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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:
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.
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.
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Increlex (mecasermin) injection may be imported in the patient's name only, by patients or government hospitals. The following documentation is required:
The order is confirmed only after receipt and verification of a valid prescription from the doctor and, if applicable, an import permit.
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:
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.
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.
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.
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:
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.
Nitin Goswami, Senior Medical Content Writer
Shilpi Banerjee, Registered Pharmacist (M.Pharm)
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