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Diagnosis and Management of Pituitary Tumors

Diagnosis and Management of Pituitary Tumors

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CHAPTER 16 / PROLACTINOMAS 285term <strong>of</strong> up to 8 yr (84–87). Most microprolactinomas remain stablein size; 25 yr). Lisuride (92,93) has also beenused extensively over the years. The other newer compounds haveonly been recently introduced into the therapeutic armamentariumoutside the US.BROMOCRIPTINE At present, oral bromocriptine is consideredthe “gold st<strong>and</strong>ard” <strong>of</strong> DA agonist therapy (5,32,88,91,94).About 25–30% <strong>of</strong> the drug is absorbed. It is rapidly <strong>and</strong> effectivelyremoved by the liver <strong>and</strong> undergoes hepatic degradation into biologicallyinactive metabolites. Only

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