Pasireotide
Also known as: Signifor, Signifor LAR
Key Facts: Pasireotide
- Category
- Hormonal
- FDA Status
- FDA Approved
- Clinical Status
- FDA Approved - Cushing's disease and acromegaly
- Administration
- Subcutaneous or intramuscular
- Typical Dose
- 300-900 mcg twice daily
- Frequency
- Twice daily (SC) or monthly (LAR)
- Duration
- Long-term / chronic use
Mechanism of Action
Pasireotide binds to somatostatin receptors 1, 2, 3, and 5 with high affinity. The SST5 binding is particularly important for suppressing ACTH secretion from corticotroph adenomas in Cushing's disease.
Research Summary
Only FDA-approved medical therapy for Cushing's disease. Studies show significant reduction in urinary free cortisol. Also approved for acromegaly when other somatostatin analogs fail.
Dosing Information
Typical Dosingⓘ
Community experience
300-900 mcg twice daily
300-900 mcg per dose
Twice daily (SC) or monthly (LAR)
Somatostatin analog for Cushing's disease. Higher hyperglycemia risk than other somatostatins.
Research Dosingⓘ
Scientific studies
FDA-approved dosing
Doses from Studies
600-900 mcg SC twice daily
40-60 mg IM monthly (LAR)
Duration
Long-term / chronic use
Administration
Subcutaneous or intramuscular
Timing & Administration
Best Time to Take
Morning or as directed
Follow recommended protocol
Food Recommendation
With or without food
Why This Timing?
Timing may vary based on individual response and goals. Consistency is generally more important than specific timing.
Possible Side Effects
Not everyone experiences these effects. Individual responses vary based on dosage, duration, and personal factors.
- ●Hyperglycemia and diabetes (very common)
- ●Diarrhea
- ●Nausea
- ●Gallstones
- ●QT prolongation (serious)
- ●Liver enzyme elevations
- ●Adrenal insufficiency
- ●FDA approved (Signifor)
References
- https://pubmed.ncbi.nlm.nih.gov/22443617/
- https://pubmed.ncbi.nlm.nih.gov/25013105/
- https://pubmed.ncbi.nlm.nih.gov/24684459/
Research This Peptide Further
Frequently Asked Questions
What does Pasireotide do?
A somatostatin analog with broader receptor binding than octreotide. Specifically effective for Cushing's disease due to SST5 activity.
How does Pasireotide work?
Pasireotide binds to somatostatin receptors 1, 2, 3, and 5 with high affinity. The SST5 binding is particularly important for suppressing ACTH secretion from corticotroph adenomas in Cushing's disease.
Is Pasireotide FDA approved?
Yes, Pasireotide is FDA approved. FDA Approved - Cushing's disease and acromegaly
What are the side effects of Pasireotide?
Reported side effects include: Hyperglycemia and diabetes (very common), Diarrhea, Nausea, Gallstones, QT prolongation (serious). Individual responses vary based on dosage, duration, and personal health factors.
What is the typical dose of Pasireotide?
Community-reported common dose: 300-900 mcg twice daily (Twice daily (SC) or monthly (LAR)). Range: 300-900 mcg per dose. Administration: Subcutaneous or intramuscular. Community-reported doses. Not medical advice. Consult healthcare provider.
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