{"product_id":"forteo-osnuvo-teriparatide","title":"FORTEO\/OSNUVO (Teriparatide)","description":"\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eWhat is this medication?\u003c\/span\u003e\u003c\/h5\u003e\n\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003e\u003cstrong\u003eFORTEO\/OSNUVO (Teriparatide)\u003c\/strong\u003e\u003cbr\u003ePar\u003c\/span\u003e\u003cspan style=\"font-weight: 400;\"\u003eathyroid Hormone Analog\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eFORTEO\/OSNUVO (Teriparatide) is a parathyroid hormone analog, (PTH 1-34), indicated for treatment of postmenopausal women with osteoporosis at high risk for fracture.  Treatment in men with primary or hypogonadal osteoporosis with low bone mass, and treatment of men and women with osteoporosis associated with sustained systemic glucocorticoid therapy at high risk for fracture.\u003c\/span\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cb\u003eALERT: WARNING\u003cbr\u003e\u003cspan data-mce-fragment=\"1\" style=\"font-weight: 400;\" data-mce-style=\"font-weight: 400;\"\u003eIn rats, teriparatide caused an increase in the incidence of osteosarcoma, a malignant bone tumor. Because of the uncertain relevance of the rat osteosarcoma finding to humans, prescribe FORTEO only for patients for whom potential benefits outweigh potential risk.  FORTEO should not be prescribed for patients at increased baseline risk for osteosarcoma (e.g., those with Paget’s disease of bone or unexplained elevations of alkaline phosphatase, pediatric and young adult patients with open epiphyses, or prior external beam or implant radiation therapy involving the skeleton).\u003c\/span\u003e\u003cbr\u003e\u003c\/b\u003e\u003c\/p\u003e\n\u003ch5\u003eWhat is a biosimilar biologic drug?\u003c\/h5\u003e\n\u003cp\u003e\u003cspan\u003eManufacturers have found cost-efficient ways to recreate the molecules used in the original or “reference” biologic drug.  Biosimilars are highly \u003c\/span\u003e\u003ci\u003e\u003cspan\u003e“similar”\u003c\/span\u003e\u003c\/i\u003e\u003cspan\u003e to a reference biological drug despite differing in their chemical composition.  \u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eThe FDA approval of biosimilar drugs is based on a totality of evidence which is used by regulators in the approval of reference and biological drugs.  The FDA uses the same approach in evaluating biosimilars to confirm that there are no clinically meaningful differences in safety and efficacy between the reference biologic drug and the biosimilar.  The rigorous standard for authorization means that you can have confidence knowing that the quality, safety, and efficacy of a biosimilar is the same as any other biologic drug.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eFORTEO is a biologic\u003cbr\u003eOSNUVO is a biosimilar to FORTEO (Teriparatide)\u003cbr\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eHow does this medication work? \u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eFORTEO\/OSNUVO (Teriparatide) works similarly to teriparatide by promoting bone formation and reducing bone resorption which results in increased bone mineral density, bone mass and strength.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eHow should I take this medication? \u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003ci\u003e\u003cspan style=\"font-weight: 400;\"\u003eSQ:\u003c\/span\u003e\u003c\/i\u003e\u003cspan style=\"font-weight: 400;\"\u003e Inject 20 mcg subcutaneously once daily.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cb\u003eNote: \u003c\/b\u003e\u003cspan style=\"font-weight: 400;\"\u003ePatients should receive supplemental calcium and vitamin D if dietary intake is inadequate; however, use caution to avoid hypercalcemia.  Assess serum calcium prior to initiation; avoid use in patients with pre-existing hypercalcemia or hypercalcemic disorder.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003e\u003cstrong\u003eHow to Take: \u003c\/strong\u003e\u003cspan data-mce-fragment=\"1\"\u003eInitial administration should occur under circumstances in which the patient may sit or lie down, in the event of orthostasis.  Inject into the thigh or abdominal wall. May administer dose immediately following removal from the refrigerator. \u003c\/span\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eWhat should I watch for while using this medication? \u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eBefore starting \u003c\/span\u003e\u003cspan style=\"font-weight: 400;\"\u003eFORTEO\/OSNUVO (Teriparatide),\u003c\/span\u003e\u003cspan style=\"font-weight: 400;\"\u003e make sure your physician is aware of any allergies or medications you currently take.  \u003c\/span\u003e\u003cspan style=\"font-weight: 400;\"\u003eTeriparatide may cause orthostatic hypotension and there have been animal studies that have shown an increase in osteosarcoma and subsequently should not be used in patients with \u003c\/span\u003e\u003cspan style=\"font-weight: 400;\"\u003ePaget disease, prior radiation, unexplained elevation of alkaline phosphatase, prior external beam or implant radiation therapy involving the skeleton, or in patients with open epiphyses.  Furthermore, \u003c\/span\u003e\u003cspan style=\"font-weight: 400;\"\u003eTeriparatide\u003c\/span\u003e\u003cspan style=\"font-weight: 400;\"\u003e should n\u003c\/span\u003e\u003cspan style=\"font-weight: 400;\"\u003eot use in patients with bone metastases, a history of skeletal metastases, hyperparathyroidism, or preexisting hypercalcemia.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003e\u003cspan\u003eWhat size needle does this medication use?\u003c\/span\u003e\u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003e\u003cspan\u003e\u003cstrong\u003eFORTEO\u003c\/strong\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cspan style=\"font-weight: 400;\"\u003e32-gauge x 4mm\u003cbr\u003e\u003c\/span\u003e\u003cspan style=\"font-weight: 400;\"\u003e31\u003cspan data-mce-fragment=\"1\"\u003e-g\u003c\/span\u003eauge x 5mm\u003cbr\u003e\u003c\/span\u003e\u003cspan style=\"font-weight: 400;\"\u003e31\u003cspan data-mce-fragment=\"1\"\u003e-g\u003c\/span\u003eauge x 8mm\u003c\/span\u003e\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eNote: Forteo does not come with a needle. Y\u003cspan data-mce-fragment=\"1\"\u003eou must attach a new needle (recommended sizes listed above) in order to administer medication.\u003c\/span\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003eWhat if I miss a dose?\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan\u003eIf you miss a dose of medication, try to take it as soon as possible. However, if it is almost time for your next dose, take only that scheduled dose. Do not take double or extra doses.  \u003c\/span\u003eTeriparatide should be taken once a day only. \u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eHow should I store this medication?\u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003eStore in the refrigerator at 2° to 8°C (36° to 46°F) at all times except when administering the product. M\u003cspan data-mce-fragment=\"1\"\u003einimize leaving Teriparatide out of the refrigerator; deliver the dose immediately following removal from the refrigerator. \u003c\/span\u003eRecap the prefilled pen when not in use to protect the cartridge from physical damage and light. Do not freeze. \u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eWhat are the possible side effects of using this medication?\u003c\/span\u003e\u003c\/h5\u003e\n\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003eHypercalcemia, orthostatic hypotension, angina pectoris, syncope, dizziness, headache, insomnia, anxiety, depression, vertigo, hyperuricemia, nausea, gastritis, dyspepsia, vomiting, antibody development, Herpes zoster, joint and leg pain, rhinitis, pharyngitis, dyspepsia, pneumonia.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003eNote this is not a complete list of side effects for FORTEO\/OSNUVO (Teriparatide), \u003c\/span\u003e\u003cspan style=\"font-weight: 400;\"\u003eo\u003c\/span\u003e\u003cspan style=\"font-weight: 400;\"\u003enly common ones.\u003c\/span\u003e\u003cbr\u003e\u003c\/p\u003e","brand":"ELI LILLY\/AVIR PHARMA\/TEVA","offers":[{"title":"250mcg\/ml - 1x2.4ml Prefilled Pen - Canada - FORTEO","offer_id":47134811586878,"sku":null,"price":3010.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0711\/0321\/7982\/products\/Forteo.jpg?v=1695130744","url":"https:\/\/www.advochealth.com\/products\/forteo-osnuvo-teriparatide","provider":"AdvocHealth","version":"1.0","type":"link"}