Eutropin 4iu is used to treat patients with disturbance in normal growth due to insufficient secretion of growth hormone (growth hormone deficiency, GHD). How it works Eutropin 4iu is a recombinant (not derived from human / animal tissue) growth hormone and resembles the natural human growth hormone, required for growth of muscles and bones. It also helps in development of fats and muscle tissues in appropriate amounts. Common side effects puffy swollen fingers/ ankles, Joint/muslce pain, temporary itching /redness at site of injection., stiffness/ numbness in arms and legs, burning sensation or pain in hands /underarms Eutropin 4iu :Adult: SC Growth hormone deficiency Initial: 6 mcg/kg/day. May increase dose gradually. Max: 12.5 mcg/kg/day. HIV-associated wasting or cachexia 0.1 mg/kg/day at bedtime. May take on alternate days for patients at increased risk of adverse effects. Max: 6 mg/day. Short bowel syndrome100 mcg/kg/day for 4 wk. Max: 8 mg/day. Before you receive somatropin, tell your doctor about all your past and present medical conditions, especially allergies, trauma, surgery, diabetes, cancer, breathing problems, liver or kidney disease, scoliosis, high blood pressure, pancreas disorder, underactive thyroid, or a brain tumor. Also tell your doctor about all other medications you use, especially steroids or diabetes medications. Your dosages of these medicines may need to be changed when you start using somatropin. Do not stop using a steroid suddenly or change any of your medication doses without your doctor’s advice. If you have Prader-Willi syndrome and are using somatropin, call your doctor promptly if you develop signs of lung or breathing problems such as shortness of breath, coughing, or new or increased snoring. Call your doctor at once if you have sudden and severe pain in your upper stomach with nausea and vomiting, fast heartbeat, increased thirst or urination, weight loss, or vision changes and sudden, severe pain behind your eyes. 2What are the Side Effects ? Eutropin 4iu :Hypothyroidism, peripheral oedema; headache; muscle and joint pain; benign intracranial hypertension. Loss of glycaemic control in diabetics. 3What Precautions should be taken ? Eutropin 4iu :Monitor thyroid function; benign intracranial hypertension. DM; may require dose reduction in insulin. Pregnancy. Discontinue treatment if there is evidence of tumour growth. Monitoring in patients with scoliosis is recommended due to risk of progression of scoliosis.