A child exhibits acromegaly caused by a tumor that cannot be destroyed with radiation. Which medication will most likely be used to treat this child?
a. Bromocriptine mesylate (Parlodel)
b. Octreotide acetate (Sandostatin)
c. Somatrem (Protropin)
d. Somatropin (Genotropin)
ANS: A
Bromocriptine is a prolactin-release inhibitor and is used to inhibit release of growth hormone from the pituitary gland if the tumor cannot be destroyed by radiation. Octreotide may be used as well, but it is expensive and is typically used as adjunct therapy to radiation. Somatrem and somatropin are used to treat growth hormone deficiency and would make acromegaly worse.
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