Why is this medication prescribed?

Tesamorelin injection is prescribed for the treatment of excess fat buildup in the stomach area in people with HIV who have lipodystrophy (abnormal distribution of body fat). It is specifically indicated for reducing excess abdominal fat in HIV-infected patients with lipodystrophy.

Tesamorelin is a synthetic form of growth hormone-releasing hormone (GHRH) that works by stimulating the production and release of natural growth hormone from the pituitary gland. By increasing the levels of growth hormone, Tesamorelin helps to reduce abdominal fat in individuals with HIV-related lipodystrophy.

How should this medicine be used?

Tesamorelin injection is typically administered subcutaneously (under the skin), usually into the abdominal area. Here are general instructions for using Tesamorelin injection:

• Wash your hands thoroughly with soap and water before handling the medication.
• Prepare the injection site: Choose an area of the abdomen for the injection. Rotate the injection sites to avoid repeated injections in the same area. Clean the injection site with an alcohol swab and allow it to dry.
• Remove the cap from the vial of Tesamorelin solution. If necessary, wipe the rubber stopper with an alcohol swab.
• Use a new syringe and needle for each injection. Draw up the prescribed dose of Tesamorelin solution into the syringe according to your healthcare provider’s instructions. Ensure that you have the correct dose.
• Hold the syringe like a pencil or dart at a 45 to 90-degree angle to the skin.
• Pinch a fold of skin at the injection site with your thumb and forefinger. Insert the needle quickly and firmly into the skin at the base of the fold at the chosen injection site.
• Push the plunger of the syringe slowly and steadily to inject the medication. Once the entire dose has been injected, remove the needle from the skin.
• Dispose of the used syringe and needle in a puncture-resistant container according to local regulations. Do not reuse syringes or needles.
• Apply gentle pressure to the injection site with a clean cotton ball or gauze pad if there is any bleeding.
• Rotate the injection sites with each dose to prevent irritation or skin changes.
• Store Tesamorelin injection vials as directed by the manufacturer, typically in the refrigerator. Follow any specific storage instructions provided by your healthcare provider or pharmacist.

It’s essential to follow your healthcare provider’s instructions carefully for the correct dosage and administration of Tesamorelin injection. If you have any questions or concerns about using Tesamorelin injection, consult your healthcare provider or pharmacist for guidance.

Other uses for this medicine

Some potential off-label uses may include:

• Treatment of visceral adiposity: In addition to reducing abdominal fat, Tesamorelin injection may also be used to address excess fat accumulation in other areas of the body, particularly visceral fat, which is fat stored around internal organs.
• Improving body composition in non-HIV-related conditions: Tesamorelin injection might be considered in certain cases where abnormal fat distribution contributes to health issues, even if they are not directly related to HIV or lipodystrophy.

What special precautions should I follow?

Special precautions should be taken when using Tesamorelin injection, including:

• Medical history: Inform your healthcare provider about any medical conditions you have, especially if you have a history of cancer, diabetes, or other endocrine disorders.
• Pregnancy and breastfeeding: Tesamorelin injection should not be used during pregnancy or breastfeeding unless specifically instructed by your healthcare provider. It’s essential to discuss the potential risks and benefits with your healthcare provider if you are pregnant or planning to become pregnant.
• Monitoring: Regular monitoring of glucose levels may be necessary, especially in individuals with diabetes or those at risk of developing diabetes. Your healthcare provider may also monitor other parameters such as insulin sensitivity and lipid levels during treatment.
• Injection site reactions: Injection site reactions such as redness, swelling, or irritation may occur. Rotate injection sites and consult your healthcare provider if you experience persistent or severe reactions.
• Interactions: Inform your healthcare provider about all medications, supplements, and herbal products you are taking, as Tesamorelin injection may interact with certain medications.
• Allergic reactions: If you have a known allergy to Tesamorelin or any of its ingredients, inform your healthcare provider before starting treatment.
• Use in children: The safety and efficacy of Tesamorelin injection in pediatric patients have not been established.

Always follow your healthcare provider’s instructions and recommendations regarding the use of Tesamorelin injection, including any precautions specific to your individual situation. If you have any questions or concerns, don’t hesitate to discuss them with your healthcare provider or pharmacist.

What special dietary instructions should I follow?

Special dietary instructions for Tesamorelin Injection may include:

• Healthy diet: Follow a balanced and nutritious diet as recommended by your healthcare provider or a registered dietitian. A healthy diet can support overall health and may complement the effects of Tesamorelin in reducing excess abdominal fat.
• Limit alcohol and sugar intake: Excessive alcohol consumption and consumption of foods high in added sugars may contribute to abdominal fat accumulation. Limiting alcohol and sugar intake may help optimize the benefits of Tesamorelin treatment.

What should I do if I forget a dose?

If you forget a dose of Teriparatide Injection:

• If you miss a dose of teriparatide, take it as soon as you remember, unless it is almost time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule.
• Do not take a double dose to make up for a missed one.
• If you are unsure about what to do, or if you have missed multiple doses, consult your healthcare provider or pharmacist for guidance.

What side effects can this medication cause?

Tesamorelin injection, like any medication, can cause side effects in some individuals. Common side effects may include:

• Injection site reactions: Redness, swelling, itching, bruising, or pain at the injection site are common side effects. Rotating injection sites can help minimize these reactions.
• Joint pain: Some individuals may experience joint pain or stiffness while using Tesamorelin.
• Nausea: Nausea is a relatively common side effect of Tesamorelin treatment.
• Muscle pain or weakness: Some individuals may experience muscle pain or weakness as a side effect of Tesamorelin injection.
• Headache: Headaches may occur in some individuals using Tesamorelin.
• Peripheral edema: Swelling in the arms or legs, known as peripheral edema, can occur in some individuals.
• Hyperglycemia: An increase in blood glucose levels (hyperglycemia) may occur, particularly in individuals with pre-existing diabetes or those at risk of developing diabetes.
• Hypoglycemia: Some individuals may experience low blood glucose levels (hypoglycemia) while using Tesamorelin, especially if they are diabetic or using insulin or other medications to lower blood sugar levels.
• Increased risk of malignancy: Tesamorelin may increase the risk of developing certain types of cancer, particularly in individuals with a history of cancer or those at high risk.
• Hypersensitivity reactions: Rarely, severe allergic reactions (anaphylaxis) may occur in response to Tesamorelin injection.

It’s important to note that not all individuals will experience these side effects, and some side effects may resolve on their own over time. However, if you experience any persistent or severe side effects while using Tesamorelin injection, it’s important to notify your healthcare provider promptly. They can provide guidance on managing side effects and determine whether any adjustments to your treatment are necessary. Additionally, if you experience any signs of a severe allergic reaction, such as difficulty breathing or swelling of the face, lips, tongue, or throat, seek immediate medical attention.

What should I know about storage and disposal of this medication?

Storage and disposal of Tesamorelin Injection:

• Storage: Store Tesamorelin injection vials in the refrigerator between 36°F to 46°F (2°C to 8°C). Do not freeze. Keep the vials in the original carton to protect them from light. Once reconstituted, the solution should be used immediately or stored in the refrigerator and used within 14 days. Do not freeze the reconstituted solution.
• Disposal: Dispose of used needles and syringes in a puncture-resistant container. Follow local regulations or guidelines for proper disposal of medical waste. Do not reuse needles or syringes.

In case of emergency/overdose

If you suspect an overdose of Tesamorelin injection or experience severe symptoms such as difficulty breathing, fainting, or severe allergic reactions, seek immediate medical attention or contact your local poison control center. In the United States, you can call the Poison Help hotline at 1-800-222-1222.

What other information should I know?

• Regular follow-up: Attend all scheduled appointments with your healthcare provider for monitoring and evaluation of your response to Tesamorelin treatment. Your healthcare provider may order blood tests or other assessments to monitor your progress and check for any side effects.
• Lifestyle modifications: Tesamorelin injection is typically used as part of a comprehensive treatment plan that may include lifestyle modifications such as a healthy diet, regular exercise, and smoking cessation. Follow your healthcare provider’s recommendations for maintaining a healthy lifestyle.
• Keep a list of medications: Keep a list of all medications, supplements, and herbal products you are taking, and share it with your healthcare provider. This can help prevent potential drug interactions and ensure safe and effective treatment.
• Medical alert: If you have diabetes or other medical conditions, wear a medical alert bracelet or carry a medical alert card indicating that you are using Tesamorelin injection. This can help ensure appropriate medical treatment in case of emergencies.
• Follow instructions carefully: Always follow your healthcare provider’s instructions for using Tesamorelin injection, including dosing, administration, and any special precautions or dietary instructions.

If you have any further questions or concerns about Tesamorelin injection or its use, consult your healthcare provider or pharmacist for personalized guidance.