Gastroenterology · Somatostatin analogue
Octreotide
Dose
50 mcg IV bolus then 50 mcg/h infusion × 3–5 days in variceal bleeding.
Use
Splanchnic vasoconstriction in variceal haemorrhage; also acromegaly and high-output fistula.
Monitoring
Glucose, rebleeding, HR, gallbladder on long-term use.
Side effects
- • Hyperglycaemia or hypoglycaemia
- • Bradycardia
- • Abdominal cramps
- • Gallstones
Related in WardRound
Always confirm dose against your local formulary / BNF before prescribing.
