CLINICAL USE


Relief of symptoms of gastroenteropancreatic endocrine tumours and acromegaly

DOSE IN NORMAL RENAL FUNCTION

50 micrograms – 1.2 mg daily

PHARMACOKINETICS

  • Molecular weight &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp :1019.2 (as acetate)
  • %Protein binding &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp :65
  • %Excreted unchanged in urine &nbsp &nbsp : 32
  • Volume of distribution (L/kg) &nbsp &nbsp &nbsp :0.27
  • half-life – normal/ESRD (hrs)&nbsp &nbsp &nbsp :1.5/Increased

    DOSE IN RENAL IMPAIRMENT

    GFR (mL/MIN)

  • 20 to 50 &nbsp &nbsp : Dose as in normal renal function
  • 10 to 20 &nbsp &nbsp : Dose as in normal renal function
  • <10 &nbsp &nbsp &nbsp &nbsp &nbsp : Dose as in normal renal function

    DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES

  • CAPD &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp:Unknown dialysability. Dose as in normal renal function

  • HD &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp :Dialysed. Dose as in normal renal function
  • HDF/high flux &nbsp :Dialysed. Dose as in normal renal function
  • CAV/VVHD &nbsp &nbsp &nbsp:Unknown dialysability. Dose as in normal renal function

    IMPORTANT DRUG INTERACTIONS

    Potentially hazardous interactions with other drugs
  • Ciclosporin: ciclosporin concentration reduced

    ADMINISTRATION

    Reconstition

    _

    Route

    SC, IV

    Rate of Administration

    IV bolus with ECG monitoring

    Comments

    IV: sodium chloride 0.9% to a ratio of not less than 1:1 and not more than 1:9

    OTHER INFORMATION

    SC: to reduce local discomfort, warm to room temperature before injectionFor multiple injections, use different sites Patients with reduced renal function have been shown to have a reduced clearance of the drug (75 mL/minute vs. 175 mL/minute).