Forsteo Injection 20Mcg/80UI Pre-Filled Pen

50,000.00

Forsteo Injection contains active ingredient Teriparatide which is now available in Pakistan at Online Pharmacy. The price range of the Forsteo Injection is Rs 45,000 to Rs 55,000/-. 

Product Description 

Brand: Forsteo
Form: Injection
Packet Size: 1 Prefilled Pen
Active ingredient: Teriparatide
Manufacturer: Eli Lily
Treatment: Bone Fractures 

Category:
Additional Details

Additional Details

Uses of the Forsteo Injection Prefilled Pen

The Forsteo Injection Prefilled Pen is used to treat osteoporosis in postmenopausal women, men at high risk of fractures, and people with osteoporosis caused by long-term corticosteroid use. It contains teriparatide (20 micrograms per dose), a synthetic form of parathyroid hormone that helps your body build new bone and increase bone mineral density.

You may be prescribed Forsteo if:

You’ve already had fractures due to weak bones.

Other osteoporosis medications haven’t worked for you or aren’t suitable.

You’re at high risk of future fractures due to very low bone density.

How Does Forsteo 20mcg Injection Work?

Forsteo 20mcg Injection contains teriparatide, a man-made form of parathyroid hormone (PTH 1-34), which plays a key role in regulating calcium and bone metabolism in your body. Unlike most osteoporosis treatments that slow down bone loss, Forsteo actively helps build new bone. 

Here’s how it works:

Stimulates bone formation: Teriparatide encourages your bone-forming cells (osteoblasts) to create new bone tissue.

Improves bone density: Over time, this leads to increased bone mineral density, making your bones stronger.

Reduces fracture risk: By strengthening the bones, it lowers your chances of fractures, especially in the spine and other high-risk areas.

How Should You Take Forsteo 20mcg Injection Work?

Forsteo 20mcg injection (teriparatide) is given as a once-daily subcutaneous injection, usually in the thigh or abdomen. Here’s how you should take it properly:

Follow Your Doctor’s Prescription: Take exactly as prescribed usually 20 micrograms once daily.

Use at the Same Time Each Day: Pick a convenient time and stick to it. This helps maintain consistent levels of the medication.

Inject Under the Skin (Subcutaneously): Do not inject into a vein or muscle. Inject it into the thigh or abdomen, rotating the injection site each day to avoid irritation.

Use the Prefilled Pen Correctly: The Forsteo injection comes in a prefilled pen that contains 28 doses. Read the patient instruction leaflet carefully or ask your healthcare provider to demonstrate the correct use.

Store Properly: Store the pen in a refrigerator (2°C to 8°C), but do not freeze. Always cap it after use.

Do Not Use for More Than 24 Months (2 Years): Forsteo is generally not recommended for use beyond 2 years in a lifetime, due to potential risk of bone cancer seen in animal studies. Your doctor will monitor your treatment duration.

Missed a Dose: If you forget a dose, take it as soon as you remember that day. Do not take two doses on the same day.

The recommended dosage of Forsteo 20mcg injection is 20 micrograms once daily, administered subcutaneously (under the skin) in the thigh or abdomen. It should be taken at the same time every day to maintain consistent levels in your body. 

Warnings and Precautions of Forsteo 20mcg Injection

Warnings and Precautions of Forsteo 20mcg Injection

Osteosarcoma Risk: Forsteo (teriparatide) can very rarely trigger a type of bone cancer called osteosarcoma. You should not use it if you have conditions that raise this risk such as Paget’s disease, open growth plates, a history of bone tumors or radiation to the skeleton, or certain hereditary bone disorders. Doctors also avoid it in anyone with active bone metastases.

Hypercalcemia & Cutaneous Calcification: The medicine raises blood-calcium levels for several hours after each dose. Skip or stop treatment if you already have high calcium or if routine blood tests show it creeping up. Very rarely, calcification of skin or small blood vessels (calciphylaxis) has been reported; if skin ulcers or painful plaques appear, call your doctor right away.

Kidney-Stone (Urolithiasis) Precaution: If you currently have or recently had kidney stones, your prescriber will weigh risks and benefits because higher urine calcium after an injection could worsen stone formation. They may check a urine-calcium test before continuing therapy.

Transient Orthostatic Hypotension: A few people feel dizzy or light-headed within the first 4 hours of an injection as blood pressure briefly drops. Take your first few doses while sitting or lying down and stand up slowly until you know how you react.

Digoxin Toxicity Risk: Because Forsteo can briefly push calcium levels higher, it may exaggerate the effects of digoxin (digitalis). If you use digoxin for heart problems, your clinician will monitor you closely or adjust doses.

Pregnancy, Breast-Feeding, and Children: Safety in pregnancy isn’t established; treatment is usually stopped once pregnancy is recognized. Breast-feeding is not advised during use. The drug is not approved for children or young adults because open growth plates heighten the osteosarcoma concern.

Total Lifetime Duration: Using teriparatide for more than 24 months is only considered if you still have a very high fracture risk. Your care team will review whether the benefits still outweigh the long-term risks before extending therapy.

Routine Monitoring: Expect periodic checks of serum calcium, kidney function, vitamin D status, and (if relevant) urinary calcium. Report persistent bone pain, new lumps, severe muscle cramps, or signs of high calcium (nausea, constipation, confusion) immediately.

Possible Side Effects of Forsteo 20mcg Injection

Possible Side Effects of Forsteo 20mcg Injection

Below is a quick, patient-friendly overview of what you might feel while taking Forsteo 20 mcg (teriparatide) once daily and when to call your doctor.

Very Common (may affect > 1 in 10)

Aching in an arm or leg – usually mild and short-lived.

You might also notice general joint or muscle soreness after the first few doses.

Common (up to 1 in 10)

Feeling sick (nausea) or an upset stomach

Headache or dizziness / light-headedness – sit or lie down until it passes.

Muscle or leg cramps, neck pain, or back ache

Mild injection-site redness, swelling, or bruising

These effects tend to settle within a few hours and often improve as you get used to the pen

Less Common (up to 1 in 100)

Drop in blood pressure on standing (orthostatic hypotension) that can lead to fainting take your first few injections while seated.

Small rise in blood-calcium that may bring constipation, mild confusion, or extra thirst.

Heart pounding or palpitations, or a flare-up of kidney-stone pain if you have a history of stones.

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