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Drugs reference index «Increlex»

Increlex


Increlex

Generic Name: mecasermin (Subcutaneous route)

me-ka-SER-min

Commonly used brand name(s):

In the U.S.

  • Increlex
  • Iplex

Available Dosage Forms:

  • Solution

Therapeutic Class: Endocrine-Metabolic Agent

Uses For Increlex

Mecasermin is a synthetic (man-made) version of insulin-like growth factor-1 (IGF-1) hormone. IGF-1 is produced in the liver and plays an important role in childhood growth. Mecasermin is used to replace IGF-1 in children who are severely lacking it in their bodies.

This medicine is available only with your doctor's prescription.

Before Using Increlex

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Studies on this medicine have not been done in children under 2 years of age.

Geriatric

This medicine is not used in adults or older adults.

Pregnancy

Pregnancy CategoryExplanation
All TrimestersCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Closed epiphyses (e.g., growth centers in the bones show no more growth potential)—Mecasermin should NOT be used in these patients.
  • Hypothyroidism (e.g., underactive thyroid) or
  • Nutrition deficiencies—These problems should be corrected before starting treatment with mecasermin.
  • Neoplasia, active or suspected (e.g., cancerous or noncancerous tumor)—Mecasermin should NOT be used. It should be discontinued if signs of neoplasia occur.

Proper Use of mecasermin

This section provides information on the proper use of a number of products that contain mecasermin. It may not be specific to Increlex. Please read with care.

Some medicines given by injection may sometimes be given at home to patients who do not need to be in the hospital. If you are using this medicine at home, your health care professional will teach you how to prepare and inject the medicine. You will have a chance to practice preparing and injecting it. Be certain that you understand exactly how the medicine is to be prepared and injected.

It is important to read the patient information and instructions for use, if provided with your medicine, each time your prescription is filled.

This medicine must be taken 20 minutes before or 20 minutes after a snack or meal.

If a meal or snack is not given, then the dose should not be given.

It is important to follow any instructions from your doctor about the careful selection and rotation of injection sites on your body. This will help to prevent skin problems.

This medicine should NEVER be injected into a vein or muscle. It should always be injected under the skin.

Put used needles and syringes in a puncture-resistant disposable container or dispose of them as directed by your health care professional. Do not reuse needles and syringes.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For injection
    • For treatment of growth failure caused by IGF-1 deficiency:
      • Children—At first, 0.04 to 0.08 milligrams (mg) per kg (0.018 to 0.036 mg per lb) under the skin two times a day. Your doctor may then increase the dose, if necessary.

Missed Dose

Call your doctor or pharmacist for instructions.

Do not double doses.

Storage

Keep out of the reach of children.

Store in the refrigerator. Do not freeze.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Be sure that any discarded medicine is out of the reach of children.

Precautions While Using Increlex

It is very important that your doctor check you at regular visits.

This medicine may cause low blood sugar with the following symptoms that you should be aware of: anxiety; blurred vision; chills; cold sweats; coma; confusion; cool pale skin; depression; dizziness; fast heartbeat; headache; increased hunger; nausea; nervousness; nightmares; seizures; shakiness; slurred speech; unusual tiredness or weakness. It is important to have a source of sugar such as orange juice, candy, soda, glucose gel, or milk, if these symptoms occur.

You should avoid participating in high risk activities such as driving within 2 to 3 hours after your mecasermin injection, especially at the beginning of mecasermin treatment.

Increlex Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common
  • Anxiety
  • bluish skin color of fingertips
  • blurred vision
  • breathlessness
  • chest pain
  • chills
  • cold sweats
  • coma
  • confusion
  • cool pale skin
  • depression
  • dizziness
  • fast heartbeat
  • fatigue
  • headache
  • increased hunger
  • loss of hearing
  • nausea
  • nervousness
  • nightmares
  • rapid growth of normal cells of thymus (no symptoms)
  • seizures
  • shakiness
  • slurred speech
  • thickening of the skin
  • unusual tiredness or weakness
Incidence not known
  • Change in ability to see colors, especially blue or yellow
  • limp
  • pain in hip or knee
  • vomiting
Symptoms of overdose

Get emergency help immediately if any of the following symptoms of overdose occur:

  • Anxiety
  • backache
  • blurred vision
  • changes in vision
  • chills
  • cold sweats
  • coma
  • confusion
  • cool pale skin
  • depression
  • dizziness
  • excessive sweating
  • extreme weakness
  • fast heartbeat
  • frequent urination
  • headache
  • increase in hands and feet size
  • increased hunger
  • increased thirst
  • increased volume of pale diluted urine
  • joint pain
  • nausea
  • nervousness
  • nightmares
  • pain in extremities
  • seizures
  • shakiness
  • slurred speech
  • stop in menstruation
  • unusual tiredness or weakness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common
  • Abnormal response of tympanic membrane to air pressure
  • difficulty in moving
  • difficulty swallowing
  • dizziness
  • ear pain
  • earache
  • large, flat, blue or purplish patches in the skin
  • muffled hearing
  • muscle pain or stiffness
  • pain in arms or legs
  • pain in joints
  • redness or swelling in ear
  • sense of fullness in the ear
  • snoring
  • sore throat
  • voice changing

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

The information contained in the Thomson Healthcare (Micromedex) products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

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  • Increlex Prescribing Information (FDA)
  • Increlex MedFacts Consumer Leaflet (Wolters Kluwer)
  • Increlex Consumer Overview
  • Mecasermin Professional Patient Advice (Wolters Kluwer)

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