FDA-filed SPL labeling · retrieved through openFDA

Pasireotide Injection

Pasireotide is a long-acting somatostatin analog injection used to treat acromegaly and Cushing's disease when surgery has not worked or is not an option.

Brand names SigniforSignifor LAR
Drug class ⓘ Somatostatin Analog
Rx Form 1 Routes Subcutaneous · Intramuscular
Dr. Brian Staiger, PharmD, BCPS
Reviewed by Last reviewed Jul 10, 2026
🧬 Where this information comes from Click to expand

The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 2 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →

At a glance
Linked label effectiveFeb 17, 2026
Clinical labels in scope ⓘ2
AvailabilityRx
Earliest approval/marketing year ⓘ2012
FDA-listed product records ⓘ15
Boxed warningNone found in compared labels
How we combine label and product data →
✓No current FDA shortage listed · checked Oct 1, 2026
⭐ Pasireotide Injection at a glance The quick version — the full detail is in the Patient Information Guide below.
💊
HelloPharmacist Editorial Team Bottom Line
Pasireotide (Signifor LAR) is a monthly injection for acromegaly and Cushing's disease when surgery has not worked or is not possible. It commonly raises blood sugar and can affect the heart, liver, and gallbladder, so regular monitoring matters. Keep all appointments and report symptoms early.

📖 Pasireotide Injection: Patient Information Guide

A plain-language walkthrough of Pasireotide Injection — what it treats, how it works, how it’s taken, side effects, warnings and interactions. Tap any section to expand it.

🎯What it's used for▾

Pasireotide injection is used for two hormone conditions. The label evidence is for Signifor LAR.

  • Signifor LAR treats acromegaly in people who had an inadequate response to surgery and/or cannot have surgery.
  • Signifor LAR treats Cushing's disease when pituitary surgery is not an option or has not cured it.
⚙️How it works▾

Pasireotide is a somatostatin analog. It binds to somatostatin receptors on cells, including those on pituitary tumors.

In Cushing's disease, it lowers ACTH release, which lowers cortisol. In acromegaly, it lowers growth hormone and IGF-1.

💊How it's taken▾

Signifor LAR is given by a trained health care professional as an injection into the buttock muscle, usually once every 4 weeks. It is mixed just before use and is never given into a vein.

  • Food does not affect it.
  • Your doctor may raise or lower the dose based on your response and side effects.
  • Baseline tests include blood sugar, liver tests, ECG, potassium, and magnesium.
🤒Side effects — in detail▾

Common side effects seen in studies include:

  • Diarrhea
  • Gallstones
  • High blood sugar and diabetes
  • Nausea and abdominal pain
  • Headache
  • Fatigue
  • Hair loss
  • Slow heart rate

Call your doctor about severe high blood sugar, fainting or heart rhythm changes, liver problems, gallbladder pain, or symptoms of low cortisol.

⚠️Warnings & precautions▾
  • High blood sugar and diabetes, sometimes severe, including ketoacidosis.
  • Slow heart rate and QT prolongation.
  • Liver enzyme increases, with monitoring before and during treatment.
  • Gallstones and complications such as cholecystitis or cholangitis.
  • Lower pituitary hormones, including adrenal insufficiency.
  • Fat malabsorption causing loose, greasy stools and weight loss.
🔀What it interacts with▾

Tell your care team about all medicines you take, especially:

  • QT-prolonging drugs, because the effects can add up.
  • Beta-blockers and calcium channel blockers, which also slow the heart.
  • Cyclosporine, which may become less available in the body.
  • Bromocriptine, whose levels may rise.
  • Diabetes medicines, which may need adjusting.

This is not a complete list of interactions. Always talk with your doctor or pharmacist before starting, stopping, or changing any medication.

📋Before taking it▾
  • No contraindications are listed.
  • Tell your doctor about diabetes, heart rhythm problems, low potassium or magnesium, and liver disease.
  • Pregnancy data are limited, and breastfeeding effects are unknown.
  • Not established in children.
  • Older adults should be dosed cautiously.
  • No dose change is needed for kidney impairment.
🚑If you take too much▾

Overdose with Signifor LAR has not been described. In healthy volunteers receiving high subcutaneous pasireotide doses, diarrhea was common. Supportive treatment is advised. Call Poison Control at 1-800-222-1222.

📡Pharmacodynamics — effects in the body▾

Pasireotide lowers GH and IGF-1 in acromegaly. In Cushing's disease it lowers ACTH and cortisol. Studies showed it can lengthen the QT interval and slow the heart rate.

🔬Pharmacokinetics — how your body processes it▾

Signifor LAR is a long-acting depot. Drug levels rise at first, dip in the first week, peak around day 21, then slowly decline. Steady state is reached after about 3 monthly doses. It is cleared mainly through the liver and bile, with a small kidney role. Moderate and severe liver impairment raise drug levels.

📦How to store it▾

Store at 2°C to 8°C (36°F-46°F). Do not freeze. stored at refrigerated temperatures between 2°C to 8°C (36°F-46°F) until the time of use.

📄 Written from Pasireotide Injection’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Every point is grounded in that labeling — nothing is invented. How we use AI →

13

Supplements & herbs that interact with Pasireotide Injection

13 supplements and herbal products have documented interactions with Pasireotide Injection in the licensed clinical database we use. Most are manageable — but your pharmacist should know about everything you take, including vitamins and herbals.

Severity mix
  • Major · 6
  • Moderate · 7
Every supplement checked against Pasireotide Injection — ranked by severity The full interaction hub: 6 major · 7 moderate · every one linked to its full report. Check Pasireotide Injection against your exact supplements

Educational information from a licensed clinical database (Natural Medicines) — see our data sources & update cadence. Not medical advice: an interaction being documented does not mean it will happen to you; do not start or stop medications or supplements without professional guidance.

🩺 Pharmacist Counseling Corner

Quick, plain-English answers to the questions patients ask most about Pasireotide Injection — the kind of thing our pharmacy team would talk through with you at the counter.

What is this injection for? ▾
Signifor LAR treats acromegaly and Cushing's disease. It is for people whose surgery did not work well enough or is not possible. It lowers the excess hormones behind these conditions.
How is it given? ▾
A trained health care professional mixes it and injects it into your buttock muscle, usually every 4 weeks. You don't give it yourself, and food doesn't matter.
What side effects should I expect? ▾
Diarrhea, nausea, belly pain, headache, tiredness, and hair loss are common. High blood sugar and gallstones are also common, so you'll be monitored.
When should I call my doctor? ▾
Call about extreme thirst or urination, fainting, a very slow or irregular heartbeat, severe belly pain or fever, yellowing skin, severe weakness, or greasy loose stools.
Will it affect my diabetes? ▾
It often raises blood sugar, and diabetes became more common in studies. Your doctor will check your blood sugar often, especially in the first 3 months, and may adjust diabetes medicines.
Can I use it if I'm pregnant? ▾
Data in pregnancy are limited. Tell your doctor if you are pregnant or could become pregnant, since treatment may improve fertility.
Is Pasireotide Injection available over the counter? ▾
Pasireotide Injection is dispensed by prescription according to its FDA labeling, so it isn't sold over the counter. Your prescriber and pharmacist will determine if it's appropriate for you.
When was Pasireotide Injection first available? ▾
Pasireotide Injection has been available in the United States since at least 2012, based on FDA approval history (Drugs@FDA) and product marketing records.
Who makes Pasireotide Injection? ▾
Pasireotide Injection is supplied by 3 manufacturers listed in the FDA NDC Directory, including Recordati Rare Diseases, Inc., Synergy Health AST, LLC, Recordati Rare Diseases Inc..

💬 Answers drafted from Pasireotide Injection’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Grounded in that labeling — nothing is made up. How we use AI →

🧰 Keep exploring

💊 How Pasireotide Injection comes

Pasireotide Injection is available in 1 form. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.

📊 Pasireotide Injection across the U.S. market

How Pasireotide Injection appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.

1
Dose forms ⓘ
3
Manufacturers
2
Brand names
15
FDA-listed product records ⓘ
2012
First marketed ⓘ

Also listed with the FDA, not a patient dose form: Kit (1) — bulk drug substance sold to compounders/manufacturers and multi-item kits. These aren’t counted in the dose-form total above.

Recordati Rare Diseases, Inc.60%
Synergy Health AST, LLC33%
Recordati Rare Diseases Inc.7%

Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

🔍 Compare Pasireotide Injection products

A representative set of FDA-listed product records for Pasireotide Injection — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)

Strength Route Manufacturer / Labeler Category ⓘ Details
💊Injection
0.3 mg/mL Subcutaneous Recordati Rare Diseases, Inc. × 3 listings NDA View NDC →
0.6 mg/mL Subcutaneous Recordati Rare Diseases, Inc. × 3 listings NDA View NDC →
0.9 mg/mL Subcutaneous Recordati Rare Diseases, Inc. × 3 listings NDA View NDC →
5 mg/mL — Synergy Health AST, LLC DRUG FOR FURTHER PROCESSING View NDC →
10 mg/mL — Synergy Health AST, LLC DRUG FOR FURTHER PROCESSING View NDC →
15 mg/mL — Synergy Health AST, LLC DRUG FOR FURTHER PROCESSING View NDC →
20 mg/mL — Synergy Health AST, LLC DRUG FOR FURTHER PROCESSING View NDC →
30 mg/mL — Synergy Health AST, LLC DRUG FOR FURTHER PROCESSING View NDC →
💊Kits
— Intramuscular Recordati Rare Diseases Inc. NDA View NDC →

Showing 15 of 15 products — FDA National Drug Code Directory. See every product, package size and price: browse all 15 Pasireotide Injection NDCs →

RxNorm Concept Web — From Ingredient to Every Form and Strength

This page starts with one ingredient concept (IN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). Combination products remain separate concepts with their own pages.

Ingredient (IN) Pasireotide Injection RxCUI 1364105 1 dose form · 8 strengths

Look up RxCUI 1364105 in the RxCUI Atlas →

RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.

🏷️ Sold under these brand names

Signifor Signifor LAR

🏭 Manufacturers & labelers

Recordati Rare Diseases, Inc. 9 Synergy Health AST, LLC 5 Recordati Rare Diseases Inc. 1

RxNorm drug class

Pasireotide Injection belongs to the Somatostatin Analog class.

Pharmacologic class Somatostatin Analog
Drug family (ATC) Somatostatin and analogues
How it works Somatostatin Receptor Agonists

Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.

🔬 Where this comes from

Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.

📄
FDA-filed drug labels (SPL) Uses, dosing, warnings & side effects from SPL records retrieved through openFDA; the linked representative set can be verified on DailyMed. ✓ Linked label effective Feb 17, 2026
🏭
Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Pasireotide Injection.
📈
Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
🚨
Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
🧾 Clinical label set — FDA-filed SPL labels retained for Pasireotide Injection after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
2
NDC products indexed
15
Distinct labelers/manufacturers represented
3
Linked representative label ⓘ
Recordati Rare Diseases, Inc.
Linked label effective
Feb 17, 2026
Composite sections available
23
Linked SPL Set ID
a09a25fc-a5a3-0c82-e053-2995a90a5d74
Linked SPL Document ID
19a67a21-b599-41d1-9a7c-a5d31972d885
Open the linked representative label on DailyMed ↗

How we combine label and product data

HelloPharmacist combines public FDA and NLM records; we don’t author the underlying clinical facts. We identified 2 FDA-filed SPL label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. The representative label is the starting point for the displayed reference monograph; the 12 largest stored in-scope SPL records, which may include that representative, are compared section by section, and the longest available version of each section is retained. Forms, routes, brands, labelers, product-listed strengths, and product-record counts are aggregated separately from ingredient-matched FDA NDC Directory records; package records listed above are associated with the linked SPL; and the normalized concept hierarchy comes from NLM RxNorm.

Where a section is identified as AI-written, its plain-language text is generated from bounded label evidence. New draft drug pages remain in the admin review queue before first publication. Recordati Rare Diseases, Inc. is the representative DailyMed label linked for verification and dates; it is not the sole source used for the page.

This is general education, not medical advice — always consult your doctor or pharmacist about your medications and any medical condition. For the exact wording of the linked representative label, view that label on DailyMed; some displayed composite sections may come from other in-scope SPL labels. Learn how we use AI and our data sources & update cadence.