-other forms of growth hormone
-medicines for diabetes
-steroid medicines like prednisone or cortisone

They need to know if you have any of these conditions:

-cancer
-diabetes
-kidney disease
-liver disease
-sleep apnea or loud snoring
-scoliosis
-thyroid disease
-an unusual or allergic reaction to mecasermin, benzyl alcohol, other medicines, foods, dyes, or other preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your doctor or health care professional for regular checks on your progress.

Dangerously low blood sugar can occur when this medicine is injected and no food is eaten within 20 minutes. Checking and recording your blood sugar is very important when you start this medicine and whenever the dose is changed. Avoid participating in any high-risk activities like driving within 2 to 3 hours after a dose until a well-tolerated dose of this medicine has been established.

Learn how to check your blood sugar. Learn the symptoms of low blood sugar and how to manage them. Always carry a quick-source of sugar with you in case you have symptoms of low blood sugar. Examples include orange juice, glucose gel, candy, or milk. Make sure others know that you can choke if you eat or drink when you develop serious symptoms of low blood sugar, such as seizures or unconsciousness. They must get medical help at once. If a child becomes unresponsive, you may need to administer an injection of glucagon. Make sure you understand how to do this before starting therapy with this medicine.

Keep out of the reach of children.

Store in the refrigerator between 2 and 8 degrees C (35 and 46 degrees F). Do not freeze. Protect from light. Once opened, vials must be discarded after 30 days. Throw away any unopened medicine after the expiration date.