TERIPARATIDE

(ter i PAR a tide) Brand: Forteo

What is the most significant information I must know about teriparatide?

• This medicine has been found to reason an heighten risk of bone cancer in animal research. It is not known if this risk is also heighten in humans treated with teriparatide. Conversation with your doctor about your individual risk.

Teriparatide can reason side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

• Avoid smoking cigarettes, or try to quit smoking altogether. Smoking can reduce your bone mineral density, making fractures more likely.

• Avoid drinking alcohol, which also may affect your bone mineral density.

What is teriparatide?

Teriparatide is a man-made form of a hormone called parathyroid that exists naturally in the body. Teriparatide increases bone density and increases bone power to help prevent fractures.

Teriparatide is used to treat osteoporosis in men and women who have a tall risk of bone fracture.

Teriparatide may also be used for another purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till using teriparatide?

• Do not use this medicine if you are allergic to teriparatide.

• Till using teriparatide, speak your doctor if you are allergic to any drugs, or if you have:

· Paget's malady or another bone disorders (besides osteoporosis);

· tall levels of calcium or alkaline phosphatase in your blood;

· a condition called hyperparathyroidism;

· a bone malady another than osteoporosis;

· a history of bone cancer or radiation treatment inclusion your bones; or

· if you have ever had kidney stones.

• If you have any of these conditions, you may need a doze adjustment or particular trials to safely use teriparatide.

• FDA pregnancy category C. This medicine may be deleterious to an unborn child. Speak your doctor if you are pregnant or plan to become pregnant during treatment.

• It is not known whether teriparatide passes into breast milk. Do not use teriparatide without telling your doctor if you are breast-feeding a baby.

• This medicine has been found to reason an heighten risk of bone cancer in animal research. It is not known if this risk is also heighten in humans treated with teriparatide. Conversation with your doctor about your individual risk.

How must I use teriparatide?

• Use this medicine exactly as it was predesigned for you. Do not use the medicine in larger amounts, or use it for longer than recommended by your doctor. Follow the instructions on your prescription label.

Teriparatide is given as an injection under the skin of the thigh or stomach. Your doctor, nurse, or another healthcare provider will give you this injection. You may be shown how to inject your medication at house. Do not self-inject this medication if you do not fully understand how to give the injection and properly dispose of used needles and syringes.

• This medicine comes with patient instructions for safety and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

• Use every disposable needle only one time. Throw away used needles in a puncture-proof container (ask your pharmacist where you can get one and how to dispose of it). Hold this container out of the reach of children and pets.

Teriparatide can reason you to feel dizzy or light-headed. It may help to sit or lie down for a short time after injecting the medication.

• Do not use teriparatide for longer than 2 years unless your doctor tells you to.

Teriparatide is only part of a complete program of treatment that also includes diet, exercice, vitamins or mineral supplements, and changing determined behaviors. Follow your diet and exercice routines very closely.

• It is significant to use teriparatide regularly to get the most benefit. Get your prescription refilled till you run out of medication completely.

Teriparatide can be injected at any time of the day. It may be easier to remember to use teriparatide if it is used at about the same time every day.

• Do not teriparatide that is discolored or cloudy or that has particles in it. It must be clear and colorless. Do not use teriparatide after the expiration date printed on the pen or pen packaging.

• Store the teriparatide injection pen in the refrigerator but do not let it to freeze. Take the pen out of the refrigerator only long satis to use it. After use, recap the pen and put it back into the refrigerator.

• Throw away the injection pen after 28 days of use, even if it still has medication in it.

What happens if I miss a dose?

• Use the medicine as soon as you remember the missed doze. If it is nearly time for your following doze, skip the missed doze and use the medication at your following regularly scheduled time. Do not use extra medication to create up the missed dose.

What happens if I overdose?

• Search medical attention if you think you have used too many of this medicine.

• Overdose symptoms may include nausea, vomiting, dizziness, headache, feeling light-headed, or fainting.

What must I avoid while using teriparatide?

Teriparatide can reason side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

• Avoid smoking cigarettes, or try to quit smoking altogether. Smoking can reduce your bone mineral density, making fractures more likely.

• Avoid drinking alcohol, which also may affect your bone mineral density.

What are the possible side effects of teriparatide?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

• Stop using teriparatide and call your doctor at once if you have any of these serious side effects:

· feeling light-headed or fainting each time you inject this medicine;

· quick or pounding heartbeats each time you inject this medication; or

· nausea, vomiting, constipation, and muscle weakness.

• Smaller serious side effects may include:

· mild dizziness;

· pain, redness, bruising, itching, or swelling where the medication was injected;

· leg cramps;

· joint pain;

· cough, sore throat, runny nose;

· headache or neck pain; or

· nausea, constipation, diarrhea.

• This is not a complete list of side effects and others may occur. Speak your doctor about any unusual or bothersome side effect. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect teriparatide?

• Till using teriparatide, speak your doctor if you are taking digoxin (digitalis, Lanoxin, Lanoxicaps). You may need a doze adjustment or particular trials to safely use teriparatide.

• There may be another drugs not listed that can interact with teriparatide. Speak your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal commodity, and drugs predesigned by another doctors. Do not start using a new medicine without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about teriparatide.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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