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Forteo vs. Nolvadex

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

Key takeaways

Teriparatide (Forteo) and tamoxifen (Soltamox, formerly Nolvadex) are both prescription medications, but they belong to different medication classes and treat different conditions. Teriparatide is a parathyroid hormone analog used to treat osteoporosis in postmenopausal women, men, and those with osteoporosis due to long-term corticosteroid use. It is administered as a daily injection. Tamoxifen, on the other hand, is a selective estrogen receptor modulator (SERM) used to treat hormone receptor-positive (HR+) breast cancer and to lower the risk of breast cancer in high-risk women. It is taken orally as a tablet or solution (Soltamox), usually once a day. While teriparatide is only available as a brand-name medication, tamoxifen is available as a lower-cost generic. Common side effects of teriparatide include body pain and joint pain, whereas tamoxifen can cause hot flashes and vaginal discharge. Teriparatide can interact with digoxin (Lanoxin), while tamoxifen can interact with alcohol and many other medications. Additionally, teriparatide has a treatment limit of two years due to potential cancer risks, while tamoxifen is often taken for 5 to 10 years.

Forteo

(teriparatide)

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Tamoxifen

(Nolvadex)

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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 Nolvadex

Prescription only

Tamoxifen (Nolvadex) is a selective estrogen receptor modulator (SERM). It’s used to treat early stage and advanced or metastatic hormone receptor-positive (HR+) breast cancer in males and females. It’s also used to lower the risk for breast cancer in females who have a higher risk for breast cancer. Tamoxifen (Nolvadex) is an oral tablet that's taken by mouth, usually once a day. Common side effects of this medication include hot flashes, vaginal discharge, and swelling in the arms and legs, which might lead to weight gain. Brand name Nolvadex is no longer available.

Indications for Nolvadex

Pros and Cons for Nolvadex

Pros

  • Usually taken once a day
  • Oral tablet is available as a lower-cost generic
  • Might help prevent bone loss (osteoporosis) after menopause

Cons

  • Might raise your risk for blood clots, uterine cancer, and cataracts
  • Can’t take while pregnant or breastfeeding
  • Usually taken long term (at least 5 years)

Common Side Effects for Nolvadex

  • Hot flashes (up to 80%)
  • Vaginal discharge (up to 55%)
  • Swelling in the arms and legs (up to 32%)
  • Nausea (up to 26%)
  • Irregular or no monthly bleeding (up to 25%)
  • Vaginal bleeding (up to 23%)
  • Weight loss (23%)
  • Skin changes (19%)

Warnings for Nolvadex

  • Blood clots
  • Changes in the uterus and risk of uterine cancer
  • Eye problems
  • Liver problems
  • High calcium levels in the blood
  • Low platelet count (risk of bleeding)
  • Harm to unborn baby

Prices with our coupons for Forteo vs. Nolvadex

Price Card Drug Icon
Teriparatide (Forteo)1 pen / 20mcg/dose
$1,196.51$3,091.46
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Price Card Drug Icon
Tamoxifen90 tablets / 20mg
$49.91$229.01
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