WARNING

Natpara (generic name: parathyroid hormone) is a medication used to treat hypoparathyroidism, a condition where the parathyroid glands do not produce enough parathyroid hormone. While Natpara can be effective in managing hypoparathyroidism, it is essential to be aware of the potential risks associated with its use. Here are some of the risks:

• Hypercalcemia: Natpara can lead to increased calcium levels in the blood (hypercalcemia), which can cause symptoms like nausea, vomiting, constipation, fatigue, and confusion.
• Bone Overstimulation: Excessive use of Natpara may lead to overstimulation of bone resorption, potentially resulting in bone density loss or other bone-related issues.
• Kidney Stones: Increased calcium levels in the urine can raise the risk of developing kidney stones.
• Orthostatic Hypotension: Some individuals taking Natpara may experience a drop in blood pressure upon standing, leading to dizziness or lightheadedness.
• Allergic Reactions: As with any medication, there is a possibility of experiencing an allergic reaction to Natpara, which can range from mild to severe.
• Potential Cancer Risk: Studies on animals have shown an increased risk of osteosarcoma (a type of bone cancer) with high doses of parathyroid hormone, though the relevance of these findings to humans is uncertain.

Given these risks, it’s crucial to use Natpara as prescribed by a qualified healthcare professional and to be closely monitored during treatment. If you or someone you know is taking Natpara, it’s essential to report any unusual symptoms or side effects to a healthcare provider promptly. As always, do not make any changes to your medication regimen without consulting your doctor first. Keep in mind that newer information or updates may have emerged since my last update, so consulting up-to-date medical sources is important.

Why is this medication prescribed?

Natpara is prescribed to treat hypoparathyroidism, a condition in which the parathyroid glands in the neck do not produce enough parathyroid hormone (PTH). PTH is responsible for regulating calcium and phosphorus levels in the body. When there is insufficient PTH production, calcium levels in the blood drop, and phosphorus levels rise, leading to a mineral imbalance.

Natpara is a synthetic form of PTH that helps to restore and maintain normal levels of calcium and phosphorus in individuals with hypoparathyroidism. By replacing the missing hormone, Natpara can alleviate symptoms and complications associated with low calcium levels, such as muscle cramps, tingling, numbness, and even seizures.

How should this medicine be used?

• Administration: Natpara is available as an injection and is typically given once daily.
• Dosage: The dosage is individualized based on each patient’s specific needs, taking into account factors such as calcium levels, symptom severity, and response to treatment. Your healthcare provider will determine the appropriate dose for you.
• Injection Site: Natpara is injected under the skin (subcutaneously) in the thigh or abdominal area. Your healthcare provider will instruct you on proper injection techniques.
• Monitoring: Regular monitoring of calcium and phosphorus levels is essential during Natpara treatment to ensure the dose remains appropriate and to detect any potential side effects.
• Calcium and Vitamin D Supplements: Natpara treatment is often combined with calcium and vitamin D supplements to maintain adequate mineral levels in the body.
• Risk Communication: It’s crucial for patients to understand the risks associated with Natpara use and to promptly report any side effects or unusual symptoms to their healthcare provider.

Always follow your healthcare provider’s instructions regarding the use of Natpara and any other medications. Do not adjust the dosage or stop treatment without consulting your doctor. If you have any questions or concerns about your treatment plan, be sure to discuss them with your healthcare provider.

Other uses for this medicine

Natpara (parathyroid hormone) is primarily prescribed for the treatment of hypoparathyroidism, as mentioned earlier. It is not approved for other uses by regulatory authorities, and its use should be limited to treating hypoparathyroidism under the supervision of a qualified healthcare professional.

What special precautions should I follow?

Special precautions for Natpara use include:

• Hypercalcemia: Natpara can increase calcium levels in the blood, which can lead to hypercalcemia. Healthcare providers should closely monitor calcium levels during treatment and adjust the dosage as needed to avoid excessive calcium levels.
• Calcium and Vitamin D: Natpara is generally used in conjunction with calcium and vitamin D supplements to maintain proper mineral balance. Patients should adhere to their prescribed supplement regimen.
• Kidney Stones: Natpara treatment can increase the risk of kidney stones due to higher urinary calcium levels. Patients with a history of kidney stones or at risk of developing them should be carefully monitored.
• Bone Health: Natpara may lead to overstimulation of bone resorption, potentially affecting bone health. Bone mineral density should be monitored, especially in patients with a history of bone disorders.
• Orthostatic Hypotension: Natpara can cause a drop in blood pressure upon standing, leading to dizziness or lightheadedness. Patients should be cautious when changing positions and report any symptoms to their healthcare provider.
• Pregnancy and Breastfeeding: The use of Natpara during pregnancy and breastfeeding should be carefully considered, as there is limited data on its safety in these situations. Pregnant or breastfeeding individuals should discuss potential risks and benefits with their healthcare provider.
• Allergic Reactions: Patients should be aware of the possibility of allergic reactions to Natpara and should seek medical attention if any signs of an allergic response occur.
• Osteosarcoma Risk: Animal studies have shown an increased risk of osteosarcoma (a type of bone cancer) with high doses of parathyroid hormone. The relevance of this finding to humans is uncertain, but the potential risk should be considered.

It’s crucial for patients to inform their healthcare providers about their medical history, ongoing medications, and any preexisting conditions before starting Natpara treatment. Regular follow-up visits and close communication with the healthcare team are essential to monitor treatment response and identify any adverse effects promptly.

As with any medication, the decision to use Natpara should be based on a careful assessment of its potential benefits versus the associated risks. Patients should consult with their healthcare provider to determine the most appropriate treatment plan for their specific medical condition.

What special dietary instructions should I follow?

There are no specific dietary instructions associated with Natesto (testosterone nasal gel). However, it’s always a good idea to follow a healthy and balanced diet as part of your overall well-being, which may include consuming a variety of nutritious foods such as fruits, vegetables, whole grains, lean proteins, and healthy fats.

What should I do if I forget a dose?

If you forget a dose of Natesto, you should take the missed dose as soon as you remember. However, if it is close to the time of your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for the missed one.

What side effects can this medication cause?

Natpara (parathyroid hormone) is a medication used to treat hypoparathyroidism, but like any medication, it can cause side effects. It’s important to be aware of potential side effects and promptly report any concerns to your healthcare provider. Common side effects of Natpara may include:

• Hypercalcemia: This is the most significant risk associated with Natpara use. It can lead to high levels of calcium in the blood, causing symptoms such as nausea, vomiting, constipation, increased thirst, frequent urination, weakness, fatigue, confusion, and in severe cases, it can even lead to kidney problems.
• Bone Pain: Some individuals may experience bone pain while taking Natpara. This may be a result of increased bone turnover.
• Headache: Headaches can occur as a side effect of Natpara.
• Dizziness: Dizziness or lightheadedness might be experienced, especially upon standing, due to potential orthostatic hypotension.
• Injection Site Reactions: Injection site reactions, such as redness, swelling, or irritation, are possible.
• Muscle or Joint Pain: Some patients may experience muscle or joint pain as a side effect.
• Numbness or Tingling: In some cases, individuals may experience numbness or tingling in the extremities.
• Fatigue: Natpara might cause fatigue or tiredness in some patients.
• Allergic Reactions: While rare, allergic reactions to Natpara can occur, which may present with symptoms like rash, itching, swelling, severe dizziness, or difficulty breathing.
• Osteosarcoma Risk: Animal studies have shown an increased risk of osteosarcoma (a type of bone cancer) with high doses of parathyroid hormone. The relevance of this finding to humans is uncertain.

It’s important to note that not everyone taking Natpara will experience these side effects, and some individuals may tolerate the medication well. However, if you experience any unusual or concerning symptoms while taking Natpara, inform your healthcare provider immediately.

As with any medication, the benefits and risks of Natpara treatment should be carefully weighed by your healthcare provider. They will monitor your response to the medication and adjust the dosage as needed to minimize side effects and ensure effective management of your condition. Always follow your doctor’s instructions and report any changes or concerns you may have during your treatment.

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

Storage and Disposal of Natpara:

• Storage: Natpara should be stored in the refrigerator at a temperature between 36°F and 46°F (2°C and 8°C). It is crucial to keep the medication away from freezing or high temperatures. Do not freeze Natpara. Store it in its original packaging to protect it from light.
• Do Not Shake: Avoid shaking Natpara, as it can damage the medication. Gently roll the vial between your hands to mix the solution if needed.
• Protect from Light: Keep Natpara vials away from direct sunlight and fluorescent light. Exposure to light can affect the stability of the medication.
• Keep Out of Reach of Children: Store Natpara safely out of the reach of children and pets.
• Expired Medication: Do not use Natpara beyond its expiration date. If you have expired or unused Natpara vials, consult your healthcare provider or a pharmacist for proper disposal.

Disposal of Medication:

Follow your local guidelines for the proper disposal of medications, including Natpara. Do not dispose of medications in household trash or flush them down the toilet, as this can be harmful to the environment. Contact your pharmacist or local waste disposal facility for instructions on how to dispose of Natpara safely.

In case of emergency/overdose

In the event of an emergency or potential overdose of Natpara, seek immediate medical attention or contact your local poison control center at 1-800-222-1222 (United States). Be sure to have the Natpara packaging or vial information readily available when seeking medical help.

What other information should I know?

• Medical Appointments: Regularly attend follow-up medical appointments as scheduled by your healthcare provider. Monitoring your condition and treatment response is essential for successful management of hypoparathyroidism with Natpara.
• Carry Medical Information: Keep important medical information, including your diagnosis of hypoparathyroidism, Natpara prescription, and emergency contacts, readily available when traveling or in case of emergency situations.
• Medical Alert Bracelet: Consider wearing a medical alert bracelet or necklace indicating your diagnosis of hypoparathyroidism and Natpara treatment. This can be helpful in case of emergencies where you might be unable to communicate your medical condition.
• Avoid Missed Doses: Try to adhere to your prescribed dosing schedule to avoid fluctuations in calcium levels and to ensure effective treatment.

Always follow your healthcare provider’s instructions regarding Natpara use, storage, and other important information. If you have any questions or concerns about your medication or treatment plan, consult your healthcare provider for personalized advice and guidance.