Mekasmin

【Product name】Increlex

[English common name]Mecasermin

[Chinese common name]Mekasmin

[English name]Mecasermin [INN:BAN]

[Chinese other name]Humanized mekamin

[Indications] Mecamaster is mainly used for long-term treatment of severe primaryIGF-1Lack of children, or loss of growth hormone (GH) gene and insufficient growth of GH neutralizing antibodies in the body. Mecamaster cannot be used to treat secondary IGF-1 deficiency (eg, IGF-1 deficiency due to GH deficiency, malnutrition, hypothyroidism, or long-term use of hormone anti-inflammatory therapy).

[Usage and Dosage] Mecamaster is a clarified sterile injection with a specification of 4ml: 40mg. Mecamaster should be administered in a personalized manner, with an initial dose of 0.04 to 0.08 mg/kg (40 to 80 μg/kg), twice a day, subcutaneously. If the patient is well tolerated after 1 week of administration, the dosage of mecamylamine can be increased by 0.04 mg/kg per dose until the maximum dose is 0.12 mg/kg (2 times a day). The investigators have not evaluated clinical manifestations of doses above 0.12 mg/kg in children with primary IGF-1 deficiency, and because of the possible hypoglycaemic response, it is recommended that the dose of mecamylamine not exceed 0.12 mg/kg. .
If the patient still has a hypoglycaemic response with the recommended dose of mecamylamine and sufficient food intake, the dose of mecamylamine should be moderately reduced. Mecamylamine should be administered within a short period of time (approximately 20 minutes) before or after a meal or meal. If the patient is unable to eat before and after administration, the administration should be cancelled. Moreover, at the time of the next administration, the patient cannot arbitrarily increase the dose due to the previous administration. When the drug is administered by mecamylamine, the different administration sites should be alternately replaced in turn, and should not be fixed at the same site.

[Storage] Mecamsamine should be stored in the dark at 2-8 °C and should not be frozen. When the vial is opened, the mecamylamine can be stored stably at 2-8 °C for 30 days.

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