hormonal and metabolic disorders
Acute Intermittent Porphyria
Prevention of Acute Attacks
Attacks of acute intermittent porphyria can be prevented by Maintaining good nutrition, including eating sufficient carbohydrates Avoiding alcohol Avoiding medications that can cause an attack Avoiding smoking Avoiding physical and emotional stress and exhaustion Avoiding crash diets to lose weight rapidly People who have attacks at predictable times, such as women whose attacks are related to the menstrual cycle, can be given heme by vein to prevent attacks. Premenstrual attacks in women can be prevented with one of the gonadotropin-releasing hormone agonists used to treat Treatment , although this treatment should only be directed by doctors who are experts in treating porphyria. Givosiranis sometimes given once per month by injection under the skin to prevent acute attacks. 