Compare Reclast vs. Forteo

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Reclast
(zoledronate)

Forteo
(teriparatide)

Prevents bone loss. Reclast (zoledronate) is a good choice for osteoporosis if you aren't able to take bisphosphonates by mouth. It is available as a generic, but you have to see a doctor to get each dose.Prevents bone loss. Forteo (Teriparatide) is a good second-choice medication to treat bone loss, but it's only available as an injectable.
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Coupons for Reclast
Best available price for 100 (100ml of 5mg/100ml solution) bottles of reclast
Coupons for Forteo
Best available price for 2.4 (2.4ml of 20mcg/dose) pens of forteo
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected
4.08Reclast
Reviews for Reclast
28%
of people (All ages) say Reclast is worth it
28%
say it works well
36%
say it's a big hassle
Have you used Reclast (zoledronate)?
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Have you used Forteo (teriparatide)?
Worth itNot sureNot worth it
Side effects
ReclastForteo
  • Joint pain 4%
  • Fever 13%
  • High blood pressure 1%
  • Muscle aches 8%
  • Headache 4%
  • Pain in arms or legs 1%
  • Nausea 4%
  • Influenza-like illness 6%
  • Pain 20%
More Reclast side effects »
  • Inflammation inside the nose 1%
  • Joint pain 2%
  • Muscle weakness 2%
  • Nausea 2%
  • Dizziness 3%
  • Headache 1%
  • Any side effect 1%
  • Sore throat 1%
More Forteo side effects »
How it works
ReclastForteo
Reclast (zoledronate) is a bisphosphonate. It slows down the cells that break down bone. This results in greater bone mass, and lowers the possibility of fractures.Forteo (Teriparatide) works by stimulating cells that build up and strengthen your bones.
Type of medication
ReclastForteo
Prescription onlyPrescription only
Available as
ReclastForteo
  • Injection
  • Injection
Used for
ReclastForteo
Risk factors for serious side effects
ReclastForteo
  • Oral or dental surgery
  • Cancer
  • Poor oral hygiene
  • Low parathyroid hormone
  • History of thyroid surgery
Detailed Reclast (zoledronate) risks & warnings »
  • Paget's bone disease
  • Young people with open epiphyses
  • Hypercalcemia
  • Hyperparathyroidism
  • History of kidney stones
Detailed Forteo (teriparatide) risks & warnings »
Pregnancy

Research studies with real people found harmful effects on unborn babies, but the benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Food
ReclastForteo
  • People on Reclast (zoledronate) have had breakdown of the jawbone. However, it is rare. It is more likely to happen if you have oral or dental surgery, or if you have poor oral hygiene. If you notice pain or swelling in your jaw, talk to your doctor right away. Also, before any oral/dental procedure, tell your surgeon that you are taking Reclast (zoledronate).
No food related info.
Kidneys and liver
ReclastForteo
  • Reclast (zoledronate) can cause kidney injury, especially in people who already have problems with their kidneys. It is important that you get blood tests done before each dose to measure your kidney function. Reclast (zoledronate) shouldn’t be used in people who have very poor kidney function.
  • It can't be used if you have really poor kidney function.
  • 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.
Pain
ReclastForteo
  • Joint pain and muscle pain are common side effects after the infusion.
No pain related info.
Upsides and benefits
ReclastForteo
  • Available in generic.
  • Depending on what you're using it for, you may only need to take it as a one-time dose, or every 1 to 2 years.
  • 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
ReclastForteo
  • You have to go to your doctor's office or an infusion center to get each dose by IV infusion.
  • It can't be used if you have really poor kidney function.
  • Joint pain and muscle pain are common side effects after the infusion.
  • 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
ReclastForteo
  • Eat normally and drink at least 2 glasses of liquid before your infusion.
  • You can take acetaminophen (Tylenol) to lower fever and chills from the infusion.
  • Talk to your doctor if you develop swelling, pain, or soreness in your jaw.
  • Call your doctor if you develop pain in your hips, thighs, or legs.
  • If you have to have dental or oral surgery, tell your surgeon that you're taking this medication.
  • Drink plenty of liquids while you're on this medicine.
  • 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.
Learn more
More about ReclastSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Reclast (zoledronate)?
Worth itNot sureNot worth it
More about ForteoSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Forteo (teriparatide)?
Worth itNot sureNot worth it