TERIFRAC CARTRIDGE

Uses and Benefits of TERIFRAC CARTRIDGE (TERIPARATIDE 750MCG)

Teriparatide is used to treat osteoporosis, a condition where bones become weak, brittle and prone to fractures.

WHAT THIS MEDICINE IS USED FOR

• Treatment of osteoporosis in postmenopausal women at high risk of fracture
• Treatment of osteoporosis in men at increased risk of fracture
• Treatment of bone loss caused by long-term steroid (glucocorticoid) use

HOW IT WORKS

• It is a man-made form of parathyroid hormone
• Unlike the body's natural hormone, when given in small daily doses it stimulates cells that build new bone
• Over time this increases bone density and bone strength, lowering fracture risk

WHAT IT IS NOT USED FOR

• It is not a painkiller and does not treat sudden bone or joint pain directly
• It is not used for general calcium or vitamin D deficiency alone
• It is not meant for long-term, indefinite use beyond the doctor-advised treatment period
• It is not used in people with certain bone cancers or high bone turnover conditions

Side Effects of TERIFRAC CARTRIDGE (TERIPARATIDE 750MCG)

COMMON SIDE EFFECTS

• Pain, redness or swelling at the injection site
• Nausea
• Joint pain
• Leg cramps
• Dizziness or feeling light-headed, especially after injection

LESS COMMON SIDE EFFECTS

• Headache
• Fatigue or weakness
• Increased sweating
• Mild rise in blood calcium levels
• Constipation or indigestion

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Signs of allergic reaction such as rash, swelling of face/lips/tongue, or difficulty breathing
• Severe dizziness or fainting after injection
• Symptoms of high calcium such as severe nausea, vomiting, confusion, or excessive thirst
• Severe or persistent bone pain
• Signs of kidney problems such as reduced urination or swelling in legs

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

How to Use TERIFRAC CARTRIDGE (TERIPARATIDE 750MCG)

HOW TO TAKE IT

• Teriparatide is given as an injection under the skin (subcutaneous), usually once daily as prescribed by your doctor
• It is generally injected into the thigh or lower abdomen, rotating the site each time
• Use it at the same time each day for consistency
• The first few doses are usually given sitting or lying down, since dizziness can occur
• Do not inject if the solution looks cloudy, discoloured, or contains particles
• Follow the injection technique taught by your doctor or nurse; use a new needle each time

IF YOU MISS A DOSE

• Take the missed dose as soon as you remember on the same day
• Do not take two doses on the same day to make up for a missed one
• If you forget completely for that day, skip it and continue with the next scheduled dose
• Contact your doctor if you miss multiple doses

STORAGE

• Store in a refrigerator between 2°C and 8°C; do not freeze
• Keep the pen/cartridge in its outer carton to protect from light
• Discard as per the doctor's advice after the labelled number of days once first used
• Keep out of reach of children

Safety Information and Precautions for TERIFRAC CARTRIDGE (TERIPARATIDE 750MCG)

This is a prescription-only medicine in India and must be used strictly under a doctor's supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Have a known allergy to teriparatide or any ingredient in it
• Have bone cancer or cancer that has spread to the bones
• Have Paget's disease of bone
• Have unexplained high levels of calcium in your blood (hypercalcemia)
• Have had radiation therapy to the bones in the past
• Are a child or young adult whose bones are still growing

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have kidney disease
• Have a history of kidney stones
• Have any bone or metabolic bone disorder
• Are pregnant, planning pregnancy, or breastfeeding
• Are already taking other osteoporosis medicines like bisphosphonates

MEDICINES THAT CAN INTERACT

• Digoxin (heart medicine) — teriparatide-related calcium changes may affect its action
• Other bone-active medicines such as bisphosphonates
• Calcium and vitamin D supplements — dose may need adjustment
• Any other injectable hormone therapy

FREQUENTLY ASKED QUESTIONS

Can I take teriparatide for life?

No, it is usually given only for a limited period as advised by your doctor, after which other treatments may continue.

Will I feel dizzy after every injection?

Some people feel light-headed shortly after injection, especially at first, so it is best to sit or lie down when injecting.

Can I stop it suddenly if I feel better?

• Do not stop without consulting your doctor, as treatment duration and follow-up bone therapy are usually planned together.
• Doctor ya pharmacist se salah lein.