Library / Growth hormone

Somatropin

Also known as Human growth hormone, HGH, Genotropin, Norditropin, Omnitrope

Approved medicine

Recombinant human growth hormone. Approved for growth hormone deficiency in children and adults and several other specific growth disorders.

Prescription medicine. Only a prescriber can decide whether a medicine suits you and at what dose. This page is information, not a recommendation.

Background

Recombinant human growth hormone, identical to the 191 amino acid hormone made by the pituitary. Growth hormone was once extracted from the pituitaries of deceased donors, but that stopped in 1985 after cases of Creutzfeldt-Jakob disease; recombinant versions have been FDA approved since 1985.

How it is thought to work

Binds growth hormone receptors throughout the body and stimulates the liver and other tissues to make IGF-1. Together they drive bone growth in children and affect muscle, fat and glucose metabolism in adults.

What is claimed, and the evidence

ClaimEvidenceNotes
Growth failure in children due to growth hormone deficiencyApproved useGenotropin and other labels.
Growth failure in Prader-Willi syndrome, Turner syndrome, children born small for gestational age, and idiopathic short statureApproved useGenotropin label (indications vary by brand and country).
Adult growth hormone deficiencyApproved useAdult onset or childhood onset deficiency.
Anti ageing, fat loss and better skin in healthy adultsNo published evidenceReviews state benefits in healthy adults are uncertain.
Increases athletic performance or muscle strengthNo published evidenceBanned in sport; reviews find uncertain benefit in healthy people and misuse is linked to harm.

Side effects

EffectHow oftenNotes
Fluid retention: swelling, joint pain, muscle pain, tinglingCommonMost common in adults on the Genotropin label (peripheral swelling about 17% versus 5% on placebo); often eases with dose reduction.
Carpal tunnel syndromeUncommonLabel, part of fluid retention.
Injection site reactions and fat loss at the site (lipoatrophy)CommonLabel.
HeadacheCommonLabel.
Raised blood sugar or new diabetes
Serious
UncommonLabel warning; glucose should be monitored.
Raised pressure in the skull (intracranial hypertension)
Serious
RareLabel warning; usually reversible after stopping.
Slipped hip growth plate and worsening scoliosis in children
Serious
RareLabel warnings.
Pancreatitis
Serious
RareLabel warning.
Low thyroid or adrenal function becoming evident
Serious
UncommonLabel warnings.

Warnings

  • Increased deaths have been reported when started in people with acute critical illness after major surgery, trauma or respiratory failure.
  • Deaths have occurred in children with Prader-Willi syndrome who had severe obesity or breathing problems.
  • Should not be used with active cancer; childhood cancer survivors have a higher risk of second tumours.
  • In Australia it is Schedule 4 with extra possession controls (Appendix D); use without a prescription is illegal.
  • Performance use involves high doses often combined with other drugs, linked to cardiovascular, metabolic and other harms.
  • Counterfeit and unregulated growth hormone products may be contaminated or mislabelled.

Regulatory status

Australia
Approved (ARTG, multiple brands). Schedule 4, with Appendix D clause 5 possession controls.
United States
FDA approved (multiple brands since 1985) for growth hormone deficiency and other specified growth disorders.

Sources

  1. DailyMed: Genotropin (somatropin) prescribing information
  2. Clinical Indications for Growth Hormone Therapy
  3. The Use and Abuse of Human Growth Hormone in Sports
  4. Cadaveric Human Growth Hormone-Associated Creutzfeldt-Jakob Disease with Long Latency Period, United States
  5. TGA ARTG search: somatropin
  6. Drugs@FDA: Omnitrope (somatropin)
  7. Poisons Standard June 2026 (Federal Register of Legislation)

Also in Growth hormone

From the VialOwl library, reviewed 26 September 2026. For education and general information. It is not medical advice and not a recommendation to use Somatropin.