SacKID GROWTH
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  • Home
  • Contact
  • EXPECTATIONS of GH Therapy - Dr. G Prakasam
  • Growth hormone Reference Articles
  • Growth Videos
  • Growth hormone brands
  • Growth hormone ESPANOL
  • Evaluation for growth
  • Resources for growth
  • Facebook
  • Constitutional Delay of Growth
  • Turner Syndrome and Short Stature
  • Glossary
SacKID GROWTH

Growth Hormone Brands

Growth Hormone Brands
*Click on the brand name to visit the company's website
Genotropin
Company: Pfizer, Inc
Case Manager: Bernadette Owens
Phone Number: 1-800-645-1280 Ext 5819


Humatrope
Company: Eli Lilly/ Humatrope Direct Connect 
Case Manager: La' Tanaya Lee
Phone Number: 1-844-862-8767 Opt 1 Ext 6984

Increlex
Company: 
IPSEN Biopharmaceuticals Inc. 
Case Manager: Shay
​Phone Number: 1-866-435-5677

Norditropin
Company: Novo Nordisk, Inc
​Case Manager: Nicholas Buckman
​Phone Number: 1-888-668-6444 ext 41360
Fax: 1-888-508-8200



​Nutropin 
Company: Genentech
Case Manager: Frances Logan
Phone Number: 866-688-7674 Opt 1 Ext 5027

Omnitrope
Company: Sandoz
Case Manager: Thresa Moore
​Phone Number: 1-877-456-6794 Opt 2

​Saizen 
Company: Sandoz, Inc.
​Case Manager: Pam Rossi
Phone Number: 1-800-582-7989

Zomacton 
Company: Ferring Pharmaceuticles  
Case Manager: 
​Phone Number: 1-844-944-9646

Skytrofa
Company: Ascendis
Website: skytrofa.com

Growth Hormone Devices
Just as there are different brands of growth hormone treatments exist, there are various methods of injection for each brand.  Below, each injection device is listed by category along with the growth hormone it was designed to deliver.  There are three categories: electronic, pens and needle-free devices.  Together, with your healthcare provider you can select the one that fits your child best.

​Not every injection device is appropriate for every child.  Your doctor will recommend options that are right for your child's age, weight, acceptance of needles, ability to bruise, other medical conditions like a blood disorder and your health insurance plan.  Device use requires training and adult supervision.  Injection site reactions can occur.

LONG ACTING GROWH HORMONE - SKYTROFA
Discussion at Skytrofa - before the first injection
Learn the injection technique properly


Please make sure you get contact information for any kind of follow up for learning about injections
Please read the patient information in detail and do not hesitate to ask any questions now or during your follow u visit

Administration Instructions


SKYTROFA is available in 9 cartridges (dosage strengths in somatropin equivalents). Selection of the appropriate cartridge is based on the prescribed dose (mg/kg) and the patient's body weight (kg).
  • If prescribing a dose of 0.24 mg/kg/week and the patient's weight is 11.5 to 100 kg, follow the recommended dosing in Table 1.
  • If prescribing a dose other than 0.24 mg/kg/week, calculate the total weekly dose (in mg) and select the appropriate cartridge as follows:
    –
    Total weekly dose (mg) = prescribed weekly dose (mg/kg) × patient's body weight (kg).
    –
    Round the total weekly dose (mg) to the closest cartridge dose while also considering treatment goals and clinical response.
Weight (kg) Dose (mg)Table 1: Recommended Dosing for Patients Prescribed Doses of 0.24 mg/kg/week

11.5 – 13.9 3
14 – 16.4 3.6
16.5 – 19.9 4.3
20 – 23.9 5.2
24 – 28.9 6.3
29 – 34.9 7.6
35 – 41.9 9.1
42 – 50.9 11
51 – 60.4 13.3
60.5 – 69.9 15.2 (using two cartridges of 7.6 mg each)
70 – 84.9 18.2 (using two cartridges of 9.1 mg each)
85 – 100 22 (using two cartridges of 11 mg each

Preparation and Administration
  • The SKYTROFA cartridge has been designed for use only with the SKYTROFA Auto-Injector.
  • If refrigerated, the SKYTROFA cartridge must be kept at room temperature for 15 minutes before use.
  • The SKYTROFA Auto-Injector provides a fully automated reconstitution of the lyophilized drug product which is followed by a manual mixing step controlled by the device. When the injection needle is inserted into the skin, the device automatically delivers the drug product. The built-in electronics and software assist the user during the entire preparation and injection sequence and provide confirmation that the full dose has been delivered.
  • The mixed solution should be clear and colorless to opalescent and may occasionally contain air bubbles. DO NOT inject if the solution is cloudy or contains particulate matter.
  • Use SKYTROFA cartridges within 4 hours after reconstitution. Discard reconstituted SKYTROFA cartridges after 4 hours when stored at room temperature up to 86°F (30°C).
  • Inject SKYTROFA subcutaneously into the abdomen, buttock, or thigh. Rotate injection sites between and within regions to reduce the risk of lipoatrophy.


Missed Doses
  • Administer a missed dose as soon as possible and not more than 2 days after the missed dose.
  • To avoid missed doses, SKYTROFA can be taken 2 days before or 2 days after the scheduled dosing day. Resume once-weekly dosing for the next dose at the previously scheduled dosing day.
  • If more than 2 days have passed from the scheduled day, skip the dose and administer the next dose on the regularly scheduled day.
  • At least 5 days should elapse between doses.



Important information to remember with Growth hormone treatment
1. Growth hormone approvals and re-authorizations: After we submit our request for growth hormone therapy, it takes time before the child is actually started on medication. The final decision of Growth hormone therapy approval is by the child's insurance coverage. There is no way to assure, the timing of the approval process, even though we will do our best to get a timely approval. Meanwhile we request the family to stay on top with all follow up appointments, answering phone calls/messages from various parties, supplying all the necessary information. Please check with our insurance regarding your share of cost
2. NEEDS SCOLIOSIS SCREEN DURING ANNUAL PHYSICAL EXAM IN PRIMARY MEDICAL CARE OFFICE AND IF NEED BE TO ORDER SCOLIOSIS SCREENING RADIOLOGY EXAM
3, Adverse and Side effects of GH discussed: Information about GH side effects given. Information of various side effects including pseudo tumor cerebri, slipped femoral epiphysis, increased incidence of secondary tumors, risk of insulin resistance, possible risk of slight increase in cancer (controversial and not always agreed upon). Need for regular scoliosis screen emphasized. Contraindications of GH discussed: Not to use GH at times of acute illness, hospitalization, any malignancy, relapse of tumor, sleep apnea explained
Web resources for reference given
4. Adverse and Side effects of GH discussed: Information about GH side effects given. Information of various side effects including pseudo tumor cerebri, slipped femoral epiphysis, increased incidence of secondary tumors, risk of insulin resistance, possible risk of slight increase in cancer (controversial and not always agreed upon). Need for regular scoliosis screen emphasized. 5. Contraindications of GH discussed: Not to use GH at times of acute illness, hospitalization, any malignancy, relapse of tumor, sleep apnea explained
Web resources for reference given
6. FIRST DAY OF MEDICATION: Detailed revisit of therapy, side effects, web resources, support groups given. Importance of consistency with therapy discussed. Importance of regular appointments and follow ups along with necessary dose changes explained. Explained the importance of contacting us for any side effects emphasized. Also explained that these appointments do not replace their regular physicals with primary care physicians

Electronic Device
​Device name
easypod
® from EMD Serono​
Growth hormone used with device
Saizen® [somatropin (rDNA origin) for injection]

Needle-Free
Device name
cool.click
®2 ​from EMD Serono
Tjet®​ from Teva Select Brands
Growth hormone used with device
Saizen® [somatropin (rDNA origin) for injection]
Tev-Tropin® [somatropin (rDNA origin) for injection]

​Pens

Device name

​one.click® from EMD Serono
HumatroPen® from Eli Lilly
Nutropin AQ NuSpin
™ from Genentech
Nutropin AQ Pen® from Genentech
FlexPro® from Novo Nordisk
NordiFlex® from Novo Nordisk
NordiPen® from Novo Nordisk
Genotropin Pen® from Pfizer
Genotropin Miniquick® from Pfizer
Omnitrope® Pen from Sandoz
Skytrofa Autoinjector from Ascendis

Growth hormone used with device 
​Saizen
® [somatropin (rDNA origin) for injection]
Humatrope® [somatropin (rDNA origin) for injection]
Nutropin® [somatropin (rDNA origin) for injection]
Nutropin® [somatropin (rDNA origin) for injection]
Norditropin® [somatropin (rDNA origin) for injection]
Norditropin® [somatropin (rDNA origin) for injection]
Norditropin® [somatropin (rDNA origin) for injection]
Genotropin® [somatropin (rDNA origin) for injection]
Genotropin® [somatropin (rDNA origin) for injection]
Omnitrope® [somatropin (rDNA origin) for injection]​
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