• Important safety information
    • Growth hormone should not be used to increase height in children after the growth plates have closed.
    • Growth hormone should not be used in patients with diabetes who have certain types of diabetic retinopathy (eye problems).
    • Growth hormone should not be used in patients with cancer or who are being treated for cancer. Growth hormone deficiency can be caused by brain tumors. So, the presence of these brain tumors should be ruled out before treatment is started. Growth hormone should not be used if it is shown that a previous brain tumor has come back or is getting larger.
    • Growth hormone should not be used in patients who are critically ill because of surgery, trauma, or respiratory failure.
    • Growth hormone should not be used in children with prader-willi syndrome who are very overweight or have severe breathing problems.
    • Hgh should not be used by patients who have had an allergy or bad reaction to somatropin or any of the other ingredients in hgh.
    • Some patients have developed diabetes mellitus while taking hgh. Dosage of diabetes medicines may need to be adjusted during growth hormone treatment. Patients should be watched carefully if growth hormone is given along with glucocorticoid therapy and/or other drugs that are processed by the body in the same way.
      In childhood cancer survivors, treatment with growth hormone may increase the risk of a new tumor, particularly certain benign brain tumors. This risk may be higher in patients who were treated with cranial
      radiation.
    • A small number of patients treated with growth hormone have had increased pressure in the brain. This can cause headaches and problems with vision. Treatment should be stopped and reassessed in these patients. Patients with turner syndrome and prader-willi syndrome may be at higher risk of developing increased pressure in the brain.
    • Thyroid function should be checked regularly during growth hormone therapy. Thyroid hormone replacement therapy should be started or adjusted if needed.
      Patients treated with growth hormone should be checked regularly if they are receiving standard hormone replacement therapy to treat a lack of more than one hormone.
    • In children experiencing rapid growth, curvature of the spine may develop or worsen. This is also called scoliosis. Patients with scoliosis should be checked regularly to make sure their scoliosis does not get worse during their growth hormone therapy.
    • In children experiencing rapid growth, limping or hip or knee pain may occur. If a child getting growth hormone therapy starts to limp or gets hip or knee pain, the child’s doctor should be notified and the child should be examined.
    • Use a different place on the body each day for growth hormone injections. This can help to prevent skin problems such as lumpiness or soreness.
    • Some cases of pancreatitis (inflamed pancreas) have been reported rarely in children and adults receiving growth hormone. There is some evidence that there is a greater risk of this in children than in adults. Literature suggests that girls who have turner syndrome may have a greater risk of pancreatitis than other children taking growth hormone. In any child who develops lasting, severe abdominal pain, pancreatitis should be considered.
    • In studies of growth hormone in children with ghd, side effects included injection site reactions, such as pain, redness/swelling, inflammation, bleeding, scarring, lumps, or rash. Other side effects were fat loss, headache, blood in the urine, low thyroid activity, and mildly increased blood sugar.
      In studies of growth hormone in children born sga, side effects included temporarily elevated blood sugar, increased pressure in the brain, early puberty, abnormal jaw growth, injection site reactions, growth of moles, and worsening of scoliosis (curvature of the spine).
      In studies of growth hormone in children with pws, side effects included fluid retention, aggressiveness, joint and muscle pain, hair loss, headache, and increased pressure in the brain.turner syndrome patients taking growth hormone therapy may be more likely to get ear infections. This is also called otitis media.deaths have been reported with the use of growth hormone in children with prader-willi syndrome. These children were extremely overweight, had breathing problems, and/or lung infection. All patients with prader-willi syndrome should be examined for these problems. They should also establish healthy weight control.
      In studies of growth hormone in children with turner syndrome, side effects included flu, throat, ear, or sinus infection, runny nose, joint pain, and urinary tract infection.
      In studies of growth hormone in children with iss, side effects included respiratory illnesses, flu, throat infection, inflammation of the nose and throat, stomach pain, headaches, increased appetite, fever, fracture, mood changes, and joint pain.
    • Women who are taking estrogen by mouth may take growth hormone. They may need a larger dose of growth hormone.
    • Growth hormone may be taken by the elderly if indicated. Elderly patients may be more likely to have side effects with growth hormone therapy.
    • In studies of growth hormone in adults with ghd, side effects included fluid retention, joint or muscle pain, stiffness, and changes in sensation. Usually these side effects did not last long and depended on the dose of growth hormone being taken.