Growth disturbance in short children born small for gestational age

Active Ingredient: Somatropin

Indication for Somatropin

Population group: only minors (0 - 18 years old)
Therapeutic intent: Curative procedure

Growth disturbance [current height standard deviation score (SDS) < -2.5 and parental adjusted height SDS < -1] in short children born small for gestational age (SGA), with a birth weight and/or length below -2 SD, who failed to show catch-up growth [height velocity (HV) SDS < 0 during the last year] by 4 years of age or later.

For this indication, competent medicine agencies globally authorize below treatments:

1 mg/m² once daily

For:

Route of admnistration

Subcutaneous

Defined daily dose

1 - 1 mg per m² of body surface area (BSA)

Dosage regimen

From 1 To 1 mg per m² of body surface area (BSA) once every day

Detailed description

A dose of 1 mg/m² body surface area per day is usually recommended until final height is reached. Treatment should be discontinued after the first year of treatment if the height velocity SDS is below +1. Treatment should be discontinued if height velocity is <2 cm/year and, if confirmation is required, bone age is >14 years (girls) or >16 years (boys), corresponding to closure of the epiphyseal growth plates.

Dosage considerations

The injection should be given subcutaneously and the site varied to prevent lipoatrophy.

35 ug/kg once daily

For:

Route of admnistration

Subcutaneous

Defined daily dose

35 ug per kg of body weight

Dosage regimen

35 ug per kg of body weight once every day

Detailed description

A dose of 0.035 mg/kg body weight per day is usually recommended until final height is reached. Treatment should be discontinued after the first year of treatment if the height velocity SDS is below +1. Treatment should be discontinued if height velocity is <2 cm/year and, if confirmation is required, bone age is >14 years (girls) or >16 years (boys), corresponding to closure of the epiphyseal growth plates.

Dosage considerations

The injection should be given subcutaneously and the site varied to prevent lipoatrophy.

Active ingredient

Somatropin

Somatropin is a potent metabolic hormone of importance for the metabolism of lipids, carbohydrates and proteins. In children with inadequate endogenous growth hormone, somatropin stimulates linear growth and increases growth rate. In adults, as well as in children, somatropin maintains a normal body composition by increasing nitrogen retention and stimulation of skeletal muscle growth, and by mobilization of body fat.

Read more about Somatropin

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