Anyone have side effects after Lanreotide injection?

Posted by genovaldi @genovaldi, Jul 3, 2024

I have been doing injection for a year now but as of a few months ago after the injection I am feeling very sluggish, and this would happen before the injection and now it's after. I did tell my doc and now I TAKE octreotide as needed. Anyone else have this?

Interested in more discussions like this? Go to the Neuroendocrine Tumors (NETs) Support Group.

Profile picture for dbamos1945 @dbamos1945

@jutebox42 & @hopeful33250
You asked about my Neuroendocrine Cancer diagnosis - dx October 2021 biopsy in Endoscopy. Well differentiate, K 1%; Grade 1; Stage 4 (metastases to liver) primary Small intestine. Found Medical Oncologist in my small town and Started Somatuline Depot shots per month for 1 yr. Been on Lanreotide 120mg shot per 28 days ever since. April 2023 MRI showed progression of tumor growth. I went to City of Hope in Duarte, CA where NET specialist recommended treatments and further Gallium PET scan (not available near home). After much consideration I choose PRRT 4 infusion treatment offered there. From June thru December I received treatment with minimal side effects.
I am happy to report that my January 2025 MRI revealed significant tumor reduction, some tumors were no longer visable on scan, and few tumors remained stable. No further growth or metastases evident. I choose to receive MRI scans every 3 months to be vigilant regarding tumors.
I am regaining strength and happy and grateful for my treatment. I am receiving exceptional care and guidance from my NET Specialist at CoHope but continue to receive my Lanreotide treatment from my local Medical Oncologist.
I am open to answer any further questions that you have. I wish you best outcome on your cancer journey. Mayo Connect offers great support and an avenue to learn info on medications, treatments, health problems and side effects from Volunteers and fellow cancer patients. Never feeling alone in our situation is so helpful too!

Jump to this post

Your outcomes are so fantastic! Bless your heart, you have so much courage. If you don't mind, can I ask your age? I'm 83 and not sure my body will handle the side effects of treatments currently recommended. Again, my lung net is fairly stable right now with main side effect of flushing that occurs infrequently. The last time I had--for the first time--whole-body flushing that lasted about a half hour was the day after seeing my oncologist. Then again 2 days later. No total body flushing since then: 2 months ago. Definitely kicks in with stress, which is currently being worked on with exercise, counseling, music and CBD gummies/oil!! I'm happiest when I'm ignoring that I have Typical lung NET. My dad and oldest brother both died from pancreatic cancer, ages 71 and 66 respectively. I had bi-lateral breast removal and simultaneous reconstruction (with complications) for a tiny, Stage 0 left breast carcinoma in 2011 at age 69. I was given no choice but to remove the entire left breast. Since I had a history of benign cyst removals from both breasts, I opted -- after much teeth gnashing -- for removal of both. The biopsy doctor told me I would not need chemo or radiation, and I stuck with her words even when specialists tried to push them on me after the first major surgery. I'm a professional writer in the process of finishing a 2nd in a crime series novel with other projects done that need polishing before I try to find an agent for them. I already know that when my body has to heal from something, my mind is too tired and too drug-addled for writing. So unless they come up with something pretty quickly that doesn't screw up your system while you're killing cancer, my decision not to do treatments may already be made. I'm not a quitter. I'm drinking the teas and taking supplements and eating the right foods (which list is in flux, i.e. 1st it's eat raw veggies, then it's cook all your veggies). I'm a stubborn fighter on my own terms as long as that is possible. People like you are outstandingly brave. I'm so happy for you that your treatments have paid off.

REPLY
Profile picture for jukebox42 @jukebox42

Your outcomes are so fantastic! Bless your heart, you have so much courage. If you don't mind, can I ask your age? I'm 83 and not sure my body will handle the side effects of treatments currently recommended. Again, my lung net is fairly stable right now with main side effect of flushing that occurs infrequently. The last time I had--for the first time--whole-body flushing that lasted about a half hour was the day after seeing my oncologist. Then again 2 days later. No total body flushing since then: 2 months ago. Definitely kicks in with stress, which is currently being worked on with exercise, counseling, music and CBD gummies/oil!! I'm happiest when I'm ignoring that I have Typical lung NET. My dad and oldest brother both died from pancreatic cancer, ages 71 and 66 respectively. I had bi-lateral breast removal and simultaneous reconstruction (with complications) for a tiny, Stage 0 left breast carcinoma in 2011 at age 69. I was given no choice but to remove the entire left breast. Since I had a history of benign cyst removals from both breasts, I opted -- after much teeth gnashing -- for removal of both. The biopsy doctor told me I would not need chemo or radiation, and I stuck with her words even when specialists tried to push them on me after the first major surgery. I'm a professional writer in the process of finishing a 2nd in a crime series novel with other projects done that need polishing before I try to find an agent for them. I already know that when my body has to heal from something, my mind is too tired and too drug-addled for writing. So unless they come up with something pretty quickly that doesn't screw up your system while you're killing cancer, my decision not to do treatments may already be made. I'm not a quitter. I'm drinking the teas and taking supplements and eating the right foods (which list is in flux, i.e. 1st it's eat raw veggies, then it's cook all your veggies). I'm a stubborn fighter on my own terms as long as that is possible. People like you are outstandingly brave. I'm so happy for you that your treatments have paid off.

Jump to this post

@jutebox42: I am just like you trying to lead a positive life even with a terminal cancer. I turn 80 in May ‘25. Treatment decisions are very difficult. I think if we have quality scans 3-4 times a year we can be assured that our tumors are not progressing out of control. If we are comfortable with 28day Lanreotide shot or no shot if it interferes with our preferred life style - it is our choice. However if a scan reveals tumor progression I believe you are best served by NET specialist at a cancer center for best treatment advice and your choice of treatment facility. This approach has served well for me.
I wish you great fun in your writing career. It is a positive mental distraction from being only an oncology patient. I think You can do this YOUR way… but be villigant with scans. Be well! Be happy!

REPLY
Profile picture for dbmenger @dbmenger

Am I the only one that Lanreotide makes feel horrid? I’m nauseated and constipated with a cramp in my right side that encourages my IBS to act up.
My GERD has gone berserk and scoffs at both famotidine 40 mg and Nexium.
Then there are the migraines - even Ubrelvy can’t conquer them as one headache ends and another begins within minutes. I have insomnia and am sluggish and achy all day.
I also am mightily depressed because I have an active life that I’m viewing from the sidelines.
My oncologist says I can stop these shots after this, my second one, but I need to know how long or if I will feel this way forever. I got the shots in the first place because of the severe flushing, even though no tumors appeared on the scans and my Chromogranin A level was 607. After the first shot my level was 326. My oncologist is “aware” of my situation, according to her nurse but she gave no suggestions to alleviate these reactions so I thought I’d ask y’all for assistance and information.
Blessings!

Jump to this post

I have been on Lanreotide for a year and a half and at the beginning many symptoms slowly disappeared when my body adapted to it. I am doing much better, but have also added on Lenvatanib (Lenvima) which is a targeted chemo in tiny little daily pill form. So far, both are stabilizing the tumors and with a little shrinkage as well. We all have our own experiences. Test subjects until we overcome!
If you don't have trust in your current doctors, seek other opinions. Best of luck!

REPLY
Profile picture for dbmenger @dbmenger

She thinks we can stop the lanreotide now because she gave it to me only to stop the flushing, which it intensified. Looks as if I’ll just continue being a hot mess but hopefully without all the other side effects. I was curious as to when they’ll stop because feeling this way is not a good thing.

Jump to this post

Often side-effects are at the beginning as your body adapts to the drug.

REPLY

But these just got worse.

REPLY
Profile picture for ricki8 @ricki8

I have been on Lanreotide for a year and a half and at the beginning many symptoms slowly disappeared when my body adapted to it. I am doing much better, but have also added on Lenvatanib (Lenvima) which is a targeted chemo in tiny little daily pill form. So far, both are stabilizing the tumors and with a little shrinkage as well. We all have our own experiences. Test subjects until we overcome!
If you don't have trust in your current doctors, seek other opinions. Best of luck!

Jump to this post

@ricki8
UPDATE!!
I believe the Lenvima was responsible for a massive heart attack (flatlined) back in June/25 as my heart was previously in good shape. I switched to Everolimus which has less side-affects and works much better.
It's important to be aware of any changes as they can come at any time.

REPLY

As if monthly shots aren’t enough to deal with, checking my last statement I noticed I was billed for two octreotide injections the same day! This was brought to my attention when the hospital sent a warning to pay or it would go to collections. Wonder if such “double billing” is a common occurrence?

REPLY
Profile picture for Teresa, Volunteer Mentor @hopeful33250

Hello @genovaldi and welcome to the NETs support group on Mayo Connect. There is an article on this topic from Mayo Clinic. Here is a quote:

"This medicine may increase your risk for heart and blood vessel problems, including hypertension and a slow heartbeat. This may cause chest pain or discomfort, headaches, dizziness, or blurred vision. You might need to measure your blood pressure at home. If you think your blood pressure is too high or if your heartbeat is too slow, call your doctor right away."
Read more here https://www.mayoclinic.org/drugs-supplements/lanreotide-subcutaneous-route/precautions/drg-20071321.

@gsm13161 @allan2022 @gneiss50 @californiazebra @ginnyos @amandafl may also have experiences to add.

As you are new to this discussion group, please share a bit about your history with NETs. For example, how long ago were you diagnosed. What treatments, other than the monthly injections, have you had?

Jump to this post

@hopeful33250
I had a neuroendocrine on the tail of the pancreas removed in 2017. A yearly followup MRI in late December of 2025 showed small mets to both lobes of the liver. I have had four injections of Lanreotide & have for the last month had high blood pressure including being sent to the ER ny my PC physician. My cardiologist had upped my blood pressure medication & I see her again in two weeks. Just concerned about damage to heart & blood vessels. Wondering about other medications available if this becomes difficult to deal with.

REPLY
Profile picture for christobelle89 @christobelle89

@hopeful33250
I had a neuroendocrine on the tail of the pancreas removed in 2017. A yearly followup MRI in late December of 2025 showed small mets to both lobes of the liver. I have had four injections of Lanreotide & have for the last month had high blood pressure including being sent to the ER ny my PC physician. My cardiologist had upped my blood pressure medication & I see her again in two weeks. Just concerned about damage to heart & blood vessels. Wondering about other medications available if this becomes difficult to deal with.

Jump to this post

Hello @christobelle89 and welcome to Mayo Connect. I am sorry to hear of the blood pressure problems you have had. It will be good to meet with your cardiologist and find out if the new dosage of BP meds is helping. Regarding your concern about damage to your heart and blood vessels, this would be a good question to bring up when you see the cardiologist.

Regarding other NET medications, this would be a good discussion to have with your oncologist. There are other treatments for NETs, including PRRT.

It looks like you were first diagnosed with NETs in 2017. Is that correct? Were you having symptoms related to the NET on the pancreas? How are you feeling now?

REPLY
Profile picture for Teresa, Volunteer Mentor @hopeful33250

Hello @christobelle89 and welcome to Mayo Connect. I am sorry to hear of the blood pressure problems you have had. It will be good to meet with your cardiologist and find out if the new dosage of BP meds is helping. Regarding your concern about damage to your heart and blood vessels, this would be a good question to bring up when you see the cardiologist.

Regarding other NET medications, this would be a good discussion to have with your oncologist. There are other treatments for NETs, including PRRT.

It looks like you were first diagnosed with NETs in 2017. Is that correct? Were you having symptoms related to the NET on the pancreas? How are you feeling now?

Jump to this post

@hopeful33250
When I was first diagnosed, I had had an endoscopy in late 2016 because of GERD like symptoms. My gastroenterologist recommended an EUS and when they did the biopsy they discovered I had a NET of the pancreas. When I investigated places for surgery I decided on Hopkins as I live in Virginia and it was the nearest major cancer center with a team approach for followup care after surgery. I have gotten a CT at a Hopkins facility every year and have felt fine. After the CT in late November 2025, they requested an MRI and then a PET. I had mets to the liver. I had a biopsy to determine if it was the same cancer and to decide if I was a candidate for "debulking". It was decided that because of the number mets and their being in both lobes that I was not a candidate. The cancer is the same slow growing cancer. I was started on Lanreotide in March. I have felt fine until about a month ago. I have noticed my blood pressure is exceptionally high, my joints in my hands hurt, I am very tired, and I have more dark spots on my face and those that are there have darkened. The pain in my hands is ameliorated with Tylenol but the blood pressure is scary. I am monitoring it at home and my local oncologist, my PC and my cardiologist are aware of it.

REPLY
Please sign in or register to post a reply.