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Osteoporosis Message Board


Osteoporosis Board Index


[QUOTE=Travel]Are you satisfied with only the black box warning? Wouldn't you like to have information beyond that, such as the reason for using the drug for a mandatory limited amount of time? Don't you think you should be fully informed before injecting the drug into your body? Don't you ask yourself WHY they are not giving you more detailed information?

I said in my previous message that if I were having broken bones on a regular basis I might reconsider my decision. It is an individual choice.[/QUOTE]
I'm not trying to be argumentative here, Travel. :D Just making a general philosophical point. I will never be a candidate for Forteo myself. I don't know what information is routinely given by doctors, but I read that a medication guide with more detail must accompany each prescription. I would imagine that is going to be the most up-to-date info. Since you are doing the research (for which I commend you) why not talk to your pharmacist about it?

The Black Box warning goes like this: (I hope it's okay to post this)
[QUOTE]
WARNING

In male and female rats, teriparatide caused an increase in the incidence of osteosarcoma (a malignant bone tumor) that was dependent on dose and treatment duration. The effect was observed at systemic exposures to teriparatide ranging from 3 to 60 times the exposure in humans given a 20-mcg dose. Because of the uncertain relevance of the rat osteosarcoma finding to humans, teriparatide should be prescribed only to patients for whom the potential benefits are considered to outweigh the potential risk. Teriparatide should not be prescribed for patients who are at increased baseline risk for osteosarcoma (including those with Paget's disease of bone or unexplained elevations of alkaline phosphatase, open epiphyses, or prior radiation therapy involving the skeleton) ( see WARNINGS and PRECAUTIONS , Carcinogenesis ). [/QUOTE]
Treatment choices can be so tough. I myself just finished 5 years on a drug which has the known side-effects of blood clots and uterine cancer, but which I believe has protected me from the cancer I'm most vulnerable to. I made the decision with my eyes wide open, and with the knowledge that ultimately I (and not my doctors) am responsible for my own health. I wish you and everyone here the best of luck, whatever you should decide! :)
I don't think that using Forteo is much different that any other new medication or treatment which has recently been FDA approved after clinical trials. That's not to say just because clinical trials were done and it was FDA approved means that it's safe or will benefit everyone. More detailed information is provided to the patients with the medication, at least I got it. However, medication effects everyone different and some people may suffer the side effects and other people don't. Just much thoughts about making choices whether to take a medication or not that has a black box warning.





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