Post-Care for Patients

Patients should not remove the bandage for at least 24 hours to help ensure the incision heals properly. While bandaged, the child’s arm should be kept clean and dry, and he or she should avoid swimming or bathing. Caregivers (and children) should not remove any of the surgical strips; they will fall off on their own after several days. Patients should refrain from strenuous physical activity with the inserted arm for 7 days to allow the incision to fully close. After the incision has healed, the child can resume his or her normal activities.

While SUPPRELIN® LA is in place, children should have regular visits with a pediatric endocrinologist. Regular exams and blood tests should be performed to check for signs of puberty: height and weight should be measured, and wrist x-rays may be taken to track bone growth.

Next: SUPPRELIN® LA Patient Support

Indication

SUPPRELIN® LA (histrelin acetate) subcutaneous implant is indicated for the treatment of children with central precocious puberty (CPP).

Important Safety Information

  • SUPPRELIN LA is contraindicated in women who are or may become pregnant, and in patients who are hypersensitive to GnRH or GnRH agonist analogs. Safety and effectiveness in pediatric patients under the age of 2 years has not been established.

  • SUPPRELIN LA, like other GnRH agonists, initially causes a transient increase in serum concentrations of estradiol in females and testosterone in both sexes during the first week of treatment, with worsening or onset of new symptoms during this period. Within 4 weeks of therapy, gonadal steroid suppression occurs and manifestations of puberty decrease.

  • Implant insertion and removal is a surgical procedure and should utilize aseptic technique. Careful adherence to the recommended insertion and removal procedures is recommended. On occasion, localizing and/or removal of implant products have been difficult and imaging techniques were used, including ultrasound, CT, or MRI (this implant is not radiopaque).

  • Rare events of spontaneous extrusion have been observed in clinical trials.

  • LH, FSH and estradiol or testosterone should be monitored at 1 month post implantation then every 6 months. Every 6-12 months, height and bone age should also be assessed.

  • In clinical trials, the most common adverse reactions involved the implant site and included bruising, pain, soreness, erythema and swelling.

Please see the accompanying full Prescribing Information.