Medication Guide FORTEO (for-TAY-o) teriparatide (rDNA
Contents
1. e Keep your FORTEO delivery device in the refrigerator between 36 to 46 F 2 to 8 C e Do not freeze the FORTEO delivery device Do not use FORTEO if it has been frozen e Do not use FORTEO after the expiration date printed on the delivery device and packaging e Throw away the FORTEO delivery device after 28 days even if it has medicine in it see the User Manual Keep FORTEO and all medicines out of the reach of children General information about FORTEO Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide Do not use FORTEO for a condition for which it was not prescribed Do not give FORTEO to other people even if they have the same condition you have This Medication Guide summarizes the most important information about FORTEO If you would like more information talk with your healthcare provider You can ask your pharmacist or healthcare provider for information about FORTEO that is written for healthcare professionals For more information go to www FORTEO com or call Lilly at 1 866 436 7836 What are the ingredients in FORTEO Active ingredient teriparatide Inactive ingredients glacial acetic acid sodium acetate anhydrous mannitol metacresol and water for injection In addition hydrochloric acid solution 10 and or sodium hydroxide solution 10 may have been added to adjust the product to pH 4 What is Osteoporosis Osteoporosis is a disease in which the bones become thin and w2. Medication Guide FORTEO for TAY 0 teriparatide rDNA origin injection Read this Medication Guide before you start taking FORTEO and each time you get a refill There may be new information Also read the User Manual that comes with the FORTEO delivery device pen for information on how to use the device to inject your medicine the right way This Medication Guide does not take the place of talking with your healthcare provider about your medical condition or your treatment What is the most important information I should know about FORTEO e During the drug testing process the medicine in FORTEO caused some rats to develop a bone cancer called osteosarcoma In people osteosarcoma is a serious but rare cancer Osteosarcoma has been reported rarely in people who took FORTEO It is not known if people who take FORTEO have a higher chance of getting osteosarcoma e You should not take FORTEO for more than 2 years over your lifetime e There is a voluntary Patient Registry for people who take FORTEO The purpose of the registry is to collect information about the possible risk of osteosarcoma in people who take FORTEO For information about how to sign up for this patient registry call 1 866 382 6813 or go to www forteoregistry rti org What is FORTEO e FORTEO is a prescription medicine that is like a hormone made by the body called parathyroid hormone or PTH FORTEO may help to form new bone increase bone mineral density and bone str
3. dicine for 28 days It is set to give a 20 microgram dose of medicine each day Do not inject all the medicine in the FORTEO delivery device at any one time e Do not transfer the medicine from the FORTEO delivery device to a syringe This can result in taking the wrong dose of FORTEO If you do not have pen needles to use with your FORTEO delivery device talk with your healthcare provider e FORTEO should look clear and colorless Do not use FORTEO if it has particles in it or if it is cloudy or colored e Inject FORTEO right away after you take the delivery device out of the refrigerator e After each use safely remove the needle recap the delivery device and put it back in the refrigerator right away e You can take FORTEO at any time of the day To help you remember to take FORTEO take it at about the same time each day e If you forget or can not take FORTEO at your usual time take it as soon as you can on that day Do not take more than one injection in the same day e If you take more FORTEO than prescribed call your healthcare provider If you take too much FORTEO you may have nausea vomiting weakness or dizziness Follow your healthcare provider s instructions about other ways you can help your osteoporosis such as exercise diet and reducing or stopping your use of tobacco and alcohol If your healthcare provider recommends calcium and vitamin D supplements you can take them at the same time you take FORTEO What are the p
4. eak increasing the chance of having a broken bone Osteoporosis usually causes no symptoms until a fracture happens The most common fractures are in the spine backbone They can shorten height even without causing pain Over time the spine can become curved or deformed and the body bent over Fractures from osteoporosis can also happen in almost any bone in the body for example the wrist rib or hip Once you have had a fracture the chance for more fractures greatly increases The following risk factors increase your chance of getting fractures from osteoporosis e past broken bones from osteoporosis e very low bone mineral density BMD e frequent falls e limited movement such as using a wheelchair e medical conditions likely to cause bone loss such as some kinds of arthritis e taking steroid medicines called glucocorticoids such as prednisone e other medicines that may cause bone loss for example seizure medicines such as phenytoin blood thinners such as heparin and high doses of vitamin A This Medication Guide has been approved by the U S Food and Drug Administration The brands listed are trademarks of their respective owners and are not trademarks of Eli Lilly and Company Medication Guide revised March 13 2012 Marketed by Lilly USA LLC Indianapolis IN 46285 USA Copyright 2002 2012 Eli Lilly and Company All rights reserved PA000FSAM00 page 3 of 3
5. ength e FORTEO can lessen the number of fractures of the spine and other bones in postmenopausal women with osteoporosis e The effect on fractures has not been studied in men e FORTEDO is used in both men and postmenopausal women with osteoporosis who are at high risk for having fractures FORTEO can be used by people who have had a fracture related to osteoporosis or who have several risk factors for fracture or who can not use other osteoporosis treatments e FORTEDO is used in both men and women with osteoporosis due to use of glucocorticoid medicines such as prednisone for several months who are at high risk for having broken bones fractures These include men and women with either a history of broken bones who have several risk factors for fracture or who can not use other osteoporosis treatments It is not known if FORTEO is safe and effective in children FORTEO should not be used in children and young adults whose bones are still growing Who should not use FORTEO Do not use FORTEO if you e are allergic to any of the ingredients in FORTEO See the end of this Medication Guide for a complete list of the ingredients in FORTEO What should I tell my healthcare provider before taking FORTEO Before you take FORTEO tell your healthcare provider if you e have the condition listed in the section Who should not use FORTEO e have Paget s disease or other bone disease e have cancer in your bones e have trouble inject
6. ing yourself and do not have someone who can help you e are a child or young adult whose bones are still growing e have or have had kidney stones e have had radiation therapy e have or had too much calcium in your blood e have any other medical conditions page 1 of 3 e are pregnant or thinking about becoming pregnant It is not known if FORTEO will harm your unborn baby e are breast feeding or plan to breast feed It is not known if FORTEO passes into your breast milk You and your doctor should decide if you will take FORTEO or breast feed You should not do both Tell your healthcare provider about all the medicines you take including prescription and non prescription medicines vitamins and herbal supplements Your healthcare provider needs this information to help keep you from taking FORTEO with other medicines that may harm you Especially tell your doctor if you take medicines that contain digoxin Digoxin Lanoxicaps Lanoxin How should I use FORTEO e Inject FORTEO one time each day in your thigh or abdomen lower stomach area Talk to a healthcare provider about how to rotate injection sites e Before you try to inject FORTEO yourself a healthcare provider should teach you how to use the FORTEO delivery device to give your injection the right way e Read the detailed User Manual at the end of this Medication Guide e You can take FORTEO with or without food or drink e The FORTEO delivery device has enough me
7. ossible side effects of FORTEO FORTEO can cause serious side effects including e See What is the most important information I should know about FORTEO e Decrease in blood pressure when you change positions Some people feel dizzy get a fast heartbeat or feel faint right after the first few doses This usually happens within 4 hours of taking FORTEO and goes away within a few hours For the first few doses take your injections of FORTEO in a place where you can sit or lie down right away if you get these symptoms If your symptoms get worse or do not go away stop taking FORTEO and call your healthcare provider e Increased calcium in your blood Tell your healthcare provider if you have nausea vomiting constipation low energy or muscle weakness These may be signs there is too much calcium in your blood Common side effects of FORTEO include e nausea e joint aches e pain page 2 of 3 Your healthcare provider may take samples of blood and urine during treatment to check your response to FORTEO Also your healthcare provider may ask you to have follow up tests of bone mineral density Tell your healthcare provider if you have any side effect that bothers you or that does not go away These are not all the possible side effects of FORTEO For more information ask your doctor or pharmacist Call your doctor for medical advice about side effects You may report side effects to FDA at 1 800 FDA 1088 How should I store FORTEO
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