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Table 2 Treatment for clinical symptoms of transthyretin familial polyneuropathy (TTR-FAP)

From: Guideline of transthyretin-related hereditary amyloidosis for clinicians

Symptom

Treatment

Arrhythmias

Pacemaker implantation, pharmacotherapy

Cardiac failure

Diuretics, angiotensin converting enzyme inhibitors

Orthostatic hypotension

Droxidopa, midodrine, amezinium metisulfate, fludrocortisone, plastic stocking, abdominal belt, elevating head

Gastrointestinal disorders (not severe)

Polycarbophil calcium, metoclopramide

Severe diarrhea

Loperamide

Neuropathic pain

Pregabalin, gabapentin, amitriptyline, duloxetine

Carpal tunnel syndrome

Surgery

Dry mouth

Potassium dihydrogen phosphate, cevimeline

Hypoglycemia

Glucose loading

Renal failure

Hemodialysis

Urinary incontinence

Distigmine

Anemia

Erythropoietin, iron

Hypothyroidism

Levothyroxine

Ocular amyloidosis

Vitrectomy, trabeculectomy