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Doctor insights on: Are There Any Medications I Should Avoid If I Have Pheochromocytoma

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Are there any medications I should avoid if I have pheochromocytoma?

Are there any medications I should avoid if I have pheochromocytoma?

Yes: Monoamino oxidase inhibitors, aged cheeses, decongestants, Cocaine and its derivatives to include some. ...Read more

Dr. Richard Orr
512 Doctors shared insights

Pheochromocytoma (Definition)

A tumor of the adrenal gland. The adrenal glands are small organs that sit above the kidneys and secrete important hormones that are responsible for maintain body fluid and electrolyte levels and helps people respond to stress. A pheochromocytoma can cause the release of too much stress hormone such as epinephrine, leading to periodic increases in blood pressure, flushing, and ...Read more


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What should avoid to do or eat or anything to reduce the possibility of a pheochromocytoma attack if I am untreated yet with medication?

What should avoid to do or eat or anything to reduce the possibility of a pheochromocytoma attack if I am untreated yet with medication?

Not a lot: There is not a lot you can do. The attacks are unpredictable. The excess adrenaline comes from the adrenal. Foods high in tyramine may exacerbate the symptoms. This includes red wine, chocolate, cheese (esp fermented cheese). ...Read more

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What meds should I avoid taking having pheochromocytoma?

Pheochromocytoma: This is a deadly disease and I specialize in it and happy to help you and team get it right by doing a 2nd opinion. Don't mess with it. ...Read more

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I have pheochromocytoma and addisons, and I want to take drugs again. What should I do?

I have pheochromocytoma and addisons, and I want to take drugs again. What should I do?

Talk to your doctor.: Those are both serious conditions. You should talk to your doctor before taking anything. You should probably see an endocrinologist. ...Read more

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I am on several medications throughout the day for severe high blood pressure due to a pheochromocytoma. What can I do about extreme fatigue?

I am on several medications throughout the day for severe high blood pressure due to a pheochromocytoma. What can I do about extreme fatigue?

Wow: Hi. Has the pheo been resected yet? If not, your docs should be actively preparing for that. Is it on only one adrenal gland or on both, or haven't they determined that yet. Some of the BP meds before surgery can cause fatigue, dizziness, etc. Your BP regimen should get easier after successful surgery, allowing you to reduce/eliminate some BP drugs, which may help your fatigue. Best of luck! ...Read more

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What is pheochromocytoma?  

Adrenal tumor: The classic triad presentation is headache, sweating and fast heart rate. Hypertension is the most common presentation. Not uncommonly the high blood pressure and high heart rate come in waves. May not be sustained, sometimes referred to as paroxsymal. Hope this helps. ...Read more

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What is a pheochromocytoma like?

See below: Pheochromocytoma is a tumor of the adrenal gland. These tumors release chemicals called catecholamines which can cause high blood pressure, headaches, sweating and palpitations and rapid heart beat. The condition sometimes runs in families. The tumor can be diagnosed with urine measurements of the catecholamines. Most tumors are benign and are cured by surgical removal. ...Read more

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How is pheochromocytoma treated?  

How is pheochromocytoma treated?  

Surgery: Remove it. Phentolamine and Phenoxybenzamine are medications that are often used preoperatively to temporarily control symptoms before it's resected. ...Read more

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Where are pheochromocytoma found?

Adrenal gland: This is associated with a mass or hyperplasia of the adrenal gland with elevation of your norepinephrine levels. ...Read more

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How is pheochromocytoma diagnosed?

How is pheochromocytoma diagnosed?

Options: Signs and symptoms are helpful. The 2 best tests for pheo are plasma fractionated metanephrines or 24 hrs urinary metanephrines and catecholamines. Once these are positive, imagine studies will be used to localize the tumor. ...Read more

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What is an episode of pheochromocytoma?

Hormone release: Pheochromocytoma (PCC) is a rare tumor of adrenal gland tissue. When functional they cause adrenal glands to make too much norepinephrine and epinephrine. With hormone release there are usually has three classic symptoms, headache, sweating, and heart palpitations in association with hypertension. Other conditions that can arise are anxiety, nausea, profound sweating and severe headaches : ...Read more

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What is an episode of pheochromocytoma?

Multiple: Findings of tachycardia, elevated blood pressure, headache!
Then flushing, chest pain, heart pain, torn aorta and more!!
Medical emergency! ...Read more

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What are the signs of a pheochromocytoma?

What are the signs of a pheochromocytoma?

Pheochromocytoma: There are whole books written about the symptoms of pheochromocytoma. Classics are hypertension, headache, hyper metabolism, hyperhidrosis, and hyper heart rate. Some will have cafe-au-lait spots. Some will have neurofibromatosis. You can google these images and see if you have them. This is a deadly disease that I specialize in and happy to do 2nd opinion to help you and your team. ...Read more

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What is an episode of pheochromocytoma like?

Too much adrenaline: These are tumors of the adrenal gland which secrete hormones that basically raise blood pressure. Can have episodic very high blood pressure, fast heart rate, skin flushing, headaches. Easy to test for with blood or urine tests. ...Read more

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Is pheochromocytoma inherited or spontaneous?

Is pheochromocytoma inherited or spontaneous?

Kinda both...: Pheochromocytoma (or a fancy way to say an adrenal tumor) may follow a genetic predisposition in some patients; but in others may be random...Or 'spontaneous' as you phrase it. ...Read more

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What is the prognosis with a pheochromocytoma?

Rare but deadly: Prognosis depends on how it's treated. Please find a team of physicians who are familiar and comfortable taking care of this problem: surgeon, anesthesiologist, endocrinologist. ...Read more

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How to know if I suffer from pheochromocytoma?

Symptoms of norepine: Most pheochomocytomas are small and under 10 cm. Occassionally they reach very large sizes growing into adjacent organs like liver. Initially symptoms are frequently not present or are very mild like sweating or rapid pulse. When full outpouring of nor epinephrine and related products are produced blood pressure may bet out of control. ...Read more

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How to tell if I suffer from pheochromocytoma?

Usual presentation: Is extreme hypertension. After that, you will need special blood tests for diagnosis. But this is a rare tumor, and other causes of hypertension are much much more common. ...Read more

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What kind of dr do you see for pheochromocytoma?

What kind of dr do you see for pheochromocytoma?

An endocrinologist: The work up of a possible pheochromocytoma should be the bread/butter of an endocrinologist, although a good general internal medicine doc would be a good substitute if an endo is not available. This tumor is rare. ...Read more

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What should we do if my son has pheochromocytoma?

Team approach: This is a rare but dangerous condition. Make sure the diagnosis was made correctly. You should already have an endocrinologist on the team. Choose a surgeon who has experience in doing these surgeries and make sure the anesthesiologist is also experienced with this surgery as well. Good luck. ...Read more

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What are the actual symptoms of pheochromocytoma?  

What are the actual symptoms of pheochromocytoma?  

Varies: The following are commonly seen with pheo:
sustained or periodic elevation of BP in 85%
headache in 90%
generalized sweating 60%
most patients do not have all three and there is a general trend to finding these tumors earlier and smaller therefore less symptomatic than the the pheos of yesteryear. ...Read more

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Does pheochromocytoma usually cause many symptoms?

Hypertension: Pheochromocytoma may cause marked increase in blood pressure, hypertension. Hypertension may be episodic and severe. The symptoms depend on the severity of hypertension. ...Read more

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Pheochromocytoma what kind of dr do u see for this?

Pheochromocytoma what kind of dr do u see for this?

For surgery: When it is time to have the tumor removed, some of these surgeries are done by urologists and others are done by general surgeons or endocrine-specific surgeons. ...Read more

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What are the different diagnosis of pheochromocytoma?

What are the different diagnosis of pheochromocytoma?

Pheo: This is a rare but dangerous condition. Make sure the diagnosis was made correctly. You should already have an endocrinologist on the team if you were diagnose with this. Differential diagnosis include: drug side effects (legal and illegal), drug withdrawal (legal or illegal), carcinoids, hyperthyroidism, macrocytosis, insulinoma, panic attacks, labile essential hypertension, anxiety disorders... ...Read more

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How common is it for somebody to get pheochromocytoma?

How common is it for somebody to get pheochromocytoma?

Pheochromocytoma: It is a very rare cause of HTN. I specialize in difficult HTN a common problem in pheo. I have only seen 12 cases in 55 years. Happy to do 2nd opinion to provide more help. ...Read more

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Can exertion trigger a Pheochromocytoma episode? Thank you

Can exertion trigger a Pheochromocytoma episode? Thank you

Yes: This is a tumor of the adrenal gland or sympathetic nervous system that causes overproduction of certain hormones. Exertion can increase the out put of catecholamines from the tumor and increase your blood pressure, cause irregular heart rhythms, etc. You should be on medication to control blood pressure. Have you seen a specialist? You will need surgery to remove the tumor that causes this. ...Read more

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What is the definition or description of: Pheochromocytoma?

Pheochromocytoma: Pheochromocytoma = a benign adrenal gland tumor. It releases hormones that can cause very high blood pressure. ...Read more

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What other illnesses have similar symptoms to pheochromocytoma?

What other illnesses have similar symptoms to pheochromocytoma?

Many: Anxiety, panic attacks, essential hypertension, hyperthyroidism, illicit drug use, carcinoid syndrome, cardiac arrhythmias, menopause, preeclampsia - to name a few. ...Read more

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Can a pheochromocytoma cause an isquemic and transitory attack?

Pheo: Yes. A pheochromocytoma can cause a very high spike in blood pressure, which can cause a TIA (transient ischemic attack), or a mini-stroke, or a major stroke, or a heart attack, etc. It can be very dangerous. A pheo is a rather rare disorder, but if you have it, you need attention right away. ...Read more