Failure of long-term therapy with sodium valproate in Cushing’s disease

1997 ◽  
Vol 20 (7) ◽  
pp. 387-392 ◽  
Author(s):  
Annamaria Colao ◽  
R. Pivonello ◽  
F. S. Tripodi ◽  
F. Orio ◽  
D. Ferone ◽  
...  
Pituitary ◽  
2020 ◽  
Author(s):  
Cédric Fontaine-Sylvestre ◽  
Laurent Létourneau-Guillon ◽  
Robert A. Moumdjian ◽  
France Berthelet ◽  
André Lacroix

2004 ◽  
Vol 102 (1-3) ◽  
pp. 001-010 ◽  
Author(s):  
Ferah Armutcu ◽  
Elif Ozerol ◽  
Ahmet Gurel ◽  
Mehmet Kanter ◽  
Huseyin Vural ◽  
...  

2010 ◽  
Vol 163 (5) ◽  
pp. 709-716 ◽  
Author(s):  
Ariane Godbout ◽  
Marcos Manavela ◽  
Karina Danilowicz ◽  
Hugues Beauregard ◽  
Oscar Domingo Bruno ◽  
...  

BackgroundCabergoline is a long-acting dopamine receptor agonist used to treat prolactinomas. Identification of D2 receptors in corticotroph tumors led to clinical trials of cabergoline therapy in limited cases of Nelson's syndrome, ectopic ACTH-secreting tumors, and recently Cushing's disease (CD).ObjectiveTo evaluate the long-term efficacy of cabergoline monotherapy in patients with CD.MethodsRetrospective analysis of non-randomized clinical therapy with cabergoline in 30 patients with CD treated in academic centers of Buenos Aires and Montreal. Cabergoline was initiated at 0.5–1.0 mg/week and adjusted up to a maximal dose of 6 mg/week based on urinary free cortisol (UFC) levels. Complete response to cabergoline was defined as a sustained normalization of UFC with at least two normal values measured at 1–3 months interval; partial response was defined as a decrease of UFC to <125% of the upper limit of normal, and treatment failure as UFC ≥125% of it.ResultsWithin 3–6 months, complete response was achieved in 11 patients (36.6%) and partial response in 4 patients (13.3%). After long-term therapy, nine patients (30%) remain with a complete response after a mean of 37 months (range from 12 to 60 months) with a mean dose of 2.1 mg/week of cabergoline. Two patients escaped after 2 and 5 years of complete response, but one patient transiently renormalized UFC after an increase in cabergoline dosage. No long-term response was maintained in four initial partial responders.ConclusionsCabergoline monotherapy can provide an effective long-term medical therapy for selected patients with CD, but requires close follow-up for dose adjustments.


2003 ◽  
Vol 32 (2) ◽  
pp. 115-122
Author(s):  
Elif Ozerol ◽  
Mehmet Aslan ◽  
Ecir Ali Cakmak ◽  
Mukaddes Gulec ◽  
Cengiz Yakinci ◽  
...  

1997 ◽  
Vol 17 (03) ◽  
pp. 161-162
Author(s):  
Thomas Hyers

SummaryProblems with unfractionated heparin as an antithrombotic have led to the development of new therapeutic agents. Of these, low molecular weight heparin shows great promise and has led to out-patient therapy of DVT/PE in selected patients. Oral anticoagulants remain the choice for long-term therapy. More cost-effective ways to give oral anticoagulants are needed.


2007 ◽  
Vol 40 (05) ◽  
Author(s):  
M Kungel ◽  
A Engelhardt ◽  
T Spevakné-Göröcs ◽  
M Ebrecht ◽  
C Werner ◽  
...  

2014 ◽  
Author(s):  
Andrea Osswald ◽  
Eva Plomer ◽  
Christina Dimopoulou ◽  
Monika Milian ◽  
Rainer Blaser ◽  
...  

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