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Some commonly used brand names are:
In the U.S.—
Octreotide (ok-TREE-oh-tide) is used to treat the severe diarrhea and other symptoms that occur with certain intestinal tumors. It does not cure the tumor but it helps the patient live a more normal life.
Also, this medicine is used to treat a condition called acromegaly, which is caused by too much growth hormone in the body. Too much growth hormone produced in adults causes the hands, feet, and parts of the face to become large, thick, and bulky. Other problems such as arthritis also can develop. Octreotide works by reducing the amount of growth hormone that the body produces.
Octreotide may also be used for other medical conditions as determined by your doctor.
Octreotide is available only with your doctor"s prescription, in the following dosage form:
Before Using This Medicine
In deciding to use a medicine, the risks of using the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For octreotide, the following should be considered:
Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to octreotide. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.
Pregnancy—Studies have not been done in humans. However, studies in rats and rabbits have not shown that octreotide causes birth defects or other problems, even when given in doses much larger than the human dose.
Breast-feeding—It is not known whether octreotide passes into breast milk. Although most medicines pass into breast milk in small amounts, many of them may be used safely while breast-feeding. Mothers who are taking this medicine and who wish to breast-feed should discuss this with their doctor.
Children—The short-acting form of this medicine has been tested in a limited number of children as young as 1 month of age and has not been shown to cause different side effects or problems than it does in adults.
Studies on the long-acting form of this medicine have been done only in adult patients, and there is no specific information comparing its use in children with use in other age groups.
Older adults—Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. Although there is no specific information comparing the use of octreotide in the elderly with use in other age groups, this medicine has been used in persons up to 83 years of age and has not been shown to cause different side effects or problems in older people than it does in younger adults.
Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking octreotide, it is especially important that your health care professional know if you are taking any of the following:
Other medical problems—The presence of other medical problems may affect the use of octreotide. Make sure you tell your doctor if you have any other medical problems, especially:
Proper Use of This Medicine
To control the symptoms of your medical problem, this medicine must be taken as ordered by your doctor. Make sure that you understand exactly how to take this medicine .
Octreotide is packaged in a kit containing an ampul opener, alcohol swabs, ampuls of the medicine, and, in some kits, a vial of diluent to mix with the medicine. Directions on how to prepare and inject the medicine are in the package. Read the directions carefully and ask your health care professional for additional explanation, if necessary.
It is important to follow any instructions from your doctor about the careful selection and rotation of injection sites on your body . This will help to prevent skin problems, such as irritation.
Some patients may feel pain, stinging, tingling, or burning sensations at the place where they inject the medicine. These sensations usually last only a few moments and may be eased by rubbing the spot after the injection. Injecting the medicine after it has been warmed to room temperature rather than cold from the refrigerator may reduce the discomfort. The medicine should be taken from the refrigerator 20 to 60 minutes before it is to be used. However, do not use heat to warm it faster because heat can destroy the medicine.
Put used needles and syringes in a puncture-resistant disposable container or dispose of them as directed by your health care professional. Do not reuse needles and syringes .
Dosing—The dose of octreotide will be different for different patients. Follow your doctor"s orders or the directions on the label . The following information includes only the average doses of octreotide. If your dose is different, do not change it unless your doctor tells you to do so.
Missed dose—If you miss a dose of the long-acting form of this medicine, contact your doctor.
If you miss a dose of the short-acting form of this medicine, use it as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Although you will not be harmed by forgetting a dose, the symptoms that you are trying to control (for example, diarrhea) may reappear. To be able to control your symptoms, your doses should be evenly spaced over a period of 24 hours. If you have any questions about this, check with your health care professional.
Storage—To store this medicine:
Precautions While Using This Medicine
It is very important that your doctor check your progress at regular visits to make sure that this medicine is working properly and to check for unwanted effects.
Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Less common or rare
Changes in menstrual periods; convulsions (seizures); decreased sexual ability in males; depressed mood; dry skin and hair; dry, puffy skin; feeling cold; hoarseness or husky voice; muscle cramps and stiffness; slowed heartbeat; swelling of front part of neck; unconsciousness; Unusual tiredness or weakness; weight gain
Also check with your doctor as soon as possible if any of the following side effects occur:
Irregular heartbeat; slow heartbeat
Less common or rare
Hyperglycemia (high blood sugar), including blurred vision, drowsiness, dry mouth, flushed dry skin, fruit-like breath odor, increased urination (frequency and volume), ketones in urine, loss of appetite, nausea, stomachache, tiredness, troubled breathing (rapid and deep), unusual thirst, or vomiting; hypoglycemia (low blood sugar), including anxious feeling, behavior change similar to drunkenness, blurred vision, cold sweats, confusion, cool pale skin, difficulty in concentrating, drowsiness, excessive hunger, fast heartbeat, headache, nausea, nervousness, nightmares, restless sleep, shakiness, slurred speech, or unusual tiredness or weakness; inflammation of the pancreas gland, including abdominal or stomach pain or bloating, nausea, or vomiting
Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:
Constipation; diarrhea; headache; pain, stinging, tingling, or burning sensation at place of injection, with redness and swelling; passing of gas
Less common or rare
Backache; bladder pain; bloody or cloudy urine; blurred or loss of vision; chills; cough; difficult, burning, or painful urination; discouragement; disturbed color perception; dizziness or light-headedness; double vision; feeling sad or empty; fever; frequent urge to urinate; frequent urination usually with very small amounts of urine; general feeling of discomfort or illness; hair loss; halos around lights; irritability; itching skin; joint pain; lack or loss of appetite; loss of interest or pleasure; lower back or side pain; muscle aches and pains; nausea; night blindness; overbright appearance of lights; redness or flushing of face; runny nose; shivering; sore throat; stools that float, foul smelling, and fatty in appearance; sweating; swelling of feet or lower legs; tiredness; trouble concentrating; trouble sleeping; tunnel vision; unusual tiredness or weakness; vomiting
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although these uses are not included in product labeling, octreotide is used in certain patients with the following medical conditions:
Other than the above information, there is no additional information relating to proper use, precautions, or side effects for these uses.
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