Forteo Approved for Drug-Related Osteoporosis

For people taking glucocorticoid medications

Posted: July 24, 2009

FRIDAY, July 24 (HealthDay News) -- Eli Lilly's Forteo (teriparatide injection) has received expanded approval from the U.S. Food and Drug Administration to treat osteoporosis associated with long-term use of glucocorticoid medication, the company said Thursday.

Glucocorticoid therapy is commonly prescribed for inflammatory conditions including rheumatoid arthritis and obstructive lung disease. These drugs are among the most common causes of secondary osteoporosis, which increases users' risk of bone fracture, Lilly said in a news release.

As many as three of every 100 adults over age 50 use this type of medication, Lilly said, and of those, about half will eventually have an osteoporotic bone fracture.

In clinical testing among patients with glucocorticoid-induced osteoporosis, Forteo increased bone mineral density after 18 months of use by an average of 7.2 percent at the spine, 3.6 percent at the hip, and 3.7 percent at the neck, the company said.

The drug should never be used by children and young adults whose bones may still be growing. And in rare cases, users have developed a form of bone cancer called osteosarcoma. It's not known if the drug increased their risk, Lilly said.

More information

To learn more about glucocorticoid-induced osteoporosis, visit the American College of Rheumatology.

Forteo from the thoughts of a young paitent

I am going to keep my name confidental at this point in time... If you really really want to know it my contact info is at the bottom of the page.

I am 26 male and just started forteo. I have been a fairly high dose prednisone user since I turned 13... Even with prescription Vitamin D, Calcium and other suppliments I have just scored a -4.78 on my last dexa bone density scan.

I have been on fosamax, actonel, boniva, and they all caused ulcers. After my 2 years are up I will be put on reclast.

Ms / Mrs Brenda Frahn,

Forteo alone will not strengthen the muscles. But once your bones are strong enough you can start to do exercises that your doctor or a physcal therapist or an other qualified trained and hopefully liscensed professonal will have you do.

It takes a minimum of 3-4months for the bones to start rebuilding. My guess is at 8months - 1 year point your doctor will start having you do exercises to work on your muscles and other weaknesses (I myself being disabled and on social security Like to call the weaknesses my strengths) I am supposed to be useing a walker or cane due to severe RA and the damage its done so far along the way I started enbrel at the age of 17 but the damage was mostly done but it has been kept in check... however I am on prednisone for Crohn's Disease.

Brenda. If you ever need anyone to talk to feel free to use this e-mail adress Xeveniah at gmail dot com I think its self explanatory on how make it work.

Xeveniah Darkwind of GA @ Dec 19, 2009 23:59:36 PM

Osteoporosis in 76 year old male

Following at least 15 years of triamcinolone treatment for chronic asthma, followed by several seasonal treatments with prednisone, I have developed sufficient bone thinning that my doctor feels I should undergo a two year curriculum of Forteo since previous treatment with Fosamax produced chronic esophageal distress. I have not fractured a bone in over ten years and that occurred when ribs fractured during severe flu episodes. I now take the flu vaccine annually as well as pneumovax updates. My egg allergy has apparently subsided so that I am not afraid of vaccines as in earlier years. I will get the H1N1 vaccine as soon as it is available. Are there any other bone saving treatments I might consider which are less costly (over $21,000.00 over a two year period) which my Medicare plus supplemental might cover since I doubt that Forteo is accepted under Medicare at this time? It is possible that my bone loss has progressed to the point that allondronates are no longer feasible. I must admit with a milk allergy, I have not been taking in sufficient Ca, vitamin K, etc. to keep bone health up, and my activity level has dropped way down now that I have to use oxygen (4 liters) on a continuous basis due to emphysema and COPD.

John Riebe of MT @ Oct 10, 2009 15:00:50 PM

Forteo and Coumadin

I had open heart surgery in 2000 and since then I began having multiple fractures of the ribs, hip and pelvis which has not fully healed now I find out that I have a number of budging discs of the spine.My doctor wants to order a walker and scooter, but my vanity still makes me want to fight it forever. I know I fight a losing case. Do I have any hope by the use of Forteo and strengthening the core muscles?

Brenda Frahn of MO @ Aug 18, 2009 01:15:45 AM

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