This medication is used to treat growth failure due to a lack of growth hormone. Growth hormone is normally produced in the brain by a certain gland (pituitary gland) and has various effects on development in the body. A lack of growth hormone in children results in slowed growth and short height for the child's age. Somatrogon works by providing more growth hormone, which may help the long bones (such as the arms and legs) grow longer.

How to use Ngenla 60 Mg/1.2 Ml (50 Mg/Ml) Subcutaneous Pen Injector Growth Hormone Modulators

Read the Patient Information Leaflet and Instructions for Use if available from your pharmacist before you start using somatrogon and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Read and learn all preparation and usage instructions from the manufacturer and your health care professional. This medication is injected with a device (prefilled pen) made to help you use it properly. Do not shake this medication. Shaking makes the medication not work properly. Do not share your device with another person, even if the needle is changed. You may give other people a serious infection, or get a serious infection from them. Learn how to store and discard medical supplies safely.

This medication is kept in the refrigerator and may be used straight out of the refrigerator. For a more comfortable injection, the medication can be brought to room temperature before use. Allow up to 30 minutes for the medication to reach room temperature. Do not leave the device out of the refrigerator for longer than 2 hours. If there is medication remaining in the device after use, be sure to put it back in the refrigerator. Do not warm it up in any other way such as by heating in the microwave or placing in hot water. Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid.

This medication is given by injection under the skin of the stomach (abdomen), thighs, buttocks, or upper arms as directed by your doctor, usually once weekly. Change the injection site each time to lessen injury under the skin. Do not inject into bony areas, areas that are bruised, red, sore, or hard, or areas that have scars or skin conditions.

The dosage is based on your medical condition, weight, and response to treatment.

Use this medication regularly to get the most benefit from it. To help you remember, mark the days on the calendar when you need to use the medication.

Side Effects

Pain, redness, itching, swelling, or thickening of the skin at the injection site may occur. Headache, fever, nausea, vomiting, joint/muscle pain, or cold-like symptoms (such as cough, runny/stuffy nose, sore throat) may also occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: development of a limp, hip/knee pain, increased thirst/frequent urination, severe stomach/abdominal pain, swelling hands/ankles/feet, numbness/tingling of arms/legs, symptoms of thyroid problems (such as cold intolerance, unexplained increased weight).

Somatrogon may increase your risk of getting a new tumor or cancer. Children who have had brain/head radiation treatment for cancer should be monitored for new tumors/cancers. Tell your doctor right away if you or a caregiver notice symptoms such as unusual changes in behavior, vision problems/changes, severe headache, changes in skin color, or change in the appearance or size of a mole. Talk with your doctor for details and to discuss the risks and benefits of this medication.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.


See also Side Effects section.

Before using somatrogon, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: adrenal gland problems, recent major surgery/injury, diabetes, a certain eye condition (diabetic retinopathy), kidney disease, cancer (especially of the head/neck), thyroid problems, a certain back problem (scoliosis), a certain genetic condition (Prader-Willi syndrome).

If you have diabetes, this drug may increase your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Tell your doctor right away if you have symptoms of high blood sugar such as increased thirst/urination. Your doctor may need to adjust your diabetes medication, exercise program, or diet.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if this drug passes into breast milk. Consult your doctor before breastfeeding.


Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

This medication may interfere with certain lab tests (such as pregnancy tests), possibly causing false test results. Make sure lab personnel and all your doctors know you use this drug.

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If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call 1-800-222-1222. Canada residents can call 1-844-764-7669.

Notes Notes

Do not share this medication with others.

Lab and/or medical tests (such as growth factor blood tests, thyroid function, blood sugar, cortisol level, eye exam) may be done while you are using this medication. Keep all medical and lab appointments.

Missed Dose Missed Dose

If you miss a dose, use it as soon as you remember. If it is more than 3 days after the missed dose, skip the missed dose. Use your next dose on the regular scheduled day. Do not double the dose to catch up. If you decide to change the regular scheduled day, make sure to wait at least 3 days between the last dose and the new dosing day.

Storage Storage

Store the pen device in the refrigerator away from light. After first use, write the date on the pen label and use the medication within 28 days. Discard the pen after 28 days, even if it contains unused medication. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.


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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.