Pheochromocytoma
- Definitive treatment is tumor resection
- Pre-op alpha blockade comes before beta blockade
- Liberal salt/fluid helps restore volume
- Beta blocker only after adequate alpha blockade
- Metyrosine can reduce catecholamine synthesis in selected cases
- Avoid unopposed beta blockade
Use at a glance
- Definitive treatment is tumor resection
Practical pearls
- Pre-op alpha blockade comes before beta blockade
Other practical pearls
- Liberal salt/fluid helps restore volume
- Beta blocker only after adequate alpha blockade
Choosing treatment
- Metyrosine can reduce catecholamine synthesis in selected cases
Safety / pitfalls
- Avoid unopposed beta blockade
Self-check
- What should generally be avoided in Pheochromocytoma?
unopposed beta blockade.
Drugs used for this (2)
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