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somapacitan

Human growth hormone analogue · Growth hormone replacement

Human growth hormone analogueGrowth hormone replacement
CDSCO approved
EXCRETION
not curated
INTERACTIONS
3 major
SEVERE in our sources
PREGNANCY
not curated
Top interactions
  • BexaroteneSevereDatabaseDDInter
  • LevacetylmethadolSevereDatabaseDDInter
  • LumateperoneSevereDatabaseDDInter

Mechanism

Somapacitan is a human GH analogue designed with an albumin-binding moiety. This moiety extends the half-life and reduces the clearance of somapacitan by allowing reversible binding to endogenous albumin, enabling once-weekly administration.

Indications

Adults with GH deficiency

Dosing

Adult
Typical starting dose is 1.5 mg weekly. This dose is increased in increments of 0.5 to 1.5 mg (weekly dose no higher than 8 mg) until the desired clinical response and serum IGF-1 concentrations are achieved.

Pharmacokinetics

Peak effect
Maximum concentration after initial subcutaneous injection is reached in 4 to 24 h, with steady-state concentrations achieved within 2 weeks.
Half-life
2 to 3 days
Protein binding
greater than 99% bound to plasma proteins

Contraindications

  • Follows same indications and contraindications for GH in adults (e.g., closed epiphyses for growth promotion, acute critical illness, active malignancy, severe diabetic retinopathy, hypersensitivity).

Side effects

Common
Back and joint painIndigestionSleep disorderDizzinessTonsillitisPeripheral edemaVomitingAdrenal insufficiencyHypertensionIncrease in blood creatine phosphokinaseWeight gainAnemiaArthralgiaDyspepsia

Drug interactions

Bexarotene
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Levacetylmethadol
Severe
Database

Clinical effect not specified

Source: DDInter

Lumateperone
Severe
Database

Clinical effect not specified

Source: DDInter

9 additional low-confidence interactions hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

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Sources: Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team