First Lanreotide Injection: Any tips about diet and side effects?

Posted by nana120 @nana120, Jul 18, 2023

Good morning, I am an 81 yr old female & was diagnosed with stage 4 NETS in my liver metastasized from my lung in Dec 2022. Like so many of us it was discovered by accident during a GI test. I received my first lanreotide injection July 6, 2023 with minimal instruction, only that I might have intestinal upset (I did) and that I would not be able to eat spicy food for the foreseeable future. I am to a have one injection every 28 days for the next 10 months. I stumbled on this site while trying to find some information about diet information and would appreciate any direction or experience the group can share.

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

Profile picture for joy5877 @joy5877

Hello,
I had surgery in June to remove a tumor and then found out it spread to my liver. I started injections on Wednesday September 27th and had the worst reaction - headache, stomach spasms that moved the whole way around to my back, vomiting with dry heaves and severe bloating. The pain was so bad that I ended up in the ER. PET scan showed a small blockage which they attribute to the adhesions from the surgery. I am curious if I was really blocked or if it was just a reaction.

I did read some of the side effects of the shot and experienced quite a few during the hospital stay- chest pains, erratic heart rate and sweating to name a few.

My questions are for those who experienced anything similar. I will be talking to my oncologist, but the nurse who administered the shot said there weren't any real side effects. I may be the first case - who knows.

1. Did the side effects go away after so many treatments?
2. Is there anything you can take or foods to stay away from those few days after treatment?
3. Could it be that I took the shot on an empty stomach?

Any advice or feedback would be appreciated. Have a good day and thank you in advance!

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As an anesthesia provider I have seen this happen before.

Adhesions can occur very quickly.
Please if you continue to have severe nausea vomiting and pain go to ER. this could be a serious issue.
I am sorry you are having such a hard time.
I am sending positive healibg thoughts your way.

REPLY
Profile picture for Teresa, Volunteer Mentor @hopeful33250

Hello @joy5877 and welcome to the NETs support group on Mayo Connect. I'm pleased that you found this forum, so that you can have support and encouragement as you deal with this rather rare diagnosis. I see that you had a lot of pain after the shot, however, I also see that you had a PET scan in the ER which showed a small blockage. As you may know, blockages can also produce severe pain. Blockages are very common after any intestinal surgery.

I will request that this post be moved to a discussion group that was started by other members who take Lanreotide injections. You will find lots of members there who have experienced side effects, of different types, after their first Lanreotide injection.

You might also be interested in reading the following discussions:
https://connect.mayoclinic.org/discussion/does-anyone-else-get-bloating-and-sharp-abdominal-pain-from-nets-or-la/
https://connect.mayoclinic.org/discussion/diet-restrictions-with-lanreotide/
What type of surgery and other treatments have you had since you were originally diagnosed with NETs? How long ago was your surgery and your original diagnosis?

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Hello Teresa,

I had a CT scan in the hospital not a PET scan. The scan showed a small bowel obstruction which could be attributed to the scar tissue/ adhesions from the surgery. The surgery to remove the tumor was on June 29th,2023 - they removed some of my small intestine and colon. They officially diagnosed me on July 10th and this was my first treatment.

Thank you
Joy

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Profile picture for joy5877 @joy5877

Hello,
I had surgery in June to remove a tumor and then found out it spread to my liver. I started injections on Wednesday September 27th and had the worst reaction - headache, stomach spasms that moved the whole way around to my back, vomiting with dry heaves and severe bloating. The pain was so bad that I ended up in the ER. PET scan showed a small blockage which they attribute to the adhesions from the surgery. I am curious if I was really blocked or if it was just a reaction.

I did read some of the side effects of the shot and experienced quite a few during the hospital stay- chest pains, erratic heart rate and sweating to name a few.

My questions are for those who experienced anything similar. I will be talking to my oncologist, but the nurse who administered the shot said there weren't any real side effects. I may be the first case - who knows.

1. Did the side effects go away after so many treatments?
2. Is there anything you can take or foods to stay away from those few days after treatment?
3. Could it be that I took the shot on an empty stomach?

Any advice or feedback would be appreciated. Have a good day and thank you in advance!

Jump to this post

I started Somatulin/ Lanreotide Feb 15, 2023. My side effects are minimal now. However, the first few months had similar side effects. Went to ER 4/20 and CT scan showed SI blockage resulting in emergency surgery. So your extreme side effects could be from the blockage. I'm told the most common side effects is diarrhea only.

REPLY
Profile picture for joy5877 @joy5877

Hello,
I had surgery in June to remove a tumor and then found out it spread to my liver. I started injections on Wednesday September 27th and had the worst reaction - headache, stomach spasms that moved the whole way around to my back, vomiting with dry heaves and severe bloating. The pain was so bad that I ended up in the ER. PET scan showed a small blockage which they attribute to the adhesions from the surgery. I am curious if I was really blocked or if it was just a reaction.

I did read some of the side effects of the shot and experienced quite a few during the hospital stay- chest pains, erratic heart rate and sweating to name a few.

My questions are for those who experienced anything similar. I will be talking to my oncologist, but the nurse who administered the shot said there weren't any real side effects. I may be the first case - who knows.

1. Did the side effects go away after so many treatments?
2. Is there anything you can take or foods to stay away from those few days after treatment?
3. Could it be that I took the shot on an empty stomach?

Any advice or feedback would be appreciated. Have a good day and thank you in advance!

Jump to this post

I was on lanreotide for 10 months and it was horrible! All the symptoms you described and plus constant diarrhea. I finally told my oncologist I want off and I did! It took me a couple of months to get back to a “reasonable normal “. Yes I still get diarrhea occasionally and occasionally night sweats but it wasn’t worth taking the lanreotide! As I understand it the lanreotide doesn’t shrink the tumors or stop it from spreading so if it’s only for the side affects of the cancer it’s not worth it to me. The side affects of the cancer weren’t half as bad as the side effects of lanreotide (at least for me)

REPLY
Profile picture for joy5877 @joy5877

Hello,
I had surgery in June to remove a tumor and then found out it spread to my liver. I started injections on Wednesday September 27th and had the worst reaction - headache, stomach spasms that moved the whole way around to my back, vomiting with dry heaves and severe bloating. The pain was so bad that I ended up in the ER. PET scan showed a small blockage which they attribute to the adhesions from the surgery. I am curious if I was really blocked or if it was just a reaction.

I did read some of the side effects of the shot and experienced quite a few during the hospital stay- chest pains, erratic heart rate and sweating to name a few.

My questions are for those who experienced anything similar. I will be talking to my oncologist, but the nurse who administered the shot said there weren't any real side effects. I may be the first case - who knows.

1. Did the side effects go away after so many treatments?
2. Is there anything you can take or foods to stay away from those few days after treatment?
3. Could it be that I took the shot on an empty stomach?

Any advice or feedback would be appreciated. Have a good day and thank you in advance!

Jump to this post

Hello @joy5877 and welcome to the NETs support group on Mayo Connect. I'm pleased that you found this forum, so that you can have support and encouragement as you deal with this rather rare diagnosis. I see that you had a lot of pain after the shot, however, I also see that you had a PET scan in the ER which showed a small blockage. As you may know, blockages can also produce severe pain. Blockages are very common after any intestinal surgery.

I will request that this post be moved to a discussion group that was started by other members who take Lanreotide injections. You will find lots of members there who have experienced side effects, of different types, after their first Lanreotide injection.

You might also be interested in reading the following discussions:
https://connect.mayoclinic.org/discussion/does-anyone-else-get-bloating-and-sharp-abdominal-pain-from-nets-or-la/
https://connect.mayoclinic.org/discussion/diet-restrictions-with-lanreotide/
What type of surgery and other treatments have you had since you were originally diagnosed with NETs? How long ago was your surgery and your original diagnosis?

REPLY

Hello,
I had surgery in June to remove a tumor and then found out it spread to my liver. I started injections on Wednesday September 27th and had the worst reaction - headache, stomach spasms that moved the whole way around to my back, vomiting with dry heaves and severe bloating. The pain was so bad that I ended up in the ER. PET scan showed a small blockage which they attribute to the adhesions from the surgery. I am curious if I was really blocked or if it was just a reaction.

I did read some of the side effects of the shot and experienced quite a few during the hospital stay- chest pains, erratic heart rate and sweating to name a few.

My questions are for those who experienced anything similar. I will be talking to my oncologist, but the nurse who administered the shot said there weren't any real side effects. I may be the first case - who knows.

1. Did the side effects go away after so many treatments?
2. Is there anything you can take or foods to stay away from those few days after treatment?
3. Could it be that I took the shot on an empty stomach?

Any advice or feedback would be appreciated. Have a good day and thank you in advance!

REPLY
Profile picture for liefylaura @liefylaura

Family member recent diagnosis of NETS in ileum, lymph node, and liver. Awaiting removal surgery. First dose of Lanreotide. Can you share any good resources in following a low amine diet? Particularly a good substitute for nut butter, salad dressing, and any soup?!

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@liefylaura, you might find these related discussions helpful

- First Lanreotide Injection: Any tips about diet and side effects?
https://connect.mayoclinic.org/discussion/first-lanreotide-injection/
- Questions about carcinoid treatment and diet
https://connect.mayoclinic.org/discussion/70-character-limit/
- NETs what to eat? What to avoid?
https://connect.mayoclinic.org/discussion/nets-what-to-eat-what-to-avoid/
How is your family member doing?

REPLY
Profile picture for misti @misti

I started having some diareah,bloating and constipation and just stomache cramping. I would take stuff for constipation and listen to all the t.v. ads thinking it could be IBS. Finally I decided to go to the ER didnt want to wait. and the did a Mri and saw the mass.

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Please continue to post with any questions or concerns, @misti. Many of us have had NETs for a number of years, and this group is outstanding in their support and encouragement.

I look forward to hearing from you again as you continue on this NETs journey. I'm wondering, have your symptoms improved since your surgery and injections? Are you able to eat and maintain your weight?

REPLY

I started having some diareah,bloating and constipation and just stomache cramping. I would take stuff for constipation and listen to all the t.v. ads thinking it could be IBS. Finally I decided to go to the ER didnt want to wait. and the did a Mri and saw the mass.

REPLY
Profile picture for misti @misti

I was diagnosed march of this year with a mass in mysmall intestine. Had surgery to remove it along with my appendix. I have stage 4 ,grade 1 neuroendocrine cancer. What a shock! i have been getting a lanreotide injectio once a month and feel great. Just met with my Dr. last week and nothing has grown or spread so happy.

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Hello @misti and welcome to the NETs support group on Mayo Clinic Connect. I so understand you when you say, "What a shock!" Most of felt the same way when we were first diagnosed.

By way of introduction, I have had three small NETs in the upper digestive tract. I am now a 20-year survivor of NETs and doing well. My only treatments have been surgeries over a 20-year period, so I have no experience with the monthly injections, however, many of our members of this group have taken the monthly injections with very good results.

If you are comfortable sharing more information, I would be interested in knowing what symptoms you were having that led to your diagnosis. For many of us with NETs, there we no symptoms, the NETs were found during a scan or other test for other reasons. Was that your case as well?

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