INSUGRO-DS

ContentsVial: IGF1 DES (Somatomedin C), 1mg.
Ampoule: Sterile water for injection 2ml.
AdministrationIntramuscular or subcutaneous injection.
StorageStore at room temperature away from heat and direct sunlight prior to reconstitution. Refrigerate between 2-8’C post reconstitution.
DosageAdult: SC IGF 1 deficiency Initial: 4 mcg/kg/day. May increase dose gradually. Max: 10 mcg/kg/day. HIV-associated wasting or cachexia 5 mcg/kg/day at bedtime. Can be administered multiples times a day.
ContraindicationsAcute critical illness due to heart or abdominal surgery, multiple accidental trauma or respiratory failure; active neoplasms, proliferative or preproliferative diabetic retinopathy; lactation; patients with closed epiphyses. Intracranial lesions. Patients with Prader-Willi syndrome who are severely obese or have severe respiratory impairment.
Special PrecautionsMonitor thyroid function; benign intracranial hypertension. DM; may require dose reduction in insulin. Pregnancy. Discontinue treatment if there is evidence of tumour growth. Monitoring in patients with scoliosis is recommended due to risk of progression of scoliosis.
Adverse Drug ReactionsHypothyroidism, peripheral oedema; headache; muscle and joint pain; benign intracranial hypertension. Loss of glycaemic control in diabetics.
Drug InteractionsHigh doses of corticosteroid may inhibit growth-promoting effects of IGF1 DES.
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