section name header

Pronunciation ⬇

soe-ma-TROE-pin

Classifications ⬆ ⬇

Therapeutic Classification: hormones

Pharmacologic Classification: growth hormones

Indications ⬆ ⬇

REMS


Action ⬆ ⬇

  • Produce growth (skeletal and cellular).
  • Metabolic actions include:
    • Increased protein synthesis,
    • Increased carbohydrate metabolism,
    • Lipid mobilization,
    • Retention of sodium, phosphorus, and potassium.
  • Somatropin has the same amino acid sequence as naturally occurring growth hormone and is produced by recombinant DNA techniques.
  • Growth hormone enhances GI tract mucosal transport of water, electrolytes and nutrients.
Therapeutic effects:
  • Enhanced GI absorption of water, electrolytes and nutrients in short bowel syndrome.

Pharmacokinetics ⬆ ⬇

Absorption: Well absorbed.

Distribution: Localize to highly perfused organs (liver, kidneys).

Metabolism/Excretion: Broken down in renal cells to amino acids that are recirculated; some liver metabolism.

Half-Life: Subcut—4.28±2.15 hr.

Time/Action Profile ⬆ ⬇

ROUTEONSETPEAKDURATION
Subcutunknownunknownunknown

Contraind./Precautions ⬆ ⬇

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects ⬆ ⬇

CV: edema of the hands and feet

Derm: swelling of hands and feet

Endo: hyperglycemia, hypothyroidism, insulin resistance

GI: flatulence, vomiting

Local: pain at injection site, local lipoatrophy or lipodystrophy with subcutaneous use

MS: arthralgia, musculoskeletal pain

Neuro: fever, malaise, dizziness

Interactions ⬆ ⬇

Drug-drug:

Route/Dosage ⬆ ⬇

Availability ⬆ ⬇

Assessment ⬆ ⬇

Implementation ⬆ ⬇

Patient/Family Teaching ⬆ ⬇

Evaluation/Desired Outcomes ⬆ ⬇

US Brand Names ⬆ ⬇

Zorbtive

Pot. Nursing Diagnoses ⬆ ⬇

Code ⬆

NDC Code