Short answer: The Increlex label says that if one or more doses are missed, do not increase the next doses to make up for them. The Patient Information also says to skip a dose if your child cannot eat for any reason, because Increlex can lower blood sugar. It is given twice daily with a meal or snack.
| Situation | What the label says |
|---|---|
| Schedule | Twice daily, shortly before or after a meal or snack (2.1) |
| Missed one or more doses | Do not increase later doses to make up (2.1) |
| Child cannot eat | Skip that dose (Patient Information) |
| Main risk | Low blood sugar (hypoglycemia) (5.1) |
| Late dose | No late window in the label |
Section 2.1 says that if one or more doses of Increlex are missed, do not increase the next doses to make up for the omitted ones. The Patient Information says not to give an extra dose or increase the amount to make up for a missed dose.
Example: your child's doses are with breakfast and dinner, and the breakfast dose was missed. Under the label the dinner dose stays the usual amount. The label does not give a window for giving the morning dose late, so ask your child's doctor.
Increlex has insulin-like effects. The label warns that severe low blood sugar, including seizures, has happened with Increlex and says to give it shortly before or after a meal or snack. The Patient Information says to skip the dose if your child cannot eat for any reason.
The Increlex label does not say how to restart after several days. That is a question for your prescriber.
The label starts at a low dose and increases weekly if tolerated, with blood sugar checks at the start (section 2.1). Ask before restarting at the full dose.
This page summarizes FDA labeling. It is not personalized medical advice; confirm what to do with your prescriber or pharmacist.