Having a neuroendocrine tumor is complicated, we hear this all the time.
I’d like to break down a few topics that are well.. yes, complicated.. but can be better understood in order for us to enjoy a better quality of life.
Before I explain where I’m going, let me tell you where this all began…
It all started when I was hospitalized for 2 whole months, one of the symptoms I was having was extreme facial flushing. I was literally roasting like a turkey. My skin was peeling off, I was so uncomfortable and in pain.
This was a side effect from my tumors secreting their awful hormones. No one could seem to offer me any solution, until one day…
I met one of the endocrinologists on staff and he immediately said he would start me on this magic pill that would get rid of my flushing. I thought he was crazy, how could there be such a thing that exists and NO ONE mentioned it before? How can so many other people I know be suffering and no one knows about this?
Little did I know, this magic pill was ALSO going to balance my moods, by reducing the amount of serotonin in my body. Bingo, so many complicated topics are now so easy!
Taking medication isn’t really a choice when you have a neuroendocrine tumor, but certain types of medications can be dangerous, even fatal. This isn’t always explained in detail, or at all. Why? Because our tumors secrete hormones that make it difficult to be matched with certain drugs. A lot of medications actually cause the same type of secretion as our tumors, making it the perfect storm.
I don’t normally like getting too scientific, or talking about specific drugs, but if it can help so many people with this disease be more comfortable… I’ll take the risk.
Have you ever heard of the term serotonin storm? Who here has been told that they can’t take an anti-depressant, or that it’s dangerous with our disease? Who is currently suffering with depression and can no longer take their medication?
Let me be the one to explain why these medications can be dangerous:
I’ve heard of a lot of people suffering with depression with this disease, but the problem is… most typical anti-depressants produce serotonin. (The same hormone that our tumors produce), making a serotonin storm! This can be fatal, or just extremely dangerous to the body. Which is why they say to avoid SSRI medication when you have a neuroendocrine tumor.
What did any of this have to do with my flushing I was talking about earlier?
Well, that’s why I call it the magic pill…
Most people who have a neuroendocrine tumor that is secreting serotonin will experience flushing, following so far?
These tumors also secrete a lot of other hormones, throwing off our moods. Creating a chemical imbalance in the body. Causing depression. But since we can’t take regular anti-depressants that doctors will prescribe, what can be done?
Aha! The magic pill. Chlorpromazine is considered a serotonin antagonist, it inhibits the action of serotonin receptors. Without getting too scientific, it also works similarly for dopamine, another hormone that’s secreted by our tumors.
This one pill that was prescribed for my facial flushing, happened to take care of several other issues for me, because of its root purpose, balancing out that ‘perfect storm’.
I’ve heard so many people lost hope because of their depression and not being able to properly treat it. I myself was at my end with my mood swings, as well as the most uncomfortable side effect – facial flushing. Until I began this medication, it changed everything for me.
It may not be for everyone, and I’m certainly no doctor… but I thought it would be best to share this little bit of knowledge with my fellow zebras. Maybe, just maybe, it can help you too.
Thank you Miranda. I’ve been struggling with how to treat my depression since learning my tumors are secreting serotonin. I switched my anti-depressant to another one that didn’t work. My husband wants me on something so I went back and am taking 1/2 my serotonin based anti-depressant and then some other medications to balance out the symptoms which for me wasn’t facial flushing but chronic acute diarrhea popping up all the time thus keeping me housebound. Everyday is a new experiment with trying to balance the tumors in my body with basic needs such as keeping food in my system. Thank you for giving me a suggestion to look into.
Thank you so much for the excellent information. Hearing from other people in this group can open so many doors that you never even knew existed. Keep up the good work blessings to you