This medicine may also interact with the following medications:

-antacids
-birth control pills
-bromocriptine
-certain medicines for blood pressure, heart disease, irregular heartbeat
-cyclosporine
-diuretics
-medicines for diabetes, including insulin
-stomach acid blockers like cimetidine, famotidine, nizatidine, lansoprazole, esomeprazole, omeprazole, pantoprazole, rabeprazole

They need to know if you have any of these conditions:

-diabetes
-gallbladder disease
-kidney disease
-liver disease
-thyroid disease
-an unusual or allergic reaction to octreotide, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your health care professional for regular checks on your progress. Tell your health care professional if your symptoms do not start to get better or if they get worse.



This medicine may cause decreases in blood sugar. Signs of low blood sugar include chills, cool, pale skin or cold sweats, drowsiness, extreme hunger, fast heartbeat, headache, nausea, nervousness or anxiety, shakiness, trembling, unsteadiness, tiredness, or weakness. Contact your doctor or health care professional right away if you experience any of these symptoms.



This medicine may increase blood sugar. Ask your healthcare provider if changes in diet or medicines are needed if you have diabetes.



This medicine may cause a decrease in vitamin B12. You should make sure that you get enough vitamin B12 while you are taking this medicine. Discuss the foods you eat and the vitamins you take with your health care professional.



Birth control pills may not work properly while you are taking this medicine. Talk to your health care professional about using an extra method of birth control.

Keep out of the reach of children.

Store unopened medicine wallets in the refrigerator between 2 and 8 degrees C (36 and 46 degrees F). Do not freeze. Throw away any unopened, unused medicine after the expiration date.
After the first use, store the opened wallet at room temperature between 20 and 25 degrees C (68 and 77 degrees F) for up to 1 month. Throw away after 1 month, even if it still contains capsules.