What is Ngenla?
Ngenla is prescribed for children who are not growing because of low growth hormone levels. It is given by injection under the skin. 
You will inject Ngenla for your child using a pen that is prefilled with medicine and ready to use. Before you inject Ngenla for the first time, your child’s doctor or nurse will show you how to use it. Do not try to inject Ngenla until you have been shown the right way by their doctor. 
How does Ngenla work?
Ngenla is a modified form of human growth hormone which allows weekly dosing. It helps your child’s bones and muscles to grow and also helps their fat and muscle tissue to develop in the right amounts.
What are the possible side effects from using Ngenla?
Side effects may include:
  • At the site of injection:
    - Pain
    - Redness
    - Itching
    ​​​​​​​- Swelling and/or local thickening of the skin
  • Fever
  • Cold
  • Headache
If an above side effect becomes bad enough to interfere with your child’s daily activities, talk to their doctor.
These are not all the possible side effects your child may have when taking Ngenla. Talk to their doctor if they have any side effects not listed here.
Young girl sitting and reading a book
Reporting side effects
You can report any suspected side effects associated with the use of health products to Health Canada by:
• Visiting the web page on Adverse Reaction Reporting
(https://www.canada.ca/en/health-canada/services/drugs-health-products/medeffect-canada.html) for
information on how to report online, by mail, or by fax; or
• Calling toll-free at 1-866-234-2345.
Contact your child’s healthcare professional if you need information about how to manage their side effects.
The Canada Vigilance Program does not provide medical advice.