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dose reduction in two patients because of substantial IGF1 reduction ( 5 ). Herein, we present a retrospective analysis of a subset of patients who received long-term treatment with pasireotide, who maintained their biochemical response and had
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Pamidronate 30–90 mg (depending on severity of hypercalcaemia) at 20 mg/h OR Ibandronic acid 2–4 mg Give more slowly and consider dose reduction in renal impairment Monitor serum calcium response: will reach nadir at 2–4 days Can cause hypocalcaemia
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for phase 2. Dose modifications were planned for adverse events (AEs) grade 2 (dose reduction by one dose level) and grade 3 or 4 (stop treatment with CR1447 until resolved to grade ≤2 and restart one dose level lower until end of treatment). If an
Department of Endocrinology, Imperial College Healthcare NHS Trust, London, UK
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was established with an 8-h level of 16 μg/L. Patient C ( Fig. 3C ) was weaned from a prednisolone dose of 2 to 1 mg, with an 8-h level of 19 μg/L and a 6-h level of 36 μg/L. After this dose reduction, the baseline cortisol increased to 194 mmol/L, and
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patients with CAH reported an increase in L1-L4 BMD but a decrease of femoral neck BMD after 8–10 years ( 26 ); another study including 6 PAIs and 6 secondary AIs also showed a mixed response ( 27 ). Recently, we showed that a dose reduction in daily HC
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or two phlebotomies to accelerate the correction of hematocrit – with the dose reduction in order to persist this – is unlikely to cause harm. This, however, might be different for periodic phlebotomy in order to maintain decreased (or ‘corrected
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identified in ten of these patients, most commonly intentional dose reductions/omissions due to nausea (four patients) or headaches (one case), along with problems obtaining a supply of medication (three patients) and unintentional non-adherence due to
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patients (15%) had adverse effects of iodine treatment (rash n = 2, rash and vomiting n = 1 and swelling of fingers n = 1). This was managed with dose reduction in two and stopping LS prematurely in two. These four women were aged 30, 35, 43 and 61
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, resolution of intercurrent illness results in normalisation of cCa, such that close monitoring and dose reduction to baseline is needed to prevent hypercalcaemia and hypercalciuria. rhPTH(1–34) may have a role in these situations. The mechanisms underlying
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(a dose reduction or change of medication may be sufficient): 1) Pruritus, urticaria (1–5%), sometimes very severe skin symptoms – they can be controlled with antihistamines or by changing the antithyroid drug 2) Muscle and joint pain (in