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


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


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


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


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


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


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 logo.


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


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


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


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