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forteo and patient instructions
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 forteo and patient instructions. Some of these ratsdeveloped osteosarcoma, a bone cancer forteo and patient instructions. Osteosarcoma in humans is a serious butvery rare cancer forteo and patient instructions. It is not known if humans treated with Forteo also have ahigher chance of getting osteosarcoma forteo and patient instructions. Discuss with your doctor the risks andbenefits associated with use of Forteo forteo and patient instructions.
• Forteo may cause dizziness or fast heartbeats after an injection forteo and patient instructions. Injectthe medication in a location where you can sit or lie down following the injectionshould dizziness or fast heartbeats occur forteo and patient instructions.


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


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) forteo and patient instructions.
• 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 forteo and patient instructions.
• Forteo is in the FDA pregnancy category C forteo and patient instructions. This means that it is notknown whether Forteo will be harmful to an unborn baby forteo and patient instructions. Do not use Forteo withoutfirst talking to your doctor if you are pregnant or could become pregnant duringtreatment forteo and patient instructions.
• It is not known whether Forteo passes into breast milk forteo and patient instructions. Do not use Forteowithout first talking to your doctor if you are breast-feeding a baby forteo and patient instructions.


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


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


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


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 forteo and patient instructions.


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 forteo and patient instructions.
• As a part of drug testing, Forteo was given to rats forteo and patient instructions. Some of these ratsdeveloped osteosarcoma, a bone cancer forteo and patient instructions. Osteosarcoma in humans is a serious butvery rare cancer forteo and patient instructions. It is not known if humans treated with Forteo also have ahigher chance of getting osteosarcoma forteo and patient instructions. Discuss with your doctor the risks andbenefits associated with use of Forteo forteo and patient instructions.
• Most side effects from Forteo are mild and include dizziness and legcramps forteo and patient instructions. If you become lightheaded or have fast heartbeats after an injection,sit or lie down until you feel better forteo and patient instructions. If you do not feel better, call yourhealthcare provider before continuing treatment forteo and patient instructions.
• Contact your healthcare provider if you have continuing nausea, vomiting,constipation, low energy, or muscle weakness forteo and patient instructions. These may be signs there is toomuch calcium in your blood forteo and patient instructions.
• Side effects other than those listed here may also occur forteo and patient instructions. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome forteo and patient instructions.


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


Where can I get more information?
• Your pharmacist has additional information about Forteo written for healthprofessionals that you may read forteo and patient instructions.


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