How to Store Increlex (Mecasermin): 30 Days Open
[Storage · Increlex]

How to store Increlex (mecasermin)

Quoted from the US label · Unopened vs in use · Travel · Sources · Reviewed

Short answer: Keep Increlex vials in the fridge at 36-46°F (2-8°C), away from direct light, before and after opening. Once you first put a needle in the vial, it is good for 30 days refrigerated; throw away what is left after that. Do not freeze it; if a vial freezes, throw it away. Source: Increlex label, section 16 and Patient Information.

What does the Increlex label say?

Section 16, before opening: “Vials of INCRELEX are stable when refrigerated at 2° to 8°C (36° to 46°F). Avoid freezing the vials of INCRELEX. Protect from direct light.”

After opening: “Vials of INCRELEX are stable for 30 days after initial vial entry when stored refrigerated at 2° to 8°C (36° to 46°F).” And: “Keep refrigerated and use within 30 days of initial vial entry. Remaining unused material should be discarded.”

Increlex US prescribing information, section 16 (40 mg/4 mL multiple-dose vial).
StageStorageLimit
UnopenedRefrigerator 36-46°F (2-8°C), away from direct lightUntil the expiration date
After first vial entryRefrigerator 36-46°F (2-8°C)30 days
FrozenThrow away

Is Increlex the same as IGF-1 LR3?

No. Increlex is mecasermin, recombinant human IGF-1, approved for severe primary IGF-1 deficiency in children. IGF-1 LR3 is a different, longer-acting analog sold as a research chemical with no FDA label. The Increlex figures above do not apply to it; see the IGF-1 LR3 page and how long mixed peptides last.

What if Increlex froze or was left out?

Patient Information: “Do not freeze INCRELEX. If a vial freezes, throw it away.” The label gives no room-temperature allowance; ask your pharmacist about a vial that was left out.

How do you travel with it?

Increlex has no room-temperature option, so it travels cold: insulated bag, cold packs that do not touch the vial, and a fridge on arrival.

  • TSA allows medically necessary liquids over 3.4 oz in carry-on bags; declare them at the checkpoint for inspection.
  • Unused syringes and pen needles are allowed when they travel with the injectable medicine.
  • Ice packs and gel packs that keep medicine cool may go through frozen, partly frozen or melted.
  • Keep medicine in your carry-on, not checked luggage, where you cannot control the temperature. Do not let it touch an ice pack directly, since most labels say do not freeze.

More in the travel guide.

Quoted from the current US label on DailyMed, not personalized advice. Labels change; the leaflet in your own carton, your pharmacist and your prescriber are the final word on how to store it.

Frequently asked questions

How long is Increlex good after opening?+
30 days after the vial is first entered, kept refrigerated at 36-46°F (2-8°C).
Can Increlex be frozen?+
No. If a vial freezes, the Patient Information says throw it away.
Do Increlex storage rules apply to IGF-1 LR3?+
No. IGF-1 LR3 is a different molecule with no FDA label or published storage data for the mixed vial.