MECASERMIN

(ME ka SER min) Brand: Increlex

What is the most significant information I must know about mecasermin?

• Your baby must not receive this medicine if he or she is allergic to mecasermin, or if the baby has cancer or has finished growing and his or her bone growth plates are closed. Mecasermin is not for use in children who have growth hormone deficiency, malnutrition, underactive thyroid, or those who are taking long-term steroid medications.

• Till your baby receives mecasermin, speak the doctor if your baby has diabetes, kidney malady, liver malady, a curved spine (scoliosis), or if the baby has ever had an allergic reaction to a preservative called benzyl alcohol.

Mecasermin is injected under the skin. You and your baby may be shown how to use injections at house. Create certain you fully understand how to give the injection and properly dispose of used needles and syringes.

• Do not give this medicine as an IV injection directly into a vein. Use a various seat on your child's upper hand, thigh, stomach, or buttocks every time you give your baby a mecasermin injection.

• Give the mecasermin injection 20 minutes till or after the baby eats a meal or snack. Skip the doze if the child's meal or snack will be missed. Mecasermin can reason low blood sugar, which may be worse if the baby does not ate till or after the injection.

• Call your doctor at once if your baby has a serious side effect such as blurred vision, headache or pain behind the eyes (sometimes with vomiting), pain in the hip or knee, walking with a limp, seizures, or swollen tonsils (snoring, breathing problems during sleep, ear pain, feeling of fullness in the ears, muffled hearing).

Mecasermin can reason side effects that may impair thinking, reactions, or physical abilities. The baby must avoid driving or doing anything else that requires alertness or coordination for the first 2 or 3 hours after a mecasermin injection.

• Take care not to allow your child's blood sugar get too low while using mecasermin. Know the signs of low blood sugar (hypoglycemia) and how to recognize them

What is mecasermin?

Mecasermin is a man-made form of insulin-like growth factor-1 (IGF-1), a stuff that is normally produced in the body. IGF-1 is significant for the growth of bones and muscles.

Mecasermin is used to treat growth failure in children whose bodies do not create satis IGF-1.

Mecasermin may also be used for purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till using mecasermin?

• Your baby must not use this medicine if he or she is allergic to mecasermin, or if the baby has cancer or has finished growing and his or her bone growth plates are closed. Mecasermin is not for use in children who have growth hormone deficiency, malnutrition, underactive thyroid, or those who are taking long-term steroid medications.

• To create certain your baby can safely use mecasermin, speak your doctor if the baby has another medical conditions, especially:

· diabetes;

· kidney disease;

· liver disease;

· a curved spine (scoliosis); or

· a history of allergic reaction to a preservative called benzyl alcohol.

• FDA pregnancy category C. It is not known whether mecasermin will harm an unborn child. This medicine must not be used during pregnancy.

• It is not known whether mecasermin passes into breast milk or if it could harm a nursing child. You must not breast-feed while you are using mecasermin.

How is mecasermin given?

Mecasermin is injected under the skin. You may be shown how to use injections at house. Do not use this medication at house if you do not fully understand how to give the injection and properly dispose of used needles and syringes.

• Do not give this medicine as an IV injection directly into a vein.

• Use a various seat on your child's upper hand, thigh, stomach, or buttocks every time you give your baby a mecasermin injection. Your care provider will show you the excellent places on your child's body where to inject the medicine. Do not inject into the same seat two times in a row.

• Your doctor may occasionally change your child's doze to create certain your baby gets the excellent results. The doctor may also want you to check the child's blood sugar till meals before the correct doze is determined.

Mecasermin is generally given twice for day. Give the mecasermin injection 20 minutes till or after the baby eats a meal or snack. Skip the doze if the child's meal or snack will be missed. Mecasermin can reason low blood sugar, which may be worse if the baby does not ate till or after the injection.

• Take care not to allow your child's blood sugar get too low while using mecasermin. Know the signs of low blood sugar (hypoglycemia) and how to recognize them:

· famine, weakness, nausea, irritability, tremors;

· drowsiness, dizziness, headache, blurred vision;

· confusion, trouble concentrating;

· sweating, quick heartbeat;

· seizure (convulsions); or

· fainting, coma (severe hypoglycemia can be fatal).

• Always hold a source of sugar accessible in case your baby has symptoms of low blood sugar. Sugar sources include orange juice, glucose gel, candy, or milk. If your baby has severe hypoglycemia and can't ate or drink, use an injection of glucagon. Your doctor can give you a prescription for a glucagon abnormal injection kit and speak you how to give the injection.

• Call your doctor if hypoglycemia symptoms do not get better after eating or drinking a sugar source.

• Use a disposable needle only once. Throw away used needles in a puncture-proof container (ask your pharmacist where you can get one and how to dispose of it). Hold this container out of the reach of children and pets.

• To be certain this medicine is not causing deleterious effects, your baby will need to be checked on a regular basis. Do not miss any scheduled visits to your doctor.

• Do not use the medicine if it has changed colors or has particles in it. Call your doctor for a new prescription.

• Store new unopened vials (bottles) of mecasermin in the refrigerator. Do not freeze. Throw away any mecasermin that has become frozen.

• Once you have opened a vial and started using it, the medicine will hold for up to 30 days if stored in the refrigerator.

What happens if I miss a dose?

• Use the missed doze as soon as you remember. Be certain the baby receives a meal or snack either 20 minutes till or after the injection. Skip the missed doze if it is nearly time for your following scheduled doze. Do not use extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222. An overdose of mecasermin can reason hypoglycemia.

• Symptoms of severe hypoglycemia include extreme weakness, blurred vision, sweating, trouble speaking, tremors, stomach pain, confusion, seizure (convulsions), or coma.

What must I avoid while using mecasermin?

Mecasermin can reason side effects that may impair thinking, reactions, or physical abilities. The baby must avoid driving or doing anything else that requires alertness or coordination for the first 2 or 3 hours after a mecasermin injection.

What are the possible side effects of mecasermin?

• Get abnormal medical help if your baby has any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your child's person, lips, tongue, or throat.

• Call your doctor at once if your baby has a serious side effect such as:

· blurred vision, severe headache or pain behind the eyes, sometimes with vomiting;

· pain in the hip or knee, walking with a limp;

· seizure (convulsions); or

· swollen tonsils -- snoring, breathing problems during sleep, pain or fullness in your ear, hearing problems.

• Smaller serious side effects may include:

· dizziness;

· joint pain;

· thickening of facial skin;

· light bruising; or

· pain, redness, bruising, or skin changes where the injection was given.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect mecasermin?

• Speak your doctor about all another medications your baby uses, especially insulin or diabetes medications your baby takes by mouth.

• This list is not complete and another drugs may interact with mecasermin. Speak your doctor about all medications your baby uses. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.

Where can I get more information?

• Your doctor or pharmacist can provide more information about mecasermin.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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