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Prescription medicine

Metyrosine Brand names: Demser

Metyrosine (Demser) is a prescription medicine with an FDA approval on record since 1979. FDA's NDC Directory lists it from 2 generic labelers.

  • Generic listed

Check it at the source: the metyrosine FDA label on DailyMed (effective July 1, 2021, Bausch Health US, LLC); the NDA 17871 record on Drugs@FDA; every metyrosine label on DailyMed.

Highlights of the record

FDA label of July 1, 2021; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Used for

From the label: indications and usage

DEMSER is indicated in the treatment of patients with pheochromocytoma for: 1.

Forms and strengths

  • 250 mg

Capsule.

On the market

Earliest approval on file
October 3, 1979 Demser, Bausch; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
3 first July 24, 2020; 3 with a marketed status in Drugs@FDA
Labelers listed (NDC)
4 of which 2 under generic applications, 1 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
79 through July 30, 2026

What is metyrosine used for?

From the label: indications and usage

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.

FDA pharmacologic class: Catecholamine Synthesis Inhibitor.

Source: FDA drug label (Demser), Bausch Health US, LLC, effective July 1, 2021 (SPL set 32fb2f2f-34b5-4cd5-9145-c3ab37c5ca92), via openFDA; the full label on DailyMed

Is there a generic for metyrosine (Demser)?

The FDA approved the first generic metyrosine on July 24, 2020. 3 generic applications are approved; 3 of them carry a current (not discontinued) marketing status in Drugs@FDA; that status is not evidence that the generic is on sale.

FDA's NDC Directory lists metyrosine from 2 labelers under a generic (ANDA) application and from 1 brand labeler. A listing means the company has registered the product for sale; it does not show that every pharmacy stocks it.

  • 1979 earliest approval on file
  • 2020 first generic approved

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What does the metyrosine label say about other medicines?

The metyrosine label names 2 other medicines in its interaction, contraindication or warning sections. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
LidocainewarningsIn addition, life-threatening arrhythmias may occur during anesthesia and surgery, and may require treatment with a beta-blocker or lidocaine.
Phentolaminewarnings… hypertensive crises or arrhythmias during manipulation of the tumor, and the alpha-adrenergic blocking drug, phentolamine, may be needed.

Check metyrosine against other medicines

Source: FDA drug label (Demser), Bausch Health US, LLC, effective July 1, 2021 (SPL set 32fb2f2f-34b5-4cd5-9145-c3ab37c5ca92), via openFDA; the full label on DailyMed

What do FAERS reports show for metyrosine?

The FDA Adverse Event Reporting System holds 79 reports that list metyrosine among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 20 are coded as a death and 33 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

The most reported reactions

  • Off Label Use (a use or a product term, not a reaction)14
  • Somnolence12
  • Diarrhoea (named in the label)6
  • Pneumonia6
  • Pyrexia6
  • Hospitalisation (an outcome recorded in the report)5
  • Malaise5
  • Drug Ineffective (a use or a product term, not a reaction)4

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What next?

Metyrosine side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other