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Pasireotide + cabergoline is a combination of two pituitary-targeted agents used primarily in the management of Cushing's disease and other pituitary disorders. Pasireotide is a second-generation somatostatin analog that binds with high affinity to somatostatin receptors, especially SSTR1, SSTR2, SSTR3, and SSTR5, leading to inhibition of ACTH secretion and reduced cortisol production. Cabergoline is an ergot-derived dopamine receptor agonist with high selectivity for D2 receptors; it suppresses prolactin secretion and can also inhibit ACTH release from corticotroph tumors. The combination has been shown to normalize cortisol levels in patients with Cushing's disease who are not adequately controlled by monotherapy. Both drugs are generally well tolerated but require monitoring for specific adverse effects such as hyperglycemia (pasireotide) and cardiac valvulopathy (cabergoline)[2][3][4][5][6].
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