Why is this medication prescribed?

Forteo (teriparatide) is prescribed primarily for the treatment of osteoporosis. Osteoporosis is a condition characterized by low bone density and deterioration of bone tissue, leading to an increased risk of fractures. Forteo is specifically used in individuals who are at high risk of fractures or have already experienced fractures due to osteoporosis.

Teriparatide, the active ingredient in Forteo, is a synthetic form of parathyroid hormone. It works by stimulating new bone growth and increasing bone density, thereby helping to strengthen bones and reduce the risk of fractures. Forteo is typically prescribed when other osteoporosis treatments have not been effective or are not suitable for the patient.

How should this medicine be used?

Forteo is a brand name for the medication teriparatide, which is used to treat osteoporosis in postmenopausal women and in men who are at high risk of bone fracture. Here are general guidelines for using Forteo:

• Dosage: The typical dose of Forteo is 20 micrograms (mcg) injected subcutaneously (under the skin) once daily.
• Administration: Forteo comes in a pre-filled injection pen. Before using, make sure to read the instructions provided by your healthcare provider or pharmacist. The medication is injected into the thigh or abdomen.
• Timing: It is recommended to administer Forteo at approximately the same time each day. This helps maintain a consistent level of the medication in the body.
• Storage: Store Forteo in the refrigerator at 2°C to 8°C (36°F to 46°F). Do not freeze. Once in use, it can be kept at room temperature (up to 25°C or 77°F) for up to 28 days.
• Injection Sites: Rotate injection sites to minimize the risk of irritation or lumps at the injection site.
• Monitoring: Your healthcare provider may recommend regular check-ups and bone density scans to monitor the effectiveness of Forteo and assess any side effects.
• Follow-up: Follow your healthcare provider’s instructions carefully and do not stop using Forteo without consulting them, even if you start feeling better.
• Missed Doses: If you miss a dose, administer it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue with your regular dosing schedule. Do not double dose to make up for a missed one.

Always consult your healthcare provider or pharmacist if you have any questions or concerns about using Forteo. They can provide personalized advice based on your medical history and current condition.

Other uses for this medicine

There are no specific dietary instructions for Forteo. However, maintaining a balanced diet rich in calcium and vitamin D is important for overall bone health. Your healthcare provider may recommend dietary changes or supplements if you have deficiencies in these nutrients.

What special precautions should I follow?

Regarding special precautions for Forteo, here are some important points to keep in mind:

• Allergies: Inform your healthcare provider if you are allergic to teriparatide or any other medications.
• Medical History: Provide your healthcare provider with your complete medical history, especially if you have a history of bone disorders other than osteoporosis, kidney problems, or high blood calcium levels.
• Pregnancy and Breastfeeding: Forteo is not recommended for use during pregnancy or breastfeeding, as its effects on unborn babies or nursing infants are not well understood. If you are pregnant, planning to become pregnant, or breastfeeding, discuss the potential risks and benefits of Forteo with your healthcare provider.
• Bone Cancer Risk: Teriparatide has been associated with an increased risk of bone cancer (osteosarcoma) in animal studies. However, this risk has not been confirmed in humans. Nevertheless, Forteo is not recommended for individuals at an increased risk of bone cancer or those with a history of radiation therapy to the bones.
• Injection Site Reactions: Forteo is administered as a daily injection, and injection site reactions such as pain, redness, or swelling may occur. It’s important to rotate injection sites and follow proper injection techniques to minimize discomfort.
• Monitoring: Your healthcare provider may periodically monitor your response to Forteo through bone density tests and other assessments.
• Interactions: Inform your healthcare provider about all the medications, vitamins, and supplements you are currently taking, as some drugs may interact with Forteo.
• Storage: Follow the storage instructions provided by the manufacturer and store Forteo as directed to maintain its effectiveness.

Always consult your healthcare provider for personalized advice and guidance on the use of Forteo and any precautions specific to your individual health condition.

What special dietary instructions should I follow?

There are no specific dietary instructions for Forteo. However, maintaining a balanced diet rich in calcium and vitamin D is important for overall bone health. Your healthcare provider may recommend dietary changes or supplements if you have deficiencies in these nutrients.

What should I do if I forget a dose?

• If you miss a dose of Forteo, take it as soon as you remember, unless it is almost time for your next scheduled dose.
• Do not take a double dose to make up for a missed one.
• Resume your regular dosing schedule and consult your healthcare provider if you have any concerns or questions about missed doses.

What side effects can this medication cause?

Forteo (teriparatide) may cause side effects, although not everyone experiences them. Common side effects of Forteo include:

• Injection Site Reactions: Pain, redness, swelling, or bruising at the injection site are common.
• Nausea: Some people may experience nausea, especially when starting Forteo.
• Dizziness: Forteo may cause dizziness in some individuals.
• Leg Cramps: Muscle cramps or spasms in the legs may occur.
• Headache: Headaches are reported by some people using Forteo.
• Fatigue: Feeling tired or fatigued may occur.
• Increased Blood Calcium Levels: Forteo may increase blood calcium levels, which can lead to symptoms like thirst, frequent urination, constipation, nausea, vomiting, stomach pain, muscle weakness, and confusion.

Less common but more serious side effects of Forteo may include:

• Bone Pain: Some individuals may experience bone pain, particularly in the legs or feet.
• Orthostatic Hypotension: Forteo may cause a sudden drop in blood pressure when standing up, leading to dizziness or lightheadedness.
• Allergic Reactions: Although rare, severe allergic reactions to Forteo may occur, characterized by symptoms such as rash, itching, swelling, severe dizziness, or difficulty breathing.
• Osteosarcoma (Bone Cancer): There is a theoretical risk of osteosarcoma associated with Forteo, although this risk has not been confirmed in humans.

It’s essential to report any unusual or bothersome side effects to your healthcare provider promptly. They can provide guidance on managing side effects and determine if any adjustments to your treatment plan are necessary. Additionally, if you experience severe allergic reactions or signs of osteosarcoma, seek immediate medical attention.

This list of side effects is not exhaustive, and other side effects may occur. Always consult your healthcare provider for personalized advice and guidance regarding Forteo use and potential side effects.

What should I know about storage and disposal of this medication?

Storage and Disposal:

Storage:

• Store Forteo in the refrigerator between 36°F to 46°F (2°C to 8°C). Do not freeze.
• Keep Forteo in its original packaging to protect it from light.
• Do not use Forteo if it has been frozen or if the expiration date has passed.
• Keep Forteo out of reach of children and pets.

Disposal:

• Dispose of used needles and syringes in a puncture-resistant container, such as a sharps container. Do not reuse needles.
• Follow local regulations for the proper disposal of Forteo and used needles. Do not dispose of Forteo in household trash or wastewater.

In case of emergency/overdose

• In case of an overdose or emergency, such as severe allergic reactions (e.g., rash, itching, swelling, difficulty breathing) or symptoms of high blood calcium levels (e.g., severe thirst, frequent urination, stomach pain), seek immediate medical attention.
• If possible, provide healthcare professionals with information about the dose and timing of Forteo administration.

What other information should I know?

• Keep all appointments with your healthcare provider for follow-up assessments and monitoring while using Forteo.
• Inform all healthcare providers involved in your care that you are using Forteo.
• Do not share Forteo with others, even if they have similar symptoms or conditions.
• Follow your healthcare provider’s instructions carefully regarding the dosage, administration, and monitoring of Forteo.
• Report any new or worsening symptoms to your healthcare provider promptly.
• Inform your healthcare provider about all medications, vitamins, and supplements you are taking, as they may interact with Forteo.
• If you have any questions or concerns about Forteo, talk to your healthcare provider or pharmacist for clarification and guidance.

It’s crucial to follow these instructions for the safe and effective use of Forteo. If you have any doubts or questions, consult your healthcare provider or pharmacist for assistance.