HGH 12 mg. 36 IU

WHAT IS GENOTROPIN AND WHAT IS IT USED FOR?
GENOTROPIN is a recombinant human growth hormone (also called somatropin). It has the same structure as natural human growth hormone, which is needed for bone and muscle growth. It also helps fat and muscle tissue to develop in proper amounts. Being recombinant means that it is not made from tissue of human or animal origin.
In children, GENOTROPIN is used to treat the following growth disorders:
•    if your growth does not proceed properly and your body does not produce enough of its own growth hormone;
•    if you have Turner syndrome. Turner syndrome is a chromosomal abnormality in girls that can affect growth - your doctor should have told you if you have this syndrome;
•    if you have chronic kidney failure. When the kidneys lose their ability to function normally this can affect growth;
•    if you suffer from Prader-Willi syndrome (a chromosomal disorder). Growth hormone will help you increase your height if you are still growing and will improve your body structure. The excess amount of fat tissue will decrease and your reduced muscle mass will increase.
•    if you were born small or with too low a weight. Growth hormone can help you grow taller if you have not been able to catch up or maintain normal growth until your fourth year or beyond.
In adults, GENOTROPIN is used to treat people with marked growth hormone deficiency. It may have appeared in adulthood or persisted since childhood.
If you were treated with GENOTROPIN for growth hormone deficiency during childhood, your growth hormone status will be rechecked after you reach full growth. Your doctor will suggest continuing treatment with GENOTROPIN if severe growth hormone deficiency is confirmed.
This medicine should only be given by a doctor who has experience with growth hormone treatment and who has confirmed your diagnosis.

2. BEFORE YOU USE GENOTROPIN
Do not use GENOTROPIN if:
- you are allergic (hypersensitive) to somatropin or to any of the other ingredients of GENOTROPIN.
- you have an active tumor (cancer). Tumors must be inactive and you must have completed your antitumor treatment before you start using GENOTROPIN.
- you are seriously ill (for example, you have complications after open heart surgery, abdominal surgery, acute respiratory failure, trauma from an accident or a similar condition). If you are about to have or have had major surgery or are hospitalized for any reason, tell your doctor and remind the other doctors you see that you are taking growth hormone treatment. GENOTROPIN was prescribed to stimulate growth, but you have already stopped growing (closed pineal glands).

Take special care when using GENOTROPIN
If you are at risk of developing diabetes, your doctor will want to monitor your blood sugar level during treatment with GENOTROPIN;
If you have diabetes you should carefully monitor your blood sugar levels during treatment with GENOTROPIN and consult the results with your doctor to assess whether a change in the dose of your diabetes medication is necessary; After starting treatment with GENOTROPIN, some patients may need to start thyroid replacement therapy.
If you are being treated with thyroid hormones, it may be necessary to change the dose of thyroid hormones.
If you limp or start to limp during your growth hormone treatment, tell your doctor;
If you have increased intracranial pressure (this causes symptoms such as severe headache, visual disturbances or vomiting) you should tell your doctor about it;
If your doctor confirms that you got inflammation of the muscles near the injection site due to the presence of the preservative metacresol, you should use a medicine without metacresol;
If you are being treated with GENOTROPIN for growth hormone deficiency after a previous tumor (cancer). You should be regularly examined for tumor recurrence; Experience in patients over 80 years of age is limited. Elderly people may be more sensitive to the effect of GENOTROPIN, which is why they may be more prone to developing side effects.

Children with chronic renal failure:
Your doctor should check your kidney function and your growth rate before starting GENOTROPIN. Drug treatment of your kidney disease should be continued. Treatment with GENOTROPIN should be stopped in case of renal transplantation.

Children with Prader-Willi syndrome:
Your doctor will give you dietary restrictions to help control your weight, your doctor will check you for signs of upper airway obstruction, sleep apnea (when your breathing stops during sleep) or a respiratory infection, before to start treatment with GENOT
Pregnancy and breastfeeding
You should not use GENOTROPIN if you are pregnant or trying to become pregnant. Ask your doctor before using this medicine if you are breast-feeding. Ask your doctor or pharmacist before using any medicine.

Important information about some of the ingredients of GENOTROPIN
This medicine contains less than 1 mmol sodium (23 mg) per dose, i.e. it is virtually sodium free.

3. HOW TO USE GENOTROPIN?
Recommended dosage
The dose depends on your height, the condition you are being treated for and how well the growth hormone works for you. Each patient is different from the others. Your doctor will determine your individual dose of GENOTROPIN in milligrams (mg) according to your body weight in kilograms (kg) or according to your body surface area, calculated according to your height and weight, in square meters (pg), and will specify your treatment regimen . Do not change the dosage and treatment regimen without first consulting your doctor. Children with growth hormone deficiency 0.025 - 0.035 mg/kg body weight per day or 0.7 - 1.0 mg/m2 body surface per day Higher doses may be used. When growth hormone deficiency persists into adolescence, GENOTROPIN should be continued until physical development is complete.

Children with Turner syndrome:
0.045 - 0.050 mg/kg body weight per day or 1.4 mg/m2 body surface area per day.

Children with chronic renal failure:
0.045 - 0.050 mg/kg body weight per day or 1.4 mg/m2 body surface area per day. Higher doses may be needed if the growth rate is too slow. Dose adjustment may be necessary after 6 months of treatment.

Children with Prader-Willi syndrome:
0.035 mg/kg body weight per day or 1.0 mg/m2 body surface area per day. The daily dose should not exceed 2.7 mg. Treatment should not be given to children whose growth has almost stopped after puberty.

Children born smaller or lower than expected and with growth disorders: 0.035 mg/kg body weight per day or 1.0 mg/m2 body surface area per day. It is important that treatment continues until the final growth is reached. Treatment should be stopped after the first year if there is no effect or if you have reached your final height and stopped growing.

Adults with growth hormone deficiency:
If you continue to use GENOTROPIN after treatment in childhood, you should start with 0.2 - 0.5 mg per day. This dose should be increased or decreased gradually depending on blood test results as well as clinical response and side effects.

If the growth hormone deficiency started in adulthood, you should start with 0.15-0.3 mg per day. This dose should be increased or decreased gradually depending on blood test results as well as clinical response and side effects. The maintenance daily dose rarely exceeds 1.0 mg per day. Higher doses may be required in women than in men. The dose should be monitored every 6 months. People over 60 should start with a dose of 0.1 - 0.2 mg per day, which should be increased slowly according to individual needs. The minimum effective dose should be used. The maintenance daily dose rarely exceeds 0.5 mg per day. Follow your doctor's instructions.
GENOTROPIN INJECTION
GENOTROPIN is intended for subcutaneous administration. This means that it is injected through a short needle into the fatty tissue just under the skin. Your doctor should have already shown you how to use GENOTROPIN. Always use GENOTROPIN exactly as your doctor has told you. If you are not sure, ask your doctor or pharmacist to show you.
When using the injection device (pen), the needle must be inserted before reconstitution. Detailed instructions for use are included in the medical devices (pens) as well.
• Preparing the injection:
It is recommended to take the growth hormone out of the refrigerator half an hour before the injection. The two-chamber cartridge contains both the growth hormone and the solvent, and is intended for use with a special injection device (pen) - Genotropin Pen (Genotropin Pen). The growth hormone and solvent in the dual-chamber cartridge can be mixed together using the Genotropin Pen medical device. Dissolve the powder by gently rocking the Genotropin Pen back and forth about 5-10 times until the powder dissolves.
When mixing the growth hormone with the solvent, DO NOT shake the solution vigorously. Use gentle circular motions. Vigorous shaking of the solution may cause foaming and damage the active substance. Check the solution and do not use it if it is cloudy or has particles in it.
• GENOTROPIN injection:
Do not forget to wash your hands and clean the skin at the injection site before the manipulation.
Inject your growth hormone approx
In adults:
•    pain or a burning sensation in the hands or forearms (known as canalis carpi syndrome).
Rare side effects (likely to affect less than 1 in 1,000 patients) include:
Type 2 diabetes;
•    increased intracranial pressure (causing symptoms such as severe headache, visual disturbances or vomiting).
Very rare side effects (likely to affect less than 1 in 10,000 patients) include:
•    leukemia.
The skin around the injection site may become rough or lumpy, but this will not happen if you inject at a different site each time.
A very rare side effect that may occur due to the presence of the preservative metacresol is inflammation of the muscles around the injection site. If your doctor confirms that you have had such a reaction, you should use a metacresol-free product.
There are rare cases of sudden death in patients with Prader-Willi syndrome. However, no relationship between these cases and treatment with Genotropin has been established.
If any of the side effects become serious, or you notice other side effects not described in this leaflet, please tell your doctor or pharmacist.

5. HOW TO STORE GENOTROPIN?
Keep out of the reach of children.
Do not use GENOTROPIN after the expiration date marked on the package. The expiration date corresponds to the last day of the indicated month.
Before mixing the powder with the solvent, your growth hormone should be stored in a refrigerator (at 2°C to 8°C) during its shelf life. During this period, you can store it below 25°C (out of the refrigerator) for up to 1 month, but after that it must be thrown away.
GENOTROPIN is sensitive to light. You must store the dual-chamber cartridge in the outer carton to protect your GENOTROPIN from light.
After mixing the powder and solvent, GENOTROPIN should be stored in a refrigerator (2°C to 8°C) for up to 4 weeks in the carton in order to protect from light.
Do not freeze or expose GENOTROPIN to cold. Do not use if it freezes.
Medicines should not be disposed of down the drain or in the household waste container. Ask your pharmacist how to dispose of your unwanted medicines.
Never dispose of needles or partially used or empty cartridges with household waste. After you have used a needle, you should dispose of it carefully so that no one can see, use or prick themselves with it. You can get a special sharps container from the hospital or specialist clinic.
These measures will help protect the environment.

6. ADDITIONAL INFORMATION
What does GENOTROPIN contain?
The active substance is: recombinant somatropin. Each cartridge contains 12 mg of somatropin.
After mixing the powder and solvent, up to 1 ml of injection solution is obtained. The other ingredients in the powder are: glycine (E640), mannitol (E421), sodium dihydrogen phosphate anhydrous (E339) and disodium phosphate anhydrous (E339). The ingredients in the solvent are: water for injections, mannitol (E421) and metacresol.

What does GENOTROPIN look like and what does it contain?
Your medication is contained in a two-part cartridge. It is designed to be inserted into a specially adapted injection system (pen) called Genotropin Pen 12/ Genotropin Pen 12. The front part of the cartridge contains the growth hormone together with excipients in powder form, and the back part contains the solvent.
Each pack contains one double-chamber cartridge.
Instructions for use of the medical device - the injection system (pen) Genotropin Pen / Genotropin Pen are included in its packaging. You should ask your doctor for the pen if you don't have one.

 

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