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About carcinoid syndrome diarrhea (CSD)

What is carcinoid syndrome diarrhea (CSD) and what causes symptoms to build?

CSD is one of the most common symptoms of functioning neuroendocrine tumors (NETs). CSD primarily occurs when functioning NETs produce too much serotonin, a hormone that normally helps with bodily functions such as digestion.

However, when NET cells produce too much serotonin in the gut, you can experience:

Urgency

Frequency

Watery stools

The science behind CSD

Icon of a Neuroendocrine Tumor

When cells grow abnormally, they form a tumor.

Icon of a hormone

When a tumor forms in the neuroendocrine system, it may produce too many hormones, such as serotonin.

Icon of the gut

Hormones are one way your body’s cells communicate with each other to help with bodily functions. For example, serotonin is a hormone that communicates with your gut to help with digestion.

Icon of a neuroendocrine tumor cell producing serotonin

When NETs produce too much serotonin, your body’s natural serotonin levels can be thrown off balance. The extra serotonin in the gut can lead to CSD.

How common is CSD?

In patients with functioning NETs (CS), CSD may be more common than you think. In an online survey of 100 US patients with functioning NETs (CS), nearly 9 out of 10 reported symptoms of diarrhea despite treatment with a long-acting somatostatin analog (SSA).

87% (n=87/100) OF CS PATIENTS EXPERIENCED 
BREAKTHROUGH DIARRHEA

CS=carcinoid syndrome.

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Important Safety Information

  • Do not take XERMELO if you have a history of hypersensitivity to telotristat or any of the ingredients in XERMELO.
  • XERMELO may cause constipation which can be serious. You should stop

Indication

XERMELO is a prescription pill, used along with somatostatin analog (SSA) therapy, for carcinoid syndrome diarrhea in adults who are not adequately controlled by SSA therapy.

Important Safety Information

  • Do not take XERMELO if you have a history of hypersensitivity to telotristat or any of the ingredients in XERMELO.
  • XERMELO may cause constipation which can be serious. You should stop taking XERMELO if severe constipation or severe, persistent, or worsening 
abdominal pain develops. Talk to your doctor if you have these symptoms.
  • The most common side effects of XERMELO include nausea, headache, increase in liver enzymes, depression, flatulence, decreased appetite, swelling of your hands and feet, fever, abdominal pain, and constipation.
  • Talk to your doctor about all medications you are taking as some may interact with XERMELO.
  • XERMELO is not recommended if you have moderate or severe liver impairment.

You are encouraged to report negative side effects of prescription drugs to the FDA. To report SUSPECTED ADVERSE REACTIONS, contact the FDA at 1-800-FDA-1088 or www.FDA.gov/medwatch. You may also contact TerSera Therapeutics at 1-844-334-4035 or medicalinformation@tersera.com.

Indication

XERMELO is a prescription pill, used along with somatostatin analog (SSA) therapy, for carcinoid syndrome diarrhea in adults who are not adequately controlled by SSA therapy.

Please see accompanying Full Prescribing Information.

Important Safety Information and Indication

Important Safety Information

  • Do not take XERMELO if you have a history of hypersensitivity to telotristat or any of the ingredients in XERMELO.
  • XERMELO may cause constipation which can be serious. You should stop

Indication

XERMELO is a prescription pill, used along with somatostatin analog (SSA) therapy, for carcinoid syndrome diarrhea in adults who are not adequately controlled by SSA therapy.

Important Safety Information

  • Do not take XERMELO if you have a history of hypersensitivity to telotristat or any of the ingredients in XERMELO.
  • XERMELO may cause constipation which can be serious. You should stop taking XERMELO if severe constipation or severe, persistent, or worsening 
abdominal pain develops. Talk to your doctor if you have these symptoms.
  • The most common side effects of XERMELO include nausea, headache, increase in liver enzymes, depression, flatulence, decreased appetite, swelling of your hands and feet, fever, abdominal pain, and constipation.
  • Talk to your doctor about all medications you are taking as some may interact with XERMELO.
  • XERMELO is not recommended if you have moderate or severe liver impairment.

You are encouraged to report negative side effects of prescription drugs to the FDA. To report SUSPECTED ADVERSE REACTIONS, contact the FDA at 1-800-FDA-1088 or www.FDA.gov/medwatch. You may also contact TerSera Therapeutics at 1-844-334-4035 or medicalinformation@tersera.com.

Indication

XERMELO is a prescription pill, used along with somatostatin analog (SSA) therapy, for carcinoid syndrome diarrhea in adults who are not adequately controlled by SSA therapy.

Please see accompanying Full Prescribing Information.

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