Abstract:
:Long-acting im bromocriptine was administered to 7 patients with pituitary macroadenomas (4 acromegalics, 1 Nelson's syndrome and 2 prolactinomas), with good tolerance except during the first 24 h. During a 42-day period hormonal, CT-scan and visual field variations were followed. In acromegalics HGH decrease was not evident, except in some isolated sample. In Nelson's syndrome ACTH showed a 94% fall on day 14, even though a spontaneous oscillation cannot be ruled out, and recovery took place from day 21 on. PRL remained undetectable in both. In prolactinomas, PRL suffered a great decrease (91.8% and 96.3% on days 21 and 28 respectively) and remained well below its initial values up to the end of the study, in spite of partial recovery. In these 2 patients CT-scan evidenced shrinkage of tumor mass, which was not observed in the remaining 5 cases. Visual fields did not improve in the 2 cases initially affected (Nelson's syndrome and 1 prolactinoma). Long-acting bromocriptine seems to have the same therapeutic uses of the oral form with the possible advantage of a better tolerance of full initial doses.
journal_name
J Endocrinol Investjournal_title
Journal of endocrinological investigationauthors
Halperin I,Rodriguez MD,Cardenal C,Casamitjana R,Martinez Osaba MJ,Lienas V,Vilardell Edoi
10.1007/BF03348130subject
Has Abstractpub_date
1987-06-01 00:00:00pages
277-82issue
3eissn
0391-4097issn
1720-8386journal_volume
10pub_type
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