| Glucose metabolism disorders |
Alterations in blood glucose levels have been frequently reported with Signifor. |
Glycaemic status should be assessed prior to starting treatment with Signifor and during treatment. Monitoring should follow established guidelines. |
| Liver enzymes |
Healthy volunteers and patients treated with Signifor commonly exhibit mild transient increases in aminotransferases. |
Monitoring of liver function is recommended prior to beginning Signifor treatment and after 1, 2, 4, 8, and 12 weeks of treatment. |
| Rare cases of concurrent elevations in ALT >3 x ULN and bilirubin >2 x ULN have also been observed. |
| Cardiovascular-related events |
Bradycardia has been reported in patients treated with Signifor. |
Careful monitoring of cardiac function is recommended in patients with cardiac disease and/or risk factors for bradycardia. |
| Signifor has been shown to prolong the QT interval on the ECG in 2 dedicated healthy volunteer studies. |
Monitoring for an effect of Signifor on the QTc interval is recommended, and an ECG should be performed before beginning treatment with Signifor. |
| Hypocortisolism |
Treatment with Signifor leads to rapid suppression of ACTH secretion in Cushing's disease patients. |
It is necessary to monitor and instruct patients on the signs and symptoms associated with hyposcortisolism. |
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