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If you're worried about your osteoporosis getting worse, and increasing your risk of breaking another bone, it's time to find out how FORTEO helps build new bone.

Complete an interactive Doctor Discussion Guide to review with your physician.

*Only proven in postmenopausal women with osteoporosis.

How Strong Are Your Bones?

About half of all women over age 50 will break a bone due to osteoporosis in their remaining lifetime. For many people, a broken bone from a minor fall is the first clue that they have osteoporosis. And if you've had one broken bone due to osteoporosis, your risk for having another one goes up.

Women who have had a hip fracture are 4 times more likely to have another.

Almost 20% of women who break a bone in their spine will have another spine fracture within 12 months.

Being Careful May Not Be Enough

If your osteoporosis has become so severe that you've had a fracture, you could break another bone doing everyday activities you've done for years. Lifting a laundry basket, a gallon of milk, or a bag of groceries the wrong way, or taking a wrong step on the stairs—any of these things can cause you to fracture again.

Aside from already having had a fracture due to osteoporosis, some other factors that can put you at higher risk for osteoporotic fractures include older age and low bone mineral density.


FORTEO Is the Only Bone-Building (or Anabolic) Osteoporosis Medicine

See the difference FORTEO can make when it comes to building bone:

This small sample of bone was taken from the iliac crest (upper part of the pelvis) of a postmenopausal patient with osteoporosis and viewed using microscopic imaging technology (CT).

After 21 months of treatment with FORTEO, another sample taken from the same patient shows new bone has been formed.

† Bone biopsies were obtained from a subgroup of 51 women who participated in a clinical study of 1,637 postmenopausal women with osteoporosis (of whom 90% had a spine fracture). In the overall study, 541 women took a daily 20-mcg dose of FORTEO and 544 took a placebo for a median time of 19 months and a maximum of 24 months (all women took calcium and vitamin D daily).

FORTEO Helps Build New Bone

  • FORTEO helps increase bone mass.
  • FORTEO also helps increase bone strength.
  • FORTEO is similar to part of a protein your body produces.

FORTEO Helps Increase BMD. FORTEO Also Helps Reduce the Risk of Future Fractures Due to Osteoporosis.*

*Only proven in postmenopausal women with osteoporosis.

In a clinical study of postmenopausal women with osteoporosis who were at high risk for fracture, FORTEO:

  • Increased bone mineral density (BMD) in the lumbar spine by 9.7% in a median time of 19 months.
  • Reduced the risk of new spine fractures by 65% RRR (9.3% ARR).
  • Reduced the risk of new fractures in other bones by 53% RRR (2.9% ARR). These other bones included the ankle/foot, hip, upper arm, pelvis, ribs, wrist, and others.

‡ In a clinical study of FORTEO involving 1,637 postmenopausal women with osteoporosis (of whom 90% had a spine fracture), 541 women took a daily 20-mcg dose of FORTEO and 544 took a placebo for a median time of 19 months. All women took calcium and vitamin D daily.

RRR=Relative Risk Reduction. ARR=Absolute Risk Reduction.

Find out even more by visiting FORTEO.com. And remember to ask your doctor if it's time to take action with FORTEO.

Questions for Your Doctor about FORTEO

It's important to maintain open communication with your healthcare team. Use this interactive Doctor Discussion Guide to start a conversation about how you can help reduce your high risk for fracture.

Directions:

  • Select your questions below.
  • Click the PREVIEW button when you're happy with your question selection.
  • Print the questions for your doctor.

Treatment Goals

  • What do you expect FORTEO to do for me?
  • What does "reduced fracture risk" mean for my everyday activities?
  • What's my T-score and how can I improve it?
  • Is there a high risk I can break a bone due to osteoporosis?

Support During FORTEO Treatment

  • How can I learn to give myself FORTEO?
  • Will my insurance cover FORTEO?
  • Are there financial assistance programs to help cover prescription costs?

Healthy Living with Osteoporosis

  • What kind of exercises and activities can I pursue?
  • How can I add more calcium and vitamin D to my diet?
  • What are some tips for healthy living with osteoporosis?
  • What can happen if my osteoporosis gets worse?

About FORTEO

  • Do you think FORTEO is a treatment option for me?
  • How do I take FORTEO?
  • How does FORTEO work?
  • How is FORTEO different from other osteoporosis medications?
  • Why do I need to inject my medication instead of taking a pill?
  • How long will I need to be on FORTEO?
  • How will I know FORTEO is working?
  • What are the potential side effects and risks associated with FORTEO?
  • Should I make lifestyle changes while on FORTEO?

Select questions above, then click preview. PREVIEW

Safety Information about FORTEO, including Boxed Warning

What is the most important information I should know about FORTEO?

WARNING: POTENTIAL RISK OF OSTEOSARCOMA

Possible bone cancer. During drug testing, 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 rarely been reported in people who took FORTEO. It is not known if people who take FORTEO have a higher chance of getting osteosarcoma. Before you take FORTEO, you should tell your healthcare provider if you have Paget's disease of bone, are a child or young adult whose bones are still growing, or have had radiation therapy.

Who should not take FORTEO?
  • You should not take FORTEO for more than 2 years over your lifetime.
  • Do not use FORTEO if you are allergic to any of the ingredients in FORTEO. Serious allergic reactions have been reported.
What should I tell my healthcare provider before taking FORTEO?
  • Before you take FORTEO, you should tell your healthcare provider if you have a bone disease other than osteoporosis, have cancer in your bones, have trouble injecting yourself and do not have someone who can help you, have or have had kidney stones, have or have had too much calcium in your blood, take medications that contain digoxin (Digoxin, Lanoxicaps, Lanoxin), or have any other medical conditions.
  • You should also tell your healthcare provider, before you take FORTEO, if you are pregnant or thinking about becoming pregnant. It is not known if FORTEO will harm your unborn baby. If you are breastfeeding or plan to breastfeed, it is not known if FORTEO passes into your breast milk. You and your healthcare provider should decide if you will take FORTEO or breastfeed. You should not do both.
What are the possible side effects of FORTEO?
  • FORTEO can cause serious side effects including a 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. FORTEO may also cause 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 nausea, joint aches, pain, leg cramps, and injection site reactions including injection site pain, swelling and bruising. These are not all the possible side effects of FORTEO. You are encouraged to report negative side effects of Prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Additional safety information about FORTEO
  • 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.org.
  • The FORTEO Delivery Device has enough medicine for 28 days. It is set to give a 20-microgram dose of medicine each day. 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. Inject FORTEO one time each day in your thigh or abdomen (lower stomach area). Do not inject all the medicine in the FORTEO Delivery Device at any one time. 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 take more FORTEO than prescribed, call your healthcare provider. If you take too much FORTEO, you may have nausea, vomiting, weakness, or dizziness.
How should I store FORTEO?
  • Keep your FORTEO Delivery Device in the refrigerator between 36°F to 46°F (2°C to 8°C). Do not freeze the FORTEO Delivery Device. Do not use FORTEO if it has been frozen. Do not use FORTEO after the expiration date printed on the delivery device and packaging. Throw away the FORTEO Delivery Device after 28 days even if it has medicine in it (see the User Manual).

TE Con ISI 09Sep2013

For more safety information, please see Medication Guide and Full Prescribing Information, including Boxed Warning regarding osteosarcoma.

See Full Delivery Device User Manual that accompanies the Delivery Device.

Lilly USA, LLC
Indianapolis, IN – USA

TE-86615 09/2013 ©Lilly USA, LLC 2013. All rights reserved. For more information about osteoporosis, contact your doctor or healthcare professional. This site is intended for US residents ages 18 and over. FORTEO® is a registered trademark of Eli Lilly and Company.

WebMD does not endorse any specific product, service, or treatment.

Indications for FORTEO:

  • FORTEO® (teriparatide [rDNA origin] injection) is used in postmenopausal women with osteoporosis who are at high risk for having broken bones (fractures).
  • FORTEO can be used by postmenopausal women who have had a fracture related to osteoporosis, or who have several risk factors for fracture, or who cannot use other osteoporosis treatments.

FORTEO is a prescription medicine given as a 20-microgram once-daily dose available in a 2.4-mL delivery device for subcutaneous injection over 28 days.

Safety Information about FORTEO, including Boxed Warning

What is the most important information I should know about FORTEO?

WARNING: POTENTIAL RISK OF OSTEOSARCOMA

Possible bone cancer. During drug testing, 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 rarely been reported in people who took FORTEO. It is not known if people who take FORTEO have a higher chance of getting osteosarcoma. Before you take FORTEO, you should tell your healthcare provider if you have Paget's disease of bone, are a child or young adult whose bones are still growing, or have had radiation therapy.

Who should not take FORTEO?
  • You should not take FORTEO for more than 2 years over your lifetime.
  • Do not use FORTEO if you are allergic to any of the ingredients in FORTEO. Serious allergic reactions have been reported.
What should I tell my healthcare provider before taking FORTEO?
  • Before you take FORTEO, you should tell your healthcare provider if you have a bone disease other than osteoporosis, have cancer in your bones, have trouble injecting yourself and do not have someone who can help you, have or have had kidney stones, have or have had too much calcium in your blood, take medications that contain digoxin (Digoxin, Lanoxicaps, Lanoxin), or have any other medical conditions.
  • You should also tell your healthcare provider, before you take FORTEO, if you are pregnant or thinking about becoming pregnant. It is not known if FORTEO will harm your unborn baby. If you are breastfeeding or plan to breastfeed, it is not known if FORTEO passes into your breast milk. You and your healthcare provider should decide if you will take FORTEO or breastfeed. You should not do both.
What are the possible side effects of FORTEO?
  • FORTEO can cause serious side effects including a 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. FORTEO may also cause 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 nausea, joint aches, pain, leg cramps, and injection site reactions including injection site pain, swelling and bruising. These are not all the possible side effects of FORTEO. You are encouraged to report negative side effects of Prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Additional safety information about FORTEO
  • 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.org.
  • The FORTEO Delivery Device has enough medicine for 28 days. It is set to give a 20-microgram dose of medicine each day. 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. Inject FORTEO one time each day in your thigh or abdomen (lower stomach area). Do not inject all the medicine in the FORTEO Delivery Device at any one time. 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 take more FORTEO than prescribed, call your healthcare provider. If you take too much FORTEO, you may have nausea, vomiting, weakness, or dizziness.
How should I store FORTEO?
  • Keep your FORTEO Delivery Device in the refrigerator between 36°F to 46°F (2°C to 8°C). Do not freeze the FORTEO Delivery Device. Do not use FORTEO if it has been frozen. Do not use FORTEO after the expiration date printed on the delivery device and packaging. Throw away the FORTEO Delivery Device after 28 days even if it has medicine in it (see the User Manual).

TE Con ISI 09Sep2013

For more safety information, please see Medication Guide and Full Prescribing Information, including Boxed Warning regarding osteosarcoma.

See Full Delivery Device User Manual that accompanies the Delivery Device.

Lilly USA, LLC
Indianapolis, IN – USA

Important Safety Information and Boxed Warning |
Prescribing Information | Medication Guide