Cushing's syndrome medical therapy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Medical therapy
The medications usually used for the treatment of Cushing's syndrome are:[1]
Drug regimen
Drug regimens used for the treatment of Cushing's syndrome are: [1]
- Pasireotide 750–2400 μg per day subcutaneously injected
- Cabergoline Up to 7 mg per week orally
- Ketoconazole 400–1600 mg per day orally
- Metyrapone 0·5–4·5 g per day orally
- Mitotane 3–5 g per day orally
- Mifepristone 300–1200 mg per day orally
It is important to remember that the vast majority of cases of Cushing's syndrome are caused by steroid medications (such causes are described as iatrogenic) so a review of medications first, as stopping or reducing the dose can usually resolve the problem.