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?

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Profile picture for tattyk @tattyk

I have neuroendrocrine tumors in my liver.six years ago it was near my bowels. Then the numbers were good after surgery. Five years later they are in my liver, undifferentiated and low. Start Lanreotidee this week. What should I expect in reactions.

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@tattyk, checking in. How is it going so far with lanreotide treatment? How are you doing?

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I get octreotide injections along with exgeva monthly and yes, I’m pretty wiped out for about the first 24 hours. Pretty quick bounce back so it’s okay. The stuff has worked pretty good so far. Just minimal progression like the way a ‘72 ford pinto with a bad engine runs. The radiation oncologist says the cancer(metastatic paraganglioma) is kinda “sputtering along” and, God Bless, I’ll take that any day.

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Profile picture for steven1953 @steven1953

I had neuroendocrine tumors in my small intestines. I had surgery in 2017, the surgeon removed some of my intestines and lymph nodes. The surgery went well, I haven’t had any more tumors in small intestines but 5 years later the tumors showed up in my liver. I am still taking the lanreotide with a few side effects. The first 2 years I didn’t really have much side effects, but now my tumors are starting to grow a little bit. I have scans scheduled this week at the Mayo in Jacksonville. The oncologist wants to start me on a treatment called Lutathera. My prayers are with you and your family. I will pray that God will heal you from all cancer and sickness. God Bless

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@steven1953: I am sorry that you are dealing with the uncertainty of tumor progression. My situation has some similarity to yours. Diagnosed 10/22- 2 years Somatuline Depot 120mg every 28 days, but 3/24 MRI showed small intestine primary had grown into stomach and liver metastases had also progressed. I went to City of Hope for 2nd opinion and treatment advice from renound NET Oncologist. I found that a large CANCER hospital offered best scanning results, more treatment options as well as cutting edge expertise.
I chose PRRT Lutathera Infusion therapy and will receive 2nd infusion 8/8/24. So far so good with minimal side effects and hopes for tumor control for several more years with quality of life. At 79 yrs I thought this was my best option, but it is really a crap shoot. Best to you!

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Profile picture for tattyk @tattyk

I have neuroendrocrine tumors in my liver.six years ago it was near my bowels. Then the numbers were good after surgery. Five years later they are in my liver, undifferentiated and low. Start Lanreotidee this week. What should I expect in reactions.

Jump to this post

I had neuroendocrine tumors in my small intestines. I had surgery in 2017, the surgeon removed some of my intestines and lymph nodes. The surgery went well, I haven’t had any more tumors in small intestines but 5 years later the tumors showed up in my liver. I am still taking the lanreotide with a few side effects. The first 2 years I didn’t really have much side effects, but now my tumors are starting to grow a little bit. I have scans scheduled this week at the Mayo in Jacksonville. The oncologist wants to start me on a treatment called Lutathera. My prayers are with you and your family. I will pray that God will heal you from all cancer and sickness. God Bless

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Hi, see above on 7/11 from me previously in re: to history. Stage 4 PNET, with liver mets, grade 2. Common side effects for me recently are bradycardia / fatigue / nutrition issues / terrible stomach gas & constipation / ocular migraines / headaches. I've now had 7 injections monthly of Somatuline Depot 120. Last month was particularly bad with the stomach side effects, they lasted a couple weeks, but I also had hernia surgery. So far hardly any side effects after last injection last week, knock on wood! Great news is the lanreotide is keeping my liver tumors at bay and my surgical and medical oncologists feel optimistic about how things are going. I go back for more scans in six months. I do try to keep my diet bland after the injection and feel there is alot of credibility to the low amine, low residue diets that NETS patients are recommended to eat. I sure wish you well, along with low side effects! My oncologists both say I am not the norm.

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Profile picture for genovaldi @genovaldi

I was diagnosed in 2023, this was all found on accident as I was involved in a car accident and when I had an MRI they found a tumor on my tail bone. I had a boner biopsy and was confirmed cancer. after the gallium scan is when they found everything. I had no symptoms the only one was pain in my intestine and that is where the primary tumor is. I have stage 4 grad1 . the only treatments I had are my monthly Lanreotide. Starting back in February is when i was prescribed octreotide. Been at this for a year and half now. I have my ups and downs otherwise I feel ok

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I have neuroendrocrine tumors in my liver.six years ago it was near my bowels. Then the numbers were good after surgery. Five years later they are in my liver, undifferentiated and low. Start Lanreotidee this week. What should I expect in reactions.

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Profile picture for Teresa, Volunteer Mentor @hopeful33250

I am glad that you are aware of your options, @cmhgiddy24. You sound like a proactive person who is engaged in their medical treatment and that is very important. You might also consider attending Mayo Clinic's virtual support group that meets on the first Thursday of each month. It originates from Jacksonville and is facilitated by a Mayo Clinic social worker. There are often guest speakers from Mayo Clinic who speak on various topics related to NETs with a question/answer time and then time for the members to talk about their questions and problems with each other. I'm sure you would find helpful information and also support from that community.

I look forward to hearing from you again. Will you continue to post as you have questions or concerns?

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Absolutely, also thank you for info about the virtual support group! Have a good one!

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Profile picture for cmhgiddy24 @cmhgiddy24

Hi, thank you! Yes, I do intend to address all my side effect issues with the medical oncologist next week and see what she says and I AM very pleased my treatment is keeping things at bay. I am also interested in possibly speaking with a NET specialist at some point, but I don't live near any Mayo Clinic locations. I'm very familiar with Jacksonville as my husband and I helped family out there for several months after my brother-in-law had a lung transplant a few years back so if I can be in the area again for a time, I would definitely pursue. Also, my nephew works in radiology at Ohio State University Med Center and I spoke to a dr. there who was a friend of his (he's since left) who was a NET specialist and he pretty much concurred with my treatment the way things are being handled right now. It's really tough to get in there anyway so unless my situation would worsen significantly or I would need different treatment, I'll probably stay where I am for now. The hospital system here where my surgical oncologist is located, is just starting to venture into the NETS field. He is very on top of his game, I have alot of respect there, and he has already told me that if I end up needing any different treatment than what I'm getting, I will probably need to go to OSU for it anyway. I could also go to Cleveland Clinic, but I would probably choose Mayo if possible, very impressive there. I am very aware of my options and thank you for responding, I really appreciate it!

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I am glad that you are aware of your options, @cmhgiddy24. You sound like a proactive person who is engaged in their medical treatment and that is very important. You might also consider attending Mayo Clinic's virtual support group that meets on the first Thursday of each month. It originates from Jacksonville and is facilitated by a Mayo Clinic social worker. There are often guest speakers from Mayo Clinic who speak on various topics related to NETs with a question/answer time and then time for the members to talk about their questions and problems with each other. I'm sure you would find helpful information and also support from that community.

I look forward to hearing from you again. Will you continue to post as you have questions or concerns?

REPLY
Profile picture for Teresa, Volunteer Mentor @hopeful33250

Hello @cmhgiddy24 and welcome to the NETs support group on Mayo Connect. I'm glad that you found this forum. I found Mayo Connect when I was facing my third surgery for NETs and it was great to find others who could share this journey with me.

It is good to hear that the treatment you've had is keeping the cancer at bay. I'm sure that you are pleased with these results. The side effects of the injections do sound problematic. Perhaps, at your next oncology appointment, you can talk about these side effects and ask if there is anything that can be done to lessen these post-injection problems.

You mentioned that your oncologist has probably not treated many NETs patients, like yourself. I would highly recommend that you scheduled at least one in-person or virtual appointment with a NET specialist to review your situation and determine the best treatment options going forward.

Mayo Clinic has NET specialists at all three of their locations. If you would like to obtain a consultation to review your records, here is a link to getting an appointment at a Mayo location, http://mayocl.in/1mtmR63. If, for any reason, you cannot be seen at a Mayo location, here is a list of NET specialists throughout the U.S. https://www.carcinoid.org/for-patients/treatment/find-a-doctor/.

Is a consultation with a NET specialist, something you might consider?

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Hi, thank you! Yes, I do intend to address all my side effect issues with the medical oncologist next week and see what she says and I AM very pleased my treatment is keeping things at bay. I am also interested in possibly speaking with a NET specialist at some point, but I don't live near any Mayo Clinic locations. I'm very familiar with Jacksonville as my husband and I helped family out there for several months after my brother-in-law had a lung transplant a few years back so if I can be in the area again for a time, I would definitely pursue. Also, my nephew works in radiology at Ohio State University Med Center and I spoke to a dr. there who was a friend of his (he's since left) who was a NET specialist and he pretty much concurred with my treatment the way things are being handled right now. It's really tough to get in there anyway so unless my situation would worsen significantly or I would need different treatment, I'll probably stay where I am for now. The hospital system here where my surgical oncologist is located, is just starting to venture into the NETS field. He is very on top of his game, I have alot of respect there, and he has already told me that if I end up needing any different treatment than what I'm getting, I will probably need to go to OSU for it anyway. I could also go to Cleveland Clinic, but I would probably choose Mayo if possible, very impressive there. I am very aware of my options and thank you for responding, I really appreciate it!

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Profile picture for cmhgiddy24 @cmhgiddy24

Hi all! This is my first post so I probably won't be brief, but I have followed all commentary on NETS Support with great interest! I have been on Somatuline Depot injections since Jan. I just had my 6 mo. scans and it IS working to keep my cancer at bay. However, I pretty much agree with all commentary above, SO many side effects from it, things to monitor, from within a day to 2 weeks of having my injection. Sluggishness is high and energy level is so very low. Ask my husband. Much constipation and terrible painful gas following the injection, many digestive issues which I now attribute more to my injection than my cancer. I recently had a hernia surgery and my preadmission EKG showed bradycardia, low heartrate, which I didn't have before. I also had a very low heartrate event in the hospital. My glucose so far has tested as normal and I also do not have EPI, yet anyway. My next oncology appt. and injection are next week and also many labs are due so we can see more what's going on, or not? I'll keep you posted. Bottom-line, I don't think any one of us are imagining any of these things, many variables for each situation and that is the challenge. (Background on me, I am 73. Last summer was having severe stomachache on my left side that was not going away. Had a cat scan, MRI, PET scan and liver biopsy that ultimately showed secondary liver NETS. I had multiple liver resections and exploratory surgery last Oct. where primary NET was found in my pancreatic tail and distal pancreatectomy was done also. My cancer was diagnosed as primary non-functioning PNET, liver mets / pT1, pN0, pm1a, grade 2, stage IV. My pancreas is now clear, but I still have a sprinkling of stuff in my liver, thus the lanreotide treatment. My oncology surgeon is great and has some pretty good creds and training, but what I have is not very common in my city so I'm not sure my oncologist has treated many people like me.)

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Hello @cmhgiddy24 and welcome to the NETs support group on Mayo Connect. I'm glad that you found this forum. I found Mayo Connect when I was facing my third surgery for NETs and it was great to find others who could share this journey with me.

It is good to hear that the treatment you've had is keeping the cancer at bay. I'm sure that you are pleased with these results. The side effects of the injections do sound problematic. Perhaps, at your next oncology appointment, you can talk about these side effects and ask if there is anything that can be done to lessen these post-injection problems.

You mentioned that your oncologist has probably not treated many NETs patients, like yourself. I would highly recommend that you scheduled at least one in-person or virtual appointment with a NET specialist to review your situation and determine the best treatment options going forward.

Mayo Clinic has NET specialists at all three of their locations. If you would like to obtain a consultation to review your records, here is a link to getting an appointment at a Mayo location, http://mayocl.in/1mtmR63. If, for any reason, you cannot be seen at a Mayo location, here is a list of NET specialists throughout the U.S. https://www.carcinoid.org/for-patients/treatment/find-a-doctor/.

Is a consultation with a NET specialist, something you might consider?

REPLY
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