Cushing syndrome is a disorder with physical and mental changes that result from having too much cortisol in the blood for a long period of time.
Endocrinologist, Dr. Friedman, often uses medications to treat Cushing’s syndrome. Unlikely other doctors that may take a long time to diagnose a patient with Cushing’s and then send the patient directly to surgery, Dr. Friedman puts all patients that he has diagnosed with Cushing’s syndrome. on cortisol-lowering medications prior to pituitary surgery. He does that for 4 reasons:
Dr. Friedman especially recommends ketoconazole; an in-depth article on ketoconazole can be found on goodhormonehealth.com. He also uses Isturisa (osilodrostat), often in combination with ketoconazole. Many patients feel so well on the medications, they don’t want surgery. Dr. Friedman has patients that have done well on ketoconazole for over 10 years.
Read more on Medications to treat Cushings here.
Dr. Friedman has the most experience of using medications to treat Cushing’s disease of any Endocrinologist in the country.
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Cushing’s syndrome is a rare disorder which can severely affect the patient. Symptoms ofpatients with Cushing’s syndrome include weight gain, easy bruising, menstrual irregularities,increased appetite, trouble sleeping, depression or mood swings, anxiety, fatigue and altered mentation(trouble concentrating or decreased memory) (1-3). Read More…
Patients with Cushing disease are thought to have progressive and unremitting symptoms if left untreated. We report a patient with documented Cushing disease that was untreated for 26years. Read more….
During a diagnostic work up for Cushing’s Disease, I was challenged, as aremany others, in determining when to test for elevated cortisol levels. I used aspreadsheet to capture a variety of symptoms on a daily basis and to helpidentify patterns that represented a “high”. Read more….
What are the signs of being cured from Cushing’s vs the signs of returning symptoms?
Why did I get Cushing’s?
Is it my genes (DNA)?
Can it be passed on to my children?
Should I be tested for genetic changes?
Throughout this presentation we cover all these topics and more.
Dr. Friedman was a guest on the Cushing’s Help BlogTalkRadio show on January 29, 2009 at 5:30 PST(8:30 EST), hosted by Mary O’Conner and Robin Smith. To listen to the show, go to BlogTalkRadio. Show number two can be heard here.
Dr. Friedman hosted a chat about Cushing’s disease on Feb.13 at 9:00pm eastern on http://www.blogtalkradio.com/cushingshelp
Click icon to download the presentation
Dr. Friedman’s web site does not offer medical advice. These materials are offered for information purposes only. Do not act or rely upon information from goodhormonehealth.com without seeking professional medical advice. Additionally, the transmission of information from the web site, goodhormonehealth.com to you, is not intended to create nor does create a physician-patient relationship between you and Dr. Friedman.