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DOI: 10.1590/S0004-27302007000800020
The treatment of choice for Cushing’s syndrome remains surgical. The role for medical therapy is twofold. Firstly it is used to control hypercortisolaemia prior to surgery to optimize patient’s preoperative state and secondly, it is used where surgery has failed and radiotherapy has not taken effect. The main drugs used inhibit steroidogenesis and include metyrapone, ketoconazole, and mitotane. Drugs targeting the hypothalamic-pituitary axis have been investigated but their roles in clinical practice remain limited although PPAR-g agonist and somatostatin analogue […]
Keywords: Cushing’s syndrome; Drug therapy; Hypothalamic-pituitary modulator; Steroidogenesis inhibitor