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Prescription medicine

Levoketoconazole

Drug class: Cortisol Synthesis Inhibitor

The FDA’s “Established Pharmacologic Class”: the group of medicines that work in a similar way.

Official FDA data, not advice

Everything here comes from the U.S. Food and Drug Administration (FDA): the drug label, the NDC Directory, Drugs@FDA, recall reports and the drug shortage list. Each fact shows its source and date.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

In an emergency, call 911. If someone may have taken too much of a medicine, call Poison Help: 1‑800‑222‑1222.

Quick answers

What is Levoketoconazole used for?
The FDA-approved label (Recorlev, Xeris Pharmaceuticals, Inc., March 10, 2026) says: “RECORLEV is indicated for the treatment of endogenous hypercortisolemia in adult patients with Cushing’s syndrome for whom surgery is not an option or has not been curative. Limitations of Use RECORLEV is not approved for the treatment of fungal infections. The safety and effectiveness of RECORLEV for the treatment of fungal infections have not been established. …” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Levoketoconazole have a boxed warning?
Yes. The FDA label for Recorlev has a boxed warning (“WARNING: HEPATOTOXICITY AND QT PROLONGATION”), the FDA’s strongest warning. Read it on the full label and ask your pharmacist.
Is there a shortage of Levoketoconazole?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Levoketoconazole been recalled?
No recall linked to the products of this medicine appears in the FDA enforcement reports we use.
Who makes Levoketoconazole?
1 company lists prescription products of Levoketoconazole in the FDA NDC Directory, including Xeris Pharmaceuticals, Inc..

What Levoketoconazole is used for

Quoted from the “Indications and Usage” section of the FDA-approved label.

RECORLEV is indicated for the treatment of endogenous hypercortisolemia in adult patients with Cushing’s syndrome for whom surgery is not an option or has not been curative. Limitations of Use RECORLEV is not approved for the treatment of fungal infections. The safety and effectiveness of RECORLEV for the treatment of fungal infections have not been established. …

— FDA label: Recorlev, Xeris Pharmaceuticals, Inc., effective March 10, 2026. Read the full label on DailyMed →

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

Boxed warning

A boxed warning (“black box”) is the FDA’s strongest warning on a drug label, for serious or life-threatening risks.

This label has a boxed warning. Its heading: WARNING: HEPATOTOXICITY AND QT PROLONGATION. Read it on the full label →

Forms and how it is given

Dosage formsTablet
RouteOral
Prescription products1 in the FDA NDC Directory
Brand namesRecorlev

Companies that list this medicine

Labelers in the FDA NDC Directory: the company named on the package (maker or distributor), with the number of prescription products.

FDA approval history

  • NDA: New Drug Application: how a new (usually brand-name) medicine is approved.
Brand and biologic applications
ApplicationSponsorApprovedLater changes approved
NDA214133
RECORLEV
StrongbridgeDecember 30, 2021 1, latest August 16, 2023
2023: Labeling

Shortage status

The FDA drug shortage list does not show these products.

FDA Drug Shortages database →

Recalls

No recall linked to these products (by their NDC code) appears in the FDA enforcement reports.

Official identifiers

RxCUI (RxNorm)2588848, 2588854
SPL set ID of the quoted labeld4c5fead-bc4a-fb02-e053-2a95a90ae4fc
FDA labels (SPL)1
FDA applicationsNDA214133
Active ingredients (FDA)LEVOKETOCONAZOLE

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Recorlev, Xeris Pharmaceuticals, Inc., effective March 10, 2026; via openFDA, FDA data exported October 30, 2026, retrieved October 31, 2026
  2. NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  3. Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  4. Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
  5. Drug shortages (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026

openFDA data is provided by the FDA as is; it may be incomplete. Always rely on the label that comes with your medicine. FDA Enforcement Report search →

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