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Geref Side Effects, and Drug Interactions - Sermorelin
SIDE EFFECTS
A large proportion of patients develop anti-GRF antibodies at least once during treatment with Geref® (sermorelin acetate for injection). The significance of these antibodies is not clear and often a positive test at one growth assessment will become negative by the next assessment. The presence of antibodies does not appear to affect growth or appear to be related to a specific adverse reaction profile. No generalized allergic reactions to Geref® have been reported.
The most common treatment-related adverse event (occurring in about 1 patient in 6) is local injection reaction characterized by pain, swelling or redness. Of 350 patients exposed to Geref® in clinical trials, three discontinued therapy due to injection reactions. Other treatment-related adverse events had individual occurrence rates of less than 1% and include: headache, flushing, dysphagia, dizziness, hyperactivity, somnolence and urticaria.
When administered intravenously for diagnostic use, the following adverse reactions have been noted: flushing of the face, injection site pain, redness and/or swelling, nausea, headache, vomiting, dysgeusia, pallor and tightness in the chest.
The clinical pharmacology suggests that Geref® is very unlikely to be associated with drug abuse or dependence and there have been no reports of this from clinical trials.
Concomitant glucocorticoid therapy may inhibit the response to Geref®. There was no evidence in the controlled studies of Geref®'s interaction with drugs commonly used in the treatment of routine pediatric problems/illnesses. However, formal drug interactions studies have not been conducted.
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