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Teriparatide (Forteo)
Available:
750 mcg/3 mL injectable solution in
a pre-filled pen delivery device
Dose: 20
mcg subcutaneous injection daily
Cost: 1
syringe = $589.99
Indications:
Prevention and treatment of
osteoporosis
Side
effects: Injection site reactions
are uncommon. Dizziness, leg cramps, �bone pain� and lowered
blood pressure have been reported but are also infrequent. In
some individuals, teriparatide may increase blood levels or
calcium or uric acid, the latter of which may precipitate
attacks of gout in those who are predisposed.
Monitoring:
Bone densitometry every 1-2 years is recommended. Blood
counts, kidney function studies, calcium, magnesium,
phosphorus, and uric acid levels should be checked
periodically per discretion of your health care provider.
Important
points to know: This medication is not for use during
pregnancy or while nursing. Those diagnosed with cancer or
other medical conditions that can elevate levels of calcium in
the blood should also not use this medication. Using
teriparatide in combination with digoxin may increase blood
levels of the latter medication.
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