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Cosyntropin

Cosyntropin is a synthetic ACTH fragment used in CORTROSYN to assess adrenal cortisol response. It is a diagnostic agent, not routine hormone-replacement therapy.

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At a glance

Evidence stage
Approved use
Regulatory status
CORTROSYN is US-approved as a diagnostic aid, together with other tests, to screen for adrenocortical insufficiency in adult and pediatric patients.
Research context
Cosyntropin is a synthetic ACTH fragment used in CORTROSYN to assess adrenal cortisol response. It is a diagnostic agent, not routine hormone-replacement therapy.

What this is

  • Cosyntropin is a synthetic ACTH fragment used in CORTROSYN to assess adrenal cortisol response. It is a diagnostic agent, not routine hormone-replacement therapy.

What this isn't

  • A recommendation to use, prepare, combine, or administer a product
  • Evidence that a related molecule or a differently formulated product has the same effects

Cosyntropin is a synthetic ACTH fragment used in CORTROSYN to assess adrenal cortisol response. It is a diagnostic agent, not routine hormone-replacement therapy.

Cosyntropin stimulates the adrenal cortex in a manner similar to natural ACTH, allowing clinicians to assess the resulting cortisol response. The biological question is whether the adrenal system can respond appropriately under standardized testing conditions. A temporary rise in cortisol during a test is not evidence that an underlying endocrine disorder has been permanently corrected. Product label.

Evidence limits

How to read the evidence

Testing requires interpretation with symptoms, medical history, concurrent medicines, and the laboratory assay. A small healthy-volunteer study cannot exclude all timing effects in ill patients. CORTROSYN should not be confused with repository corticotropin used for certain diseases, and a diagnostic response does not justify unsupervised use of either product. Product-specific scope.

Sources appraised 2026-10-28. Educational information; not medical advice. Study findings apply to the populations, preparations and outcomes described.

External sources and citations

  1. Cosyntropin — product label (DailyMed)
  2. Performance of low-dose cosyntropin stimulation test in the afternoon.
  3. FDA application NDA016750 — approval and marketing records

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