› Forteo (Teriparatide) can cause kidney stones, especially if you have high calcium levels in your urine. If kidney stones are suspected, your doctor can measure the amount of calcium in your urine to see if you are at risk. Be careful using this medication if you have a history of kidney stones.
› Fosamax (alendronate) can cause bone and muscle pain. However, this is very rare. Stop taking the medication and talk to your doctor if this happens to you.
› Fosamax (alendronate) can cause fractures in the legs as a result of little or no force. This is rare. If you notice a new dull or aching pain in your hips or thighs, talk to your doctor right away.
No pain related info.
Upsides and benefits
› First choice to treat osteoporosis
› Lowers your risk of fractures due to osteoporosis.
› Available generic.
› Available as daily, weekly, or twice weekly dosing.
› Comes as a regular tablet, an oral solution, or effervescent tablet.
› If you're unable to use bisphosphonates or are still having fractures despite being on other medications, Forteo (Teriparatide) can be a good alternative.
› You can start using Forteo (Teriparatide) as soon as you stop using bisphosphonates.
Downsides and risks
› Can harm your esophagus if you don't remain upright for 30 minutes after taking it.
› Not recommended for people who can't sit or stand upright for at least 30 minutes.
› Can increase the risk of atypical fractures.
› Can cause bad heartburn or stomach problems.
› Only available as a brand medication, so it can be expensive.
› You have to inject this every day, so it may not be a good option if you don't like needles.
› Shouldn't take this longer than 18 to 24 months since it can increase the risk of bone cancers.
Tips from our pharmacists for people taking the medication
› Take first thing in the morning with a full glass of water.
› Avoid eating or drinking for 30 minutes after taking Fosamax (alendronate).
› Remain upright for 30 minutes after taking Fosamax (alendronate).
› Talk to your doctor if you develop pain around jaw, throat, chest, abdomen, hips or thighs.
› Let your doctor know if you have any major dental procedures coming up. You may need to temporarily stop taking Fosamax (alendronate).
› Dissolve the effervescent tablet in 4 ounces of plain water. When solution stops fizzing, wait 5 minutes before stirring for 10 seconds and drinking.
› You should be sitting or lying down when you inject Forteo (Teriparatide) since it can make you dizzy.
› You should inject Forteo (Teriparatide) under the skin in either your thigh or stomach.
› Make sure the liquid in the vial of Forteo (Teriparatide) is clear and colorless before you inject it. Don't use it if it looks cloudy, colored, or if you see particles inside.