Proper Use of This Medicine

If you are injecting this medicine yourself, use it exactly as directed by your doctor. Special patient directions come with teriparatide injection. Read the directions carefully before using the medicine. Make sure you understand:

• Where to give the injection
• How to give the injection.
• How long the injection is stable

If you have any questions about any of this, check with your health care professional.

Do not use if you see solid particles in the liquid.

Do not use if past the expiration date on package.

For the first few doses of teriparatide, inject the medicine where you can sit or lie down right away if you get dizzy.

Dosing—Follow your doctors orders or the directions on the label . If you have any questions about the proper dose of teriparatide, ask your doctor.

• For subcutaneous injection dosage form:
  • For osteoporosis:
    • Adults—20 micrograms (mcg) once daily, injected into the thigh or abdominal wall
    • Children—Teriparatide is not recommended for use in children

Missed dose—If you miss a dose of this medicine, take it as soon as possible on that day. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses (do not take more than one injection in the same day).

Storage—To store this medicine:

• Keep out of the reach of children.
• Store away from direct light.
• Store the prefilled pen of teriparatide in the refrigerator. Do not freeze. Do not use the medicine if it has been frozen.
• Do not keep outdated medicine or medicine no longer needed. Discard the teriparatide pen 28 days after the first injection, even if there is still medicine in it. Be sure that any discarded medicine is out of the reach of children.