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Treatments for Acromegaly
Treatment list for Acromegaly:
The list of treatments mentioned in various sources for Acromegaly includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
- Surgical removal - of the underlying tumor
- Drug therapy
- Bromocriptine (Parlodel®)
- Octreotide (Sandostatin®)
- Pituitary hormone therapy
- Radiation therapy
Treatments of Acromegaly: Online Medical Books
16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Acromegaly.
Acromegaly and gigantism:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment aims to curb overproduction of hGH through removal of the underlying tumor by cranial or transsphenoidal hypophysectomy or pituitary radiation therapy. In acromegaly, surgery is mandatory when a tumor causes blindness or other severe neurologic disturbances. Postoperative therapy often requires replacement of thyroid, cortisone, and gonadal hormones. Adjunctive treatment may include administration of bromocriptine or cabergoline and octreotide and postoperative conventional proton beam radiation, which inhibit hGH synthesis. The therapeutic goal is to reach and maintain hGH levels less than 2 ng/dl, because at that level, life expectancy is restored to that of age-matched controls.
Weight gain, excessive:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Educating the patient about weight control is extremely important. Stress the benefits of behavior modification and dietary compliance. Help the patient plan an appropriate exercise routine.
Acromegaly and gigantism:
Treatment
(Handbook of Diseases)
Overproduction of HGH is curbed through removal of the underlying tumor by cranial or transsphenoidal hypophysectomy or pituitary radiation therapy. With acromegaly, surgery is mandatory when a tumor causes blindness or another severe neurologic disturbance.
Postoperative therapy commonly requires replacement of thyroid and gonadal hormones and cortisone. Adjunctive treatment may include administration of lanreotide, bromocriptine, and octreotide, which inhibit HGH synthesis.
Weight gain, excessive:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Educating the patient about weight control is extremely important. Stress the benefits of behavior modification and dietary compliance. Help the patient plan an appropriate exercise routine.
Weight loss, excessive:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Refer your patient for psychological counseling if weight loss negatively affects his body image. Teach the patient about his diet and recommend that he keep a food diary. Determine his food preferences and try to incorporate them into his diet. Encourage oral hygiene before meals to make the food more palatable.
Weight gain, excessive:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Refer the patient for psychological counseling, as necessary.
▪ If the patient is obese or has a cardiopulmonary disorder, monitor exercise closely.
▪ Perform studies to rule out possible secondary causes should include serum thyroid-stimulating hormone determination and dexamethasone suppression testing.
▪ Perform laboratory tests for thyroid function and serum cholesterol, triglyceride, and glucose levels.
Patient teaching
▪ Explain to the patient the cause of weight gain, if known.
▪ Teach the patient about appropriate dietary choices and discuss an individualized exercise plan.
Weight loss, excessive:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Take daily calorie counts and weigh the patient weekly.
▪ Consult a nutritionist to determine an appropriate diet and nutritional supplements with adequate calories.
▪ Administer hyperalimentation or tube feedings to maintain nutrition, as needed.
Patient teaching
▪ Provide instruction in proper nutrition and keeping a food diary.
▪ Instruct the patient in proper oral hygiene.
Medications used to treat Acromegaly:
Note:You must always seek professional medical advice about any treatment or change in treatment plans.
Some of the different medications used in the treatment of Acromegaly include:
- Bromocriptine
- Parlodel
- Apo-Bromocriptine
- PMS-Bromocriptine
- Serocryptin
- Octreotide
- Sandostatin
- Sandostatin LAR
- Sandostatina
- Pegvisomant
- Somavert
Unlabelled alternative drug treatments include:
- Pergolide
- Drax-Pergolide
- Permax
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