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Forteo vs. Miacalcin

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

Key takeaways

Forteo

(teriparatide)

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calcitonin salmon

 

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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)

Summary for Miacalcin

Prescription only

Calcitonin salmon is a synthetic (man-made) hormone available as a nasal spray. It's used to treat osteoporosis in women who have already gone through menopause (postmenopause). The medication is typically taken once a day by alternating between nostrils each day. Common side effects include back pain and nose symptoms, like runny nose, irritation, and bleeding. The nasal spray used to be available under the brand name Miacalcin, but now only comes as a generic version.

Indications for Miacalcin

  • Osteoporosis in women who have gone through menopause (postmenopause)

Pros and Cons for Miacalcin

Pros

  • Only need to use it once a day
  • Can store a used bottle at room temperature for about a month
  • Available as a lower-cost generic medication

Cons

  • Not a first-choice treatment option for postmenopausal osteoporosis
  • Can lead to low calcium levels
  • Might raise the risk of certain cancers

Common Side Effects for Miacalcin

  • Runny nose (12%)
  • Nose irritation, dryness, redness (11%)
  • Back pain (5%)
  • Joint pain (4%)
  • Bloody nose (4%)

Warnings for Miacalcin

  • Severe allergic reaction
  • Low calcium (hypocalcemia)
  • Nasal irritation
  • Cancer

Prices with our coupons for Forteo vs. Miacalcin

Price Card Drug Icon
Teriparatide (Forteo)1 pen / 20mcg/dose
$1,035.37-
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Price Card Drug Icon
Calcitonin Salmon1 nasal spray / 3.7ml of 200iu/spray
$32.38$46.89
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