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Signifor
Pasireotide (as Diaspartate)
$22530.00
0.6mg/ml · 3 × 60 ampules · 3 months supply
BrandBranded medicine· By Novartis
$7510.00 per month
Strength
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Annual cost
$90120a year at this pack size
Prescription required
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0.6mg/ml
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About Signifor
Overview
Signifor contains pasireotide, as pasireotide diaspartate, and is an injection given under the skin. It is used to treat adults with Cushing’s disease when pituitary surgery is not an option or has not been curative. It works by activating somatostatin receptors to reduce the release of ACTH, a hormone that stimulates cortisol production, thereby lowering cortisol secretion.
What it treats
Cushing’s disease in adults when pituitary surgery is not an option or has not been curative.
Safety information
Side effects
Common side effects include diarrhea, nausea, high blood sugar, gallstones, headache, abdominal pain, tiredness and diabetes. Each was reported in at least 20% of patients. Contact your doctor about serious side effects, including low cortisol levels, high blood sugar or diabetes, a slow heartbeat or changes in the heart’s electrical rhythm (QT prolongation), abnormal liver tests, gallstone complications and low pituitary hormone levels. Tell your doctor if you develop new or worsening fatty stools, changes in stool color, loose stools, abdominal bloating or weight loss. These may indicate poor absorption of dietary fats and need assessment for reduced pancreatic enzyme function. Blood sugar requires close monitoring when treatment starts. Heart rhythm and liver tests are recommended before and during treatment, along with periodic checks for gallstones.
Before taking this medicine
The label lists no contraindications for Signifor. However, it requires caution and monitoring because it may cause low cortisol levels, high blood sugar or diabetes, a slow heartbeat, QT prolongation (a change in the heart’s electrical activity), liver test abnormalities, and gallstones or their complications. Blood glucose should be monitored closely when treatment starts, and diabetes treatment may need to be started or adjusted. An ECG and liver tests are recommended before and during treatment, along with periodic monitoring for gallstones. Low cortisol may require treatment changes, and Signifor should be discontinued if gallstone complications are suspected. New or worsening fatty stools, stool discoloration, loose stools, abdominal bloating, or weight loss should be assessed for possible pancreatic enzyme insufficiency. Premenopausal women should be advised about the potential for unintended pregnancy. Safety and effectiveness in children under 18 years have not been established.
Interactions
Tell your doctor if you take medicines that prolong the QT interval (affect the heart’s electrical rhythm), as caution is needed if you are at significant risk of QT prolongation. Also mention cyclosporine, which may require additional monitoring, and bromocriptine, whose dose your doctor may need to reduce.
Using Signifor
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store in the original carton below 25°C, protected from light. Do not freeze, and use immediately once opened. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label SIGNIFOR (PASIREOTIDE) INJECTION [RECORDATI RARE DISEASES, INC.] (DailyMed, retrieved 19 September 2026).
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