorelin ovine triflutate administered?

Recorded routes of administration: Intramuscular, Intravenous, Subcutaneous.

What are the potential side effects of Corticorelin ovine triflutate?

Reported adverse effects include: Anaphylaxis, Facial flushing, Injection site reactions, Headache, Hypotension, Flushing, Tachycardia, Nausea, Dyspnea. This list is not exhaustive — consult a qualified clinician.

Who should avoid Corticorelin ovine triflutate?

Recorded contraindications: Concurrent heparin administration, Hypersensitivity to cosyntropin or any component of the formulation, Hypersensitivity to corticorelin or ovine proteins. Consult a qualified clinician before use.