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tomewilson
@tomewilson

Posts: 54
Joined: Jun 06, 2016

Increasing Octreotide LAR Depot

Posted by @tomewilson, Mon, Jan 1 11:28am

When an increase is indicated for Octreotide LAR 30 mg every 28 days, is the normal course of action to change the interval to 21 days or is it to increase the doseage? Or, does it depend?

REPLY

Hello Tom @tomewilson

We have several members who have mentioned Octreotide and may be able to direct you to an answer, @tresjur and @wordnoid and @jenchaney727

What does the oncologist say about your question?

Teresa

@tomewilson

Hi Tom: I see that there has not been a reply to your question. Have you gathered information elsewhere about this?

Teresa

They were going to go from 28 days to 21 between shots for my friend.

They were going to go from 28 days to 21 days between shots for my friend

@immmm Thanks for contribution to this discussion! I hope that your friend is doing better now. Any updates that you can comfortably share with us?

Tersa

I thought I responded to this and if so, please disregard. According to Dr. Halfdanarson’s P.A., she said they will go to 21 day interval if 28 days isn’t controlling syndrome (flushing, etc). They’ll go to 60 mg LAR to better control tumor activity.

My friend was admitted to the hospital in October after having a horrible September. Her O2 levels were low, she was dehydrated etc. Her oncologist was going to go to every 21 days because her symptoms had worsened. However, after being misdiagnosed by cardiologist, she was finally airlifted to MD Anderson a week later and underwent open heart surgery for her heart valves. Her injection in September had been administered too shallow, so basically it did not control the symptoms.
So now we joke that not only does she get to recover from major heart surgery, she still has stage IV cancer! We can joke because she is doing incredibly well. I saw her yesterday when she came for her injection. She is now on Xermolo and feels great, looks great! She enjoyed Christmas with all her family and is back at work full time. She has learned a lot— being proactive does not mean you are being negative, you can still have a positive attitude! In order to treat this horrible zebra, the doctors have to know “your stripes”! Also, just because you have checkups at a wonderful facility, it MUST be interdisciplinary, and because you are a zebra, all your docs must be familiar with NETS! This is a long update— but maybe just maybe there is somebody out there searching, trying to put some pieces together and this will help!

@immmm

My friend was admitted to the hospital in October after having a horrible September. Her O2 levels were low, she was dehydrated etc. Her oncologist was going to go to every 21 days because her symptoms had worsened. However, after being misdiagnosed by cardiologist, she was finally airlifted to MD Anderson a week later and underwent open heart surgery for her heart valves. Her injection in September had been administered too shallow, so basically it did not control the symptoms.
So now we joke that not only does she get to recover from major heart surgery, she still has stage IV cancer! We can joke because she is doing incredibly well. I saw her yesterday when she came for her injection. She is now on Xermolo and feels great, looks great! She enjoyed Christmas with all her family and is back at work full time. She has learned a lot— being proactive does not mean you are being negative, you can still have a positive attitude! In order to treat this horrible zebra, the doctors have to know “your stripes”! Also, just because you have checkups at a wonderful facility, it MUST be interdisciplinary, and because you are a zebra, all your docs must be familiar with NETS! This is a long update— but maybe just maybe there is somebody out there searching, trying to put some pieces together and this will help!

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@immmm

Thanks for that wonderful report! We are so happy for your friend. Your comments about interdisciplinary treatment is so true. We appreciate this good reminder.

Teresa

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