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資料1-2 調査結果報告書 (24 ページ)

公開元URL https://www.mhlw.go.jp/stf/newpage_24579.html
出典情報 薬事・食品衛生審議会 薬事分科会医薬品等安全対策部会安全対策調査会(令和3年度第31回 3/22)《厚生労働省》
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別添 2
海外添付文書の糖尿病合併患者への投与に関する記載状況
1.

米国添付文書の記載状況

GENOTROPIN (somatropin) for injection, for

NORDITROPIN (somatropin) for injection, for

HUMATROPE (somatropin) for injection, for

subcutaneous use

subcutaneous use

subcutaneous use

2020 年 1 月版

2020 年 3 月版

2019 年 10 月版

Contraindications

Contraindications

Contraindications

Diabetic Retinopathy

Active proliferative or severe non- proliferative

Active proliferative or severe non- proliferative

Somatropin is contraindicated in patients with

diabetic retinopathy.

diabetic retinopathy.

Warnings and precautions

Warnings and precautions

Warnings and precautions

Impaired Glucose Tolerance and Diabetes

Glucose Intolerance and Diabetes Mellitus

Glucose Intolerance and Diabetes Mellitus

Mellitus

Treatment with somatropin may decrease insulin

Treatment with somatropin may decrease insulin

Treatment with somatropin may decrease insulin

sensitivity, particularly at higher doses. New onset

sensitivity, particularly at higher doses. New onset

sensitivity, particularly at higher doses in

type 2 diabetes mellitus has been reported in

type 2 diabetes mellitus has been reported in

susceptible patients. As a result, previously

patients taking somatropin. Previously

patients taking somatropin.

undiagnosed impaired glucose tolerance and overt

undiagnosed impaired glucose tolerance and overt

Previously undiagnosed impaired glucose

diabetes mellitus may be unmasked during

diabetes mellitus may be unmasked. Monitor

tolerance and overt diabetes mellitus may be

somatropin treatment. New-onset Type 2 diabetes

glucose levels periodically in all patients receiving

unmasked. Monitor glucose levels periodically in

mellitus has been reported. Therefore, glucose

Norditropin, especially in those with risk factors

all patients receiving HUMATROPE, especially in

levels should be monitored periodically in all

for diabetes mellitus, such as obesity, Turner

those with risk factors for diabetes mellitus, such

patients treated with somatropin, especially in

syndrome or a family history of diabetes mellitus.

as obesity, Turner syndrome, or a family history of

active proliferative or severe non-proliferative
diabetic retinopathy.

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