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Evenity vs. Forteo

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Evenity

(romosozumab)

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Forteo

(teriparatide)

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Summary for Evenity

Prescription only

Evenity (romosozumab or romosozumab-aqqg) is an injection used to treat osteoporosis (bone loss) in certain women after menopause. These women either have a high risk of fracture or can’t take other medications for bone loss. It's also used when these other medications haven’t worked well enough. Evenity (romosozumab) belongs to the drug class called sclerostin inhibitors. It works to help your bones grow and prevent bone breakdown at the same time. The injection is given once a month by a healthcare professional. Common side effects are joint pain and headache. There's also serious risks of heart attack and stroke. This medication is brand name only; there's no generic available yet.

Indications for Evenity

Pros and Cons for Evenity

Pros

  • Helps with bone growth and prevents bone loss at the same time
  • Given just once a month
  • Only need 1 year of treatment

Cons

  • Needs to be injected
  • Must go to the medical office for each injection
  • Bone mineral density eventually goes back to where it was before after stopping the medication

Common Side Effects for Evenity

  • Joint pain (up to 13%)
  • Headache (up to 7%)

Warnings for Evenity

  • Risk of heart attack, stroke, or heart-related death
  • Low calcium levels (hypocalcemia)
  • Risk of problems in the jawbone (osteonecrosis of the jaw)
  • Risk of fractures in the thigh

Summary for Forteo

Prescription only

Forteo (teriparatide) is used to treat osteoporosis (bone loss or weakening). It's for people who are at very high fracture risk or people who've already tried other osteoporosis medications. Forteo (teriparatide) is an injection that you give to yourself once a day. Some common side effects include general body pain and joint pain. This medication comes as a prefilled pen, but it doesn't come with pen needles. Forteo (teriparatide) is only available as a brand medication; there's no generic version yet.

Indications for Forteo

Pros and Cons for Forteo

Pros

  • Can use if you're unable to take or still getting fractures with other osteoporosis medications
  • A first-choice option for people at very high fracture risk (have had a fracture caused by osteoporosis before or have many risk factors for fracture)
  • Lowers the risk for back fractures and fractures in other parts of the body (not including the hip) in postmenopausal women with osteoporosis

Cons

  • Not a first-choice option for most people with osteoporosis
  • Only available as an injection under the skin
  • Can only use for a total of 2 years throughout your entire life because of unclear risk for bone cancer with longer treatment

Common Side Effects for Forteo

  • Body pain (21%)
  • Joint pain (10%)
  • Runny nose (10%)
  • Nausea (9%)
  • Body weakness (9%)
  • Headache (8%)
  • Dizziness (8%)
  • High blood pressure (7%)

Warnings for Forteo

  • Bone cancer (osteosarcoma)
  • High calcium levels in the blood
  • Kidney stones
  • Low blood pressure
  • Higher risk of side effects from digoxin (Lanoxin)

Prices with our coupons for Evenity vs. Forteo

Price Card Drug Icon
Evenity1 carton / 2 syringes of 105mg/1.17ml
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Price Card Drug Icon
Teriparatide (Forteo)1 pen / 20mcg/dose
$1,193.01$3,091.46
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