Teriparatide

Introduction To Teriparatide

Teriparatide is a man-made version of parathyroid hormone used to treat men and postmenopausal women who have severe osteoporosis with a high risk of fractures. It works by stimulating new bone formation, which improves bone density and decreases the risk of spinal fractures.

Teriparatide should be injected under the skin or given by a healthcare professional. You should use it regularly and at the same time each day to get the maximum benefit from it. Usually, it is recommended to take it for a maximum period of 2 years. However, follow the doctor's advice and complete the course even if you feel better. It should be stored in the refrigerator at a temperature of 2°C to 8°C.

Some common side effects of this medicine include joint pain, injection site reactions (such as pain, swelling, and redness) and leg cramps. consult with your doctor if any of these bother you or do not go away.

Before taking this medicine, let your doctor know if you have kidney stones or any other kidney problems, as it can cause an increase in the amount of calcium in blood or urine. Pregnant and breastfeeding mothers should also consult with their doctors before taking this medicine. Your doctor may advise a bone scan to monitor the progress of your treatment.

Uses of Teriparatide

  • Osteoporosis

Benefits of Teriparatide

Osteoporosis
Osteoporosis is a common condition that weakens bones, making them fragile and more likely to break. Teriparatide helps treat osteoporosis in men as well as in women after menopause. It slows down the rate at which bone is broken down in your body. This maintains bone density and reduces your risk of breaking a bone. The injection is given by a doctor or nurse and should not be self- administered. You can help improve the strength of your bones by doing regular exercise (especially weight-bearing exercise), eating healthy foods containing calcium and Vitamin D and reducing your consumption of alcohol and tobacco. Supplements of calcium and Vitamin D3 are also effective.

Side effects of Teriparatide

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Gemtide

  • Joint pain
  • Injection site reactions (pain, swelling, redness)
  • Nausea
  • Leg cramps

How to use Teriparatide

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How Teriparatide works

Teriparatide is a synthetic form of a natural human hormone called parathyroid hormone (PTH). It works by increasing the number and activity of bone-forming cells (osteoblasts). This strengthens the bones and minimizes the risk of fractures.

Quick tips

  • Teriparatide should be injected every day under the skin (subcutaneous injection) of the thigh or abdomen.

  • Do not take it for more than 2 years.

  • You may have low blood pressure and dizziness during the initial few days.

  • If you feel dizzy (light-headed) after injection, sit or lie down until you feel better.

  • Tell your doctor immediately if you experience nausea, vomiting, constipation, low energy, or muscle weakness. These may be signs of high calcium levels in your blood.

  • Tell your doctor if you are breastfeeding, pregnant or plan to become pregnant.

Safety Advice

sdsPregnancyCONSULT YOUR DOCTOR

Can I take Teriparatide if I’m pregnant?

Teriparatide may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

sdsBreastfeedingCONSULT YOUR DOCTOR

Can I take Teriparatide if I’m breastfeeding?

Information regarding the use of Teriparatide during breastfeeding is not available. Please consult your doctor.

sdsAlcoholCAUTION

Is drinking alcohol while taking Teriparatide safe?

Caution is advised when consuming alcohol with Teriparatide. Please consult your doctor.

sdsDrivingUNSAFE

Can I drive after taking Teriparatide?

Teriparatide may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

sdsKidneyCAUTION

Can I take Teriparatide if I have/had kidney diseases?

Teriparatide should be used with caution in patients with kidney disease. Dose adjustment of Teriparatide may be needed. Please consult your doctor. Use of Teriparatide is not recommended in patients with severe kidney disease.

sdsLiverCONSULT YOUR DOCTOR

Can I take Teriparatide if I have/had liver diseases?

There is limited information available on the use of Teriparatide in patients with liver disease. Please consult your doctor.

Frequently Asked Questions

Q. Is Teriparatide a steroid?

No, Teriparatide is not a steroid. However, this medicine may be used to treat osteoporosis caused by long-term use of steroids. Generally, this medicine is used to treat osteoporosis in women of postmenopausal age group and in men who have increased risk of fracture.

Q. Can I take this medication in long term for osteoporosis?

Teriparatide should not be taken for longer than 2-year course. It is important to inform the doctor if you have taken this medication in the past, as you should not receive more than one treatment of 24 months course more than once in your lifetime.

Q. How is Teriparatide stored at home?

Always keep this medicine stored in a refrigerator at a temperature of about 2°C to 8°C. Be cautious, the temperature should not decrease further as freezing may cause the medicine to get damaged and can lead to loss of activity. Therefore, avoid placing the Teriparatide pens close to the ice compartment of the refrigerator. If properly stored this medication can be used up to 28 days after the first injection. If the pen is not empty within 28 days please discard it safely.

Q. Who should not use Teriparatide?

The doctor will decide whether the medicine is required for a patient or not. There are few conditions in which the use of Teriparatide should be avoided such as in patients with kidney impairment, Paget’s disease, any type of bone cancers or unexplained high levels of serum calcium. It should also be avoided by children, young adult or growing age, pregnant or lactating females. Hence, before starting the medication inform the doctor about any medical condition and the medication you are taking. This will help the doctor to design a proper therapy for you.

References

Written By:

Dr Advikka Ridhy

Dr Advikka Ridhy

MBBS

RMO, Aster MIMS

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