[Missed dose · Genotropin / Norditropin]

I missed my growth hormone (Genotropin or Norditropin) injection. What now?

somatropin (growth hormone) · Weekly dose split into 6 or 7 daily injections · Label checked

Short answer: Neither the Genotropin nor the Norditropin label gives missed-dose instructions. Both describe a weekly dose divided into 6 or 7 daily injections under the skin, and somatropin has a half-life of only a few hours. Do not double the next injection without asking. Check with your prescriber or the treatment center's nurse line for a plan.

What does the Genotropin / Norditropin label say about missed doses?

From the FDA label on DailyMed. Numbers in brackets are label section numbers.
SituationWhat the label says
Label scheduleWeekly dose divided into 6 or 7 subcutaneous injections (Genotropin 2; Norditropin 2.2)
Missed-dose ruleNone in either label
Half-life after SC injectionAbout 3 hours (Genotropin 12.3); about 2 hours (Norditropin 12.3)
Site rotationRotate sites daily to help prevent lipoatrophy (Genotropin 2.3)

Do the Genotropin and Norditropin labels say what to do if I miss a dose?

No. We searched both full prescribing information documents, including the patient information and instructions for use, on DailyMed. Neither contains a missed-dose instruction.

Both labels set dosing by the week: Genotropin says the weekly dose should be divided into 6 or 7 subcutaneous injections (section 2), and Norditropin says to divide the weekly dose into equal doses given 6 or 7 days per week for children (section 2.2) and gives a daily dose for adults (section 2.3).

Why does one missed growth hormone dose matter less than people fear?

Somatropin is short-acting: the Genotropin label gives a half-life of about 3 hours after a subcutaneous injection in adults with growth hormone deficiency, and the Norditropin label about 2 hours in healthy adults. Each injection acts on its own day; a missed injection is not "carried" into the next one.

Because the labels are written around a weekly total split over 6 or 7 days, some schedules already include a day off. Your prescriber can tell you whether a missed day should simply be skipped.

Can I take two growth hormone doses in one day?

The labels do not describe catch-up doses. The Genotropin label lists fluid retention as a common side effect that may need a lower dose (section 5.7), one reason not to stack doses. Ask before changing the amount.

Does a missed dose change how long my pen or cartridge lasts?

Yes. Once in use, cartridges and pens have their own storage time limits in each label's instructions for use, and skipped days do not extend them. Check the dates on your pen when a few doses have been missed.

This page summarizes FDA labeling. It is not personalized medical advice; confirm what to do with your prescriber or pharmacist.

Missed-dose rules for other medicines

Frequently asked questions

What if I miss a day of growth hormone?+
The Genotropin and Norditropin labels have no missed-dose instructions. Ask your prescriber or treatment center whether to skip it, and do not double the next dose without their say-so.
How long does injected somatropin last?+
About 3 hours (Genotropin label) or about 2 hours (Norditropin label) half-life after subcutaneous injection.
How many days a week is growth hormone given?+
Both labels describe a weekly dose divided into 6 or 7 daily injections.