There has been some discussion among our members regarding the use of Adrenaline/Epinephrine in NET patients. As there have been some doctors who have offered different opinions, I obtained an opinion from Dr. Halfdanarson (one of the Neuroendocrine tumor oncologists at Mayo, Rochester, MN). Here is what he had to say:
As for the adrenaline/epinephrine, an injection of EPI can release massive amounts of serotonin. I would never withhold EPI in a NET patient who truly needs it (someone in extremis from anaphylaxis) but use it with great caution in all other patients. For example, I suggest not using it in the local anesthetic used for dental procedures if at all possible. I think the risk of exacerbating carcinoid crisis is vastly overstated but it is better to be safe than sorry.
Liked by Colleen Young, Connect Director