*Perils of off-label use
Brooklyn Harbin said she received Lupron after she started her menstrual cycle at age 10. The chance to slow her puberty had passed but she hoped to add a few inches to her 4-foot 9-inch frame before her body matured any further.
According to medical research, doctors prescribe the puberty blocking drug to short kids to essentially give them more time to get taller, since puberty culminates with the body’s long bone growth ending.
Medical researchers have repeatedly warned against such off-label usage. A 2003 study in the New England Journal of Medicinee_ concluded that some kids on drugs like Lupron developed osteopenia and lost too much bone density during a three-year course of treatment to justify the therapy. In other words, the lifetime risk of breaking a bone outweighed the reward of growing a bit taller.
Still, Harbin said she began getting shots of Lupron in 2006. Soon afterward, she said her physical problems began.
At 10, after her 10th shot of Lupron, she said she collapsed during a Wal-Mart shopping trip with family. She could feel nothing from the knee down. Harbin said she spent six months in a wheelchair before she regained her strength and could walk again. She had to give up cheerleading, basketball, gymnastics and karate because of her low bone density.
By seventh grade, she said she spent a month at the Mayo Clinic in Minnesota learning to cope with chronic pain.
FDA records obtained via a public records request show that her pediatric specialist reported that a pharmacy erroneously gave her grandmother an extended-release, 3-month formula of the medication, instead of a monthly dose at the same strength. It remains unclear whether the dosing error impacted her health.
Harbin said she was diagnosed at 11 with osteopenia, a thinning of the bones milder than osteoporosis. Although her bone density returned to a normal range at 16, her chronic pain has forced her to reconcile her dreams with her physical limitations.
“I felt like little pieces of my life were just taken away from me and no one wanted to own up to it,” said Harbin, who is now 20 and lives in South Carolina. “Suicide became very, very real for me.”