Astra Zeneca (Covidshield)
Europe stopped the Astra Zeneca vaccine (which comes here as Covishield) for people under the age of 55 years because maximum harm was seen in this younger group. Gap between two doses of the vaccine is three months for Covishield.
Johnson and Johnson vaccine has also been related with the clotting side effect, although the incidence is said to be low in both cases. This one dose vaccine is coming in November.
Bharat Biotechs Covaxin. With that clotting is not much reported. That can be considered. Gap between two doses of the vaccine is 4 weeks for Covaxin
The Russian vaccine Sputnik is another alternative. Gap between two doses of the vaccine is 3 weeks for Sputnik.
For persons with DVT
The vaccine is given Intramuscular and in a person taking blood thinners there is a small risk of formation of local hematoma or blood leakage and collection. To prevent that perhaps same precaution of missing the prior day evening dose can be applied.
“Octreotide is a potent synthetic somatostatin analogue that has become the mainstay of medical therapy for tumor control in neuroendocrine disorders. The multiple effects of octreotide throughout the body, combined with its established safety profile, make it an appealing and reliable option for clinicians. ”
“the antiproliferative effect of octreotide LAR in patients with well-differentiated metastatic GEP-NETs of the midgut” – but this is POORLY differentiated.
“Octreotide was among the first biotherapeutic agents used in the management of GEP-NETs and continues to be a mainstay of therapy today, although it is rarely curative”
“In response to results from the PROMID study, guidelines from the National Comprehensive Cancer Network (NCCN) have been updated to recommend octreotide LAR 20–30 mg as a management option in patients with recurrent or unresectable metastatic carcinoid tumors originating from any primary site of disease (small bowel, colon, rectum, appendix, lung, thymus, stomach) irrespective of functional status, symptomatology and progression status” [While there might be an origin in the colon/rectum, there is also a possible link with the prostate]