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How to Treat Pheochromocytoma?


Things to note:
Surgical removal of the tumour

Medical Treatment:
Alpha blockers, e.g.:
*Doxazosin, oral, 4 mg daily.
Dose increase above 8 mg daily to control blood pressure may be required.
Calcium channel blockers may be added, e.g.:
*Amlodipine, oral, 5-10 mg daily
Patients should not be given diuretic therapy unless pulmonary oedema is present.

When to refer:
* All patients with elevated levels of NMA and VMA for localisation studies (MIBG scanning and CT scanning).
* When there is a suggestive clinical presentation but negative screening test.