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Hormones 2016

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Leuprorelin Acetate<br />

Laboratory test interferences<br />

• ↑ LFT’s, BUN, serum calcium, uric acid, glucose, lipids, WBC, PT,<br />

• ↓ serum potassium, platelets (Institute, 2014).<br />

Overdose<br />

There is no clinical experience with the effects of an acute overdose of<br />

leuprorelin acetate. In animal studies, doses of up to 500 times the<br />

recommended human dose resulted in dyspnoea, decreased activity and<br />

local irritation at the injection site. In cases of overdosage, the patients<br />

should be monitored closely and management should be symptomatic and<br />

supportive (emc, <strong>2016</strong>).<br />

Shelf life<br />

36 months unopened.<br />

Once reconstituted with sterile vehicle, the suspension should be administered<br />

immediately (emc, <strong>2016</strong>).<br />

Warning<br />

Development or aggravation of diabetes may occur, therefore diabetic<br />

patients may require more frequent monitoring of blood glucose during<br />

treatment with Prostap.<br />

Hepatic dysfunction and jaundice with elevated liver enzyme levels<br />

have been reported. Therefore, close observation should be made and<br />

appropriate measures taken if necessary.<br />

Hypotension and worsening of depression have been reported.<br />

The ability to drive and use machinery may be impaired due to visual<br />

disturbances and dizziness.<br />

Toxicity<br />

In rats subcutaneous administration of 250 to 500 times the recommended<br />

human dose, expressed on a per body weight basis, resulted in dyspnoea,<br />

decreased activity, and local irritation at the injection site. There is no<br />

evidence at present that there is a clinical counterpart of this phenomenon.<br />

In early clinical trials with leuprolide acetate doses as high as 20 mg/day<br />

for up to two years caused no adverse effects differing from those observed<br />

with the 1 mg/day dose (drugbank, 2013f).<br />

168<br />

Version <strong>2016</strong>.3576– – Document LATEXed – 1st May <strong>2016</strong><br />

[git] • Branch: 1.5 @ 26b5e6d • Release: 1.5 (<strong>2016</strong>-05-01)

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