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Library · Muscle, bone & joint · Treatment of severe osteoporosis and fracture prevention

Teriparatide (Forteo)

PTH(1-34), rhPTH(1-34), Parathyroid hormone fragment 1-34

A recombinant fragment, amino acids 1-34, of human parathyroid hormone, marketed as Forteo and FDA-approved as a bone-building treatment for osteoporosis in men and postmenopausal women at high fracture risk.

Research score 95/100. Reference only, not a dose.

Boxed warning: Osteosarcoma risk in animal studies

  • Bone Health
  • Healing
  • Anti-inflammatory
  • Hormone Regulation
  • Pain Relief
  • Joint Support
US status
FDA Approved
Approval
FDA + EMA Approved
Evidence
FDA Approved (Forteo) for osteoporosis.
Research score
95 / 100
Indication
Osteoporosis
Origin
USA
Source category
Muscles & Joints
Status group
Approved / prescription

Mechanism

Binds PTH1R on bone-building cells; given intermittently, it favors bone formation over resorption by activating Wnt/β-catenin signaling and suppressing sclerostin, boosting osteoblast activity and survival and raising local IGF-1 to support bone matrix production.

Safety file

The osteosarcoma boxed warning was removed in 2020; risks include high blood calcium and low blood pressure on standing; use is limited to two years.

  • Nausea
  • Dizziness
  • Leg cramps
  • Injection site reactions
  • Hypercalcemia
  • Orthostatic hypotension