Teriparatide (Forteo) was the first bone anabolic agent approved for osteoporosis (2002), representing a paradigm shift from purely antiresorptive approaches. By stimulating osteoblasts to build new bone rather than simply slowing bone loss, it can restore bone architecture in ways that bisphosphonates cannot.
Dosage Information (Research Use)
20mcg SC once daily in the thigh or abdominal wall. Treatment duration: up to 2 years. Follow with antiresorptive therapy. Prescription medication.
Reconstitution & Handling
Pre-filled pen — no reconstitution.
Half-Life & Pharmacokinetics
~1 hour
Reported Observations in Literature
Leg cramps (3%), nausea (9%), headache (8%), dizziness (8%), orthostatic hypotension (5%), hypercalcemia (11% mild). Black box warning for osteosarcoma (rodent data at 3-60x human doses). Contraindicated in Paget’s disease and prior bone radiation.
Key Research References
- Neer RM et al. “Effect of parathyroid hormone (1-34) on fractures and bone mineral density.” N Engl J Med. 2001;344:1434-41