mecasermin rinfabate

Brand name(s):

iPlex

What is the most important information I should know about mecasermin rinfabate?

Your child should not use mecasermin rinfabate if your child has cancer, has finished growing (the bone growth plates are closed), or has other causes of growth failure.

This medicine must be given 20 minutes before or after the child eats a meal or snack. Do not use the medicine if the meal or snack is not eaten for any reason. Wait until the child has eaten and 20 minutes have passed before giving the mecasermin rinfabate injection. Mecasermin rinfabate may lower blood sugar levels if it is used without eating.

Always eat a meal or snack 20 minutes before or after injecting mecasermin rinfabate.

Mecasermin rinfabate may cause a bone problem in the top of the upper leg. Get medical attention right away if your child develops a limp or has hip or knee pain.

Know the signs of low blood sugar (hypoglycemia) and how to recognize them in your child. Always keep a source of sugar available in case your child has symptoms of low blood sugar. Sugar sources include orange juice, glucose gel, candy, or milk. Severe hypoglycemia may cause fainting, seizure (convulsions), or death. If your child has severe hypoglycemia and cannot eat or drink, give an injection of glucagon. Your doctor can give you a prescription for a glucagon emergency injection kit and tell you how to give the injection.

Mecasermin rinfabate may cause a temporary increase in pressure within the brain. Call your doctor at once if your child has pain behind the eyes, and nausea with vomiting.

Mecasermin rinfabate may worsen scoliosis. If your child has scoliosis, he or she will need to be checked often for an increase in the curve of the spine.

What is mecasermin rinfabate?

Mecasermin rinfabate is a man-made form of insulin-like growth factor-1 (IGF-1), which is normally produced by the body. IGF-1 is important for the growth of bones and muscles.

Mecasermin rinfabate is used to treat growth failure in children whose bodies do not make enough IGF-1.

Mecasermin rinfabate may also be used for other purposes not listed in this medication guide.

What should I discuss with my healthcare provider before using mecasermin rinfabate?

Your child should not use mecasermin rinfabate if the child:

has finished growing (the bone growth plates are closed);
has cancer; or
has other causes of growth failure.

Before receiving this medication, tell your child's doctor if the child has:

diabetes;
kidney problems;
liver problems; or
scoliosis (a curved spine).

If your child has any of these conditions, he or she may need a dose adjustment or special tests to safely use mecasermin rinfabate.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether mecasermin rinfabate passes into breast milk or if it could harm a nursing baby. This medication should not be used while breast-feeding a baby.

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