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Increlex

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Increlex

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Medicine Name: Increlex
Generic Name (API): Mecasermin
Dosage Form & Strength: 10 mg /mL
Route: Subcutaneous (SC) injection only
Drug Class: rhIGF-1 analogue

Manufacturer / Innovator:

USA

Regulatory Approval:

  • FDA (US)
  • EMA (Europe)
  • HC (Canada)
  • and TGA (Australia)
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  • Temperature-Controlled Logistics for Safe and Timely Delivery

    Temperature-controlled logistics ensuring safe, reliable, and timely medicine delivery.

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What Is Increlex Used For?

Increlex (mecasermin) is a recombinant form of human insulin-like growth factor-1 (IGF-1), the hormone that mediates most of growth hormone's effect on bone and tissue growth in children. It is indicated for the:

  • Treatment of growth failure in pediatric patients 2 years of age and older with Severe Primary IGF-1 Deficiency (severe primary IGFD) or with growth hormone (GH) gene deletion who have developed neutralizing antibodies to GH.

Limitations of use: Increlex is not a substitute for growth hormone (GH) therapy in patients who respond to GH. It is not indicated for secondary forms of IGF-1 deficiency, such as GH deficiency, malnutrition, hypothyroidism, or chronic treatment with pharmacologic doses of anti-inflammatory corticosteroids, and it should not be used for growth promotion once growth plates (epiphyses) have closed.

Increlex is a prescription medicine that must be initiated and supervised by a pediatric endocrinologist or physician experienced in diagnosing and managing severe primary IGF-1 deficiency.

Recommended Dosage

Increlex is given by subcutaneous injection, generally twice daily, into the upper arm, thigh, buttock, or abdomen, rotating the injection site each time. Because Increlex has insulin-like, blood-sugar-lowering effects, each dose should be given shortly before or after (within about 20 minutes of) a meal or snack — a dose should never be given if the patient is unable to eat, and a missed dose should never be doubled up to compensate.

The typical recommended starting dose is 0.04 mg to 0.08 mg per kg of body weight, twice daily. If well tolerated for at least one week, the dose may be increased in increments of 0.04 mg/kg per dose, up to a maximum of 0.12 mg/kg twice daily. The exact starting dose, titration schedule, and duration of therapy depend on the child's age, weight, growth velocity, and tolerability, and must be individualized by the treating physician according to the full prescribing information.

This information is not a treatment plan. For personalized medical advice, consult your child's doctor and refer to the full prescribing information.

Increlex Warnings and Precautions

  • Increlex may cause low blood sugar, including severe hypoglycemia that can lead to seizures. Administer doses shortly before or after meals or snacks, and closely monitor blood glucose levels, especially during treatment initiation and in young children.
  • Serious allergic reactions, including anaphylaxis requiring hospitalization, have been reported with Increlex. Caregivers should recognize symptoms such as rash, swelling, or breathing difficulty, stop treatment immediately, and seek emergency medical attention without delay.
  • Increlex may increase pressure around the brain, causing headaches, vision changes, nausea, or vomiting. Patients should undergo eye examinations before starting treatment and periodically during therapy to detect and manage this condition early.
  • Treatment with Increlex may enlarge the tonsils and adenoids, potentially causing airway obstruction, snoring, or sleep apnea. Regular medical examinations are recommended to identify lymphoid tissue enlargement and provide appropriate treatment if needed.
  • Because Increlex promotes growth, it may increase the risk of slipped capital femoral epiphysis (SCFE) and worsen scoliosis. New limping, hip or knee pain, or spinal changes require prompt medical evaluation and management.
  • Benign and malignant tumors have been reported in some children receiving Increlex. Treatment should be discontinued if a tumor develops or is suspected, and the patient should receive immediate evaluation and ongoing care from specialists.
  • Increlex contains benzyl alcohol as a preservative, which may cause serious or fatal adverse reactions in infants. Therefore, it is not recommended for use in very young children because of this significant safety concern.
  • Increlex should be prepared and administered exactly as prescribed using sterile technique and the correct syringe size. Following proper administration instructions helps reduce dosing errors and ensures the medicine is delivered safely and effectively.

How to Access Increlex in India: A 6-Step Process

  • Step 1 – Search & request your medicine: The patient's parent/guardian or treating doctor submits a request with basic details to initiate the access process.
  • Step 2 – Verification & eligibility review: The team verifies availability and reviews eligibility against regulatory and clinical requirements to ensure a compliant pathway.
  • Step 3 – Receive quote & delivery timeline: A transparent quotation is shared, covering medicine cost, logistics, and a clear delivery timeline.
  • Step 4 – Regulatory approval process: Assistance is provided to secure the approvals and documentation required for legal cross-border access.
  • Step 5 – Temperature-controlled import & handling: The medicine is sourced and transported under strict GDP-compliant, cold-chain conditions to maintain product integrity.
  • Step 6 – Secure delivery: The medicine is delivered to the patient or treating hospital, with updates provided at each stage.

Access This Process Easily via Our App

You can manage the entire process seamlessly through the Named Patient Program App, available on both the Play Store and App Store.

  • Track your medicine request in real-time
  • Upload documents and approvals
  • View quotations and timelines
  • Get status updates at every step

You can also access detailed information by clicking Login in the website header. On mobile, open the hamburger menu (☰) and tap Login from the dropdown to get started.

Documentation & Availability

What documents are required to import Increlex to India?

Increlex (mecasermin) injection may be imported in the patient's name only, by patients or government hospitals. The following documentation is required:

  • A valid prescription from a qualified pediatric endocrinologist or physician
  • The patient's diagnostic reports
  • Patient ID proof (issued by the Government of India)

How is the order confirmed?

The order is confirmed only after receipt and verification of a valid prescription from the doctor and, if applicable, an import permit.

Is Increlex available in India?

Increlex (mecasermin injection) is a prescription medicine that legally requires a doctor's prescription to be dispensed. As of current publicly available information, Increlex is not commercially marketed in India.

However, patients in India can legally access Increlex through the Named Patient Program (NPP) — an import provision that allows a medicine not yet registered in India to be imported in the name of an individual patient, on the prescription of their treating physician.

NamedPatientProgram.com (NPP) acts as a facilitator under named patient supply, providing input on:

  • Availability of Increlex in India and pathways to access it
  • Availability in Gulf countries (Bahrain, Oman, Qatar, Kuwait, Iraq, Saudi Arabia, and the UAE)
  • Increlex price in India under the NPP route
  • Sourcing from genuine, reliable channels in the USA, Europe, China, Singapore, Canada, and Australia
  • Ensuring full transparency throughout the process

Increlex can be made available to patients, doctors, and hospitals across major cities in India, including Gurgaon, Delhi, Bangalore, Mumbai, Navi Mumbai, Thane, Hyderabad, Mysore, Kerala, Chennai, Coimbatore, Madurai, Kolkata, Ahmedabad, Surat, Vadodara, Pune, Nagpur, Nashik, Jaipur, Udaipur, Lucknow, Kanpur, Gorakhpur, Chandigarh, Mohali, Faridabad, Noida, Ghaziabad, Kochi, Trivandrum, Kozhikode, Thrissur, Kannur, Mangalore, Bhubaneswar, Patna, Ranchi, Raipur, Guwahati, Visakhapatnam, Vijayawada, Goa, Jammu, Srinagar, Dehradun, Bhopal, Indore, Ludhiana, Amritsar, and others — and can facilitate delivery to the patient's treating hospital or pediatric endocrinology clinic. Orders are confirmed only upon receipt of a valid doctor's prescription and, where applicable, an import permit.

Sourcing & Delivery of Increlex

NamedPatientProgram.com (NPP) can source Increlex from reliable global manufacturers and qualified pharmaceutical supply channels and facilitate supply to patients, doctors, and hospitals under applicable legal provisions. As a temperature-sensitive biologic, Increlex requires cold-chain handling throughout transit.

All prescriptions are dispensed and checked by registered pharmacists and dispatched from New Delhi, India, after legal requirements are fulfilled.

For Increlex cost in India and availability, contact NPP via WhatsApp at +91 98104 69557 | Toll-Free: 1800-1200-365 or email info@namedpatientprogram.com.

Availability of Increlex® Across Major Cities in India

Patients across India can access Increlex® through regulated import pathways, with delivery arranged to the treating hospital or pediatric endocrinology clinic based on a valid specialist's prescription.

Mumbai: A major pediatric and hormonal-disorder care hub, Mumbai sees demand for advanced growth-disorder therapies like Increlex® at leading children's hospitals.

Bangalore: With a growing network of multispecialty and children's hospitals, Bangalore supports access to global endocrinology treatments through structured import pathways guided by treating specialists.

Delhi: As part of the Delhi NCR region, the city has a strong concentration of pediatric endocrinology specialists, making it a key location for accessing advanced imported therapies.

Gurgaon: Home to leading hospitals, Gurgaon plays an important role in facilitating access to innovative pediatric endocrine treatments through coordinated care pathways.

Noida: With proximity to Delhi and access to top hospitals, Noida patients benefit from streamlined logistics and specialist-driven treatment planning.

Hyderabad: Hyderabad's advanced healthcare infrastructure and pediatric endocrinology expertise support patients seeking access to internationally approved growth-disorder therapies.

Chennai: Known for its established medical ecosystem, Chennai attracts patients from across India for specialized growth-disorder diagnosis and drug access.

Kolkata: A key eastern healthcare hub, Kolkata offers access to advanced pediatric endocrine care through leading hospitals and treatment centers.

Ahmedabad: Ahmedabad's expanding healthcare sector supports patients requiring advanced and imported growth-disorder therapies.

Pune: With reputed hospitals and a growing pediatric care infrastructure, Pune is an emerging center for access to specialized endocrine treatments.

Chandigarh: Serving North India, Chandigarh provides access to advanced pediatric medical care through reputed institutions and specialist-led treatment planning.

Jaipur: Jaipur's improving healthcare network enables patients to explore access to innovative growth-disorder therapies through structured import processes.

Lucknow: As a major city in North India, Lucknow supports access to advanced pediatric endocrine treatments through both public and private healthcare institutions.

Indore: Indore is emerging as a regional healthcare hub, offering access to specialized pediatric care and modern treatment pathways.

Bhopal: Patients in Bhopal can access advanced growth-disorder treatments through the growing healthcare infrastructure and referral networks.

Nagpur: Nagpur serves as a central hub for patients across Vidarbha, with increasing access to pediatric endocrine care and specialized therapies.

Surat: Surat's developing healthcare ecosystem supports patients seeking access to global pediatric endocrinology treatments through coordinated care.

Patna: As a major city in Eastern India, Patna provides growing access to growth-disorder treatment through expanding hospital networks.

Coimbatore: Coimbatore is known for quality healthcare services, offering access to advanced pediatric endocrine treatments in South India.

Kochi: With modern hospitals and specialist care, Kochi enables patients to explore access to internationally approved growth-disorder therapies.

Note: Access timelines may vary depending on documentation, regulatory approvals, and sourcing logistics.

Access/Buy Increlex® at Leading Hospitals in India

Increlex® is typically used in specialized pediatric endocrinology settings and can be accessed in coordination with leading hospitals across India, where specialists diagnose severe primary IGF-1 deficiency and guide patient-specific access pathways.

Major Hospitals with Pediatric Endocrinology / Growth Disorder Care:

  • AIIMS: As a leading government medical institution, AIIMS runs dedicated pediatric endocrinology services and supports patients requiring access to specialized and emerging growth-disorder treatments.
  • PGIMER Chandigarh: A premier government referral institute with a strong pediatric endocrine unit managing growth failure and short-stature disorders.
  • Christian Medical College (CMC), Vellore: Well-known for its endocrinology department and long-standing experience managing rare growth disorders.
  • Apollo Hospitals: With a nationwide presence, Apollo Hospitals offers pediatric endocrinology services and facilitates access to global treatment options through its extensive medical network.
  • Fortis Healthcare: Fortis hospitals are equipped with pediatric specialty care and multidisciplinary teams that manage complex growth and hormonal disorders.
  • Max Healthcare: Max Healthcare is known for its pediatric and endocrinology departments, providing access to innovative therapies under expert clinical supervision.
  • Manipal Hospitals: Manipal Hospitals supports advanced pediatric endocrine care through experienced specialists and structured treatment planning across multiple cities.
  • Medanta – The Medicity: Medanta is a renowned super-specialty hospital where complex pediatric endocrine cases are managed with advanced treatment protocols and global access support.
  • Rainbow Children's Hospital: A dedicated pediatric hospital network with specialist-led care for children with growth and hormonal disorders.
  • Kokilaben Dhirubhai Ambani Hospital: A leading private hospital in Mumbai offering pediatric endocrinology care and access to advanced global therapies.
  • Narayana Health: Narayana Health combines affordability with advanced medical care, offering pediatric specialty services across multiple locations in India.
  • Amrita Hospital: Amrita Hospital provides high-quality pediatric care with a focus on patient-centric treatment and access to modern therapies.
  • Sir Ganga Ram Hospital: A well-established hospital in Delhi providing multidisciplinary pediatric and endocrine care supported by experienced specialists.
  • Institute of Child Health, Kolkata: A specialized pediatric institute supporting diagnosis and management of childhood growth disorders in Eastern India.

Note: Increlex® is not stocked for direct purchase but is arranged through compliant import processes and delivered to the hospital or clinic for patient-specific treatment.

Written By:

Nitin Goswami, Senior Medical Content Writer

Medically Reviewed By:

Shilpi Banerjee, Registered Pharmacist (M.Pharm)

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