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fda approval of forteo
teriparatide (ter ih PAR ah tide)

What is the most important information I should know about Forteo?
• As a part of drug testing, Forteo was given to rats fda approval of forteo. Some of these ratsdeveloped osteosarcoma, a bone cancer fda approval of forteo. Osteosarcoma in humans is a serious butvery rare cancer fda approval of forteo. It is not known if humans treated with Forteo also have ahigher chance of getting osteosarcoma fda approval of forteo. Discuss with your doctor the risks andbenefits associated with use of Forteo fda approval of forteo.
• Forteo may cause dizziness or fast heartbeats after an injection fda approval of forteo. Injectthe medication in a location where you can sit or lie down following the injectionshould dizziness or fast heartbeats occur fda approval of forteo.


What is Forteo?
• Forteo is a man-made form of the naturally occurring hormone parathyroid fda approval of forteo. Forteo forms new bone, increases bone mineral density and bone strength, andas a result, reduces the chance of getting a broken bone fda approval of forteo.
• Forteo is used for men and women with osteoporosis who are at high riskfor bone fractures fda approval of forteo.
• Forteo may also be used for purposes other than those listed in thismedication guide fda approval of forteo.


What should I discuss with my healthcare provider before using Forteo?
• Do not use Forteo without first talking to your doctor if you
· have Paget's disease of the bone;
· have unexplained high levels of alkaline phosphatase in the blood,which may indicate Paget's disease;
· are a child or young adult;
· have ever been diagnosed with bone cancer or other cancers that havespread (metastasized) to the bones;
· have had radiation therapy involving the bone;
· have a bone disease other than osteoporosis; or
· have a high level of calcium in the blood (hypercalcemia) fda approval of forteo.
• You may not be able to take Forteo, or you may require a dosage adjustmentor special monitoring if you have any of the conditions listed above fda approval of forteo.
• Forteo is in the FDA pregnancy category C fda approval of forteo. This means that it is notknown whether Forteo will be harmful to an unborn baby fda approval of forteo. Do not use Forteo withoutfirst talking to your doctor if you are pregnant or could become pregnant duringtreatment fda approval of forteo.
• It is not known whether Forteo passes into breast milk fda approval of forteo. Do not use Forteowithout first talking to your doctor if you are breast-feeding a baby fda approval of forteo.


How should I use Forteo?
• Use Forteo exactly as directed by your doctor fda approval of forteo. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you fda approval of forteo.
• Forteo is administered by injection using a prefilled delivery device fda approval of forteo. Your doctor or other healthcare provider will give you detailed instructionson how to inject the medication fda approval of forteo.
• Forteo is usually injected once a day into the thigh or abdomen (lowerstomach area) fda approval of forteo. Follow your doctor's instructions fda approval of forteo.
• Forteo can be injected at any time of the day fda approval of forteo. It may be easier to rememberto use Forteo if it is used at about the same time each day fda approval of forteo.
• It is important to use Forteo regularly to get the most benefit fda approval of forteo.
• Forteo may cause dizziness or fast heartbeats after an injection fda approval of forteo. Injectthe medication in a location where you can sit or lie down following the injectionshould dizziness or fast heartbeats occur fda approval of forteo.
• Use Forteo shortly after you take the pen out of the refrigerator fda approval of forteo. Recapthe pen and put it back into the refrigerator right after use fda approval of forteo.
• The same pen can be used for up to 28 days after the first injectionfrom the pen fda approval of forteo. Throw away the pen after 28 days of use, even if it is not completelyempty fda approval of forteo.
• Do not Forteo that is discolored or cloudy or that has particles in it fda approval of forteo. It should be clear and colorless fda approval of forteo. Do not use Forteo after the expiration dateprinted on the pen or pen packaging fda approval of forteo.
• Dispose of all needles and syringes in an appropriate, puncture-resistantdisposal container fda approval of forteo.
• Your doctor may want to perform blood or urine tests during treatmentto determine your response to Forteo fda approval of forteo.
• Store Forteo pens in the refrigerator at 36 to 46 degrees Fahrenheit(2 to 8 degrees Celsius) fda approval of forteo. Do not freeze the medication fda approval of forteo. Do not use any medicationthat has been frozen fda approval of forteo.


What happens if I miss a dose?
• Use the missed dose as soon as you remember within the same day fda approval of forteo. If youdo not remember until the next day, skip the missed dose and only use the dosefor that day fda approval of forteo. Do not use a double dose fda approval of forteo.


What happens if I overdose?
• Seek medical attention fda approval of forteo.
• Symptoms of a Forteo overdose may include nausea, vomiting, dizziness,and headache fda approval of forteo.


What should I avoid while using Forteo?
• There are no restrictions on food, beverages, or activity during treatmentwith Forteo unless otherwise directed by your doctor fda approval of forteo.


What are the possible side effects of Forteo?
• Stop using the medication and seek emergency medical attention if youexperience a rare allergic reaction (difficulty breathing; closing of the throat;swelling of the lips, tongue, or face; or hives) to Forteo fda approval of forteo.
• As a part of drug testing, Forteo was given to rats fda approval of forteo. Some of these ratsdeveloped osteosarcoma, a bone cancer fda approval of forteo. Osteosarcoma in humans is a serious butvery rare cancer fda approval of forteo. It is not known if humans treated with Forteo also have ahigher chance of getting osteosarcoma fda approval of forteo. Discuss with your doctor the risks andbenefits associated with use of Forteo fda approval of forteo.
• Most side effects from Forteo are mild and include dizziness and legcramps fda approval of forteo. If you become lightheaded or have fast heartbeats after an injection,sit or lie down until you feel better fda approval of forteo. If you do not feel better, call yourhealthcare provider before continuing treatment fda approval of forteo.
• Contact your healthcare provider if you have continuing nausea, vomiting,constipation, low energy, or muscle weakness fda approval of forteo. These may be signs there is toomuch calcium in your blood fda approval of forteo.
• Side effects other than those listed here may also occur fda approval of forteo. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome fda approval of forteo.


What other drugs will affect Forteo?
• Before using Forteo, tell your doctor if you are taking digoxin (Lanoxin,Lanoxicaps, Digitek) fda approval of forteo. You may require a dosage adjustment or special monitoringduring treatment fda approval of forteo.
• Drugs other than those listed here may also interact with Forteo fda approval of forteo. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines, including herbal products fda approval of forteo.


Where can I get more information?
• Your pharmacist has additional information about Forteo written for healthprofessionals that you may read fda approval of forteo.


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