Carcinoid Syndrome

[Sushirolls]

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Anxiety management in Carcinoid Syndrome, geriatric patients, any success or failures?

 

[SourceOfDenial]

What’s the prognosis?
How geriatric? Age/frailty/comorbidity?
What’s being secreted?

 

[Sushirolls]

Rather not go into patient specifics, other than living past original prognosis by 3 years, 70's for age, and higher functioning, that I hope to be once I'm in that age range. Not frail. On lineotride for carcinoid syndrome.

Post purpose, more of a generic question for approach others have had with condition rather than hammering in best option for this pt.

 

[SourceOfDenial]

My experience has ranged from octreotide being helpful if it’s serotonin producing(and excess serotonin causing agitation/anxiety) to benzos to nothing being helpful to the point of palliative sedation. Or the anxiety is not due to carcinoid but rather more typical anxiety associated with a serious illness. Sometimes I’ll avoid serotonergic meds, sometimes you don’t need to.

Approach: explore what it means to live past prognosis, figure out what the tumor is secreting, go from there.