Drug Detail:Iplex (Mecasermin rinfabate [ meh-kaz-er-men-rin-fa-bayt ])
Drug Class: Insulin-like growth factors
Drug Detail:Iplex (Mecasermin rinfabate [ meh-kaz-er-men-rin-fa-bayt ])
Drug Class: Insulin-like growth factors
Growth failure in children with severe primary Insulin-like Growth Factor-1 deficiency or with growth hormone gene deletion who have developed neutralizing antibodies to growth hormone.
3 years old to adult (closed epiphyses):
initial dose: 0.5 mg/kg once daily by subcutaneous injection. To establish tolerability, glucose monitoring should be considered at treatment initiation or when a dose has been increased. The dosage can be titrated up to the maximum of 2 mg/kg per day. Doses should be administered at approximately the same time each day. If the patient is unable to eat shortly before or after a dose for any reason, that dose should be withheld. Subsequent doses should never be increased to make up for one or more missed doses.
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