Greater Glasgow and Clyde Medicines
Key to symbols The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP The medicine should only be used and prescribed by a specialist Indicates the preferred choice within a class or group of medicines
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
6.6. Drugs affecting bone metabolism

6.6.1. Calcitonin and parathyroid hormone

Total Formulary
Specialist Only
PARATHYROID HORMONE (PROTEACT)

Restrictions:

Restricted to specialist use for the treatment of severe osteoporosis in women with at least two prior vertebral fractures or equivalent high risk according to local prescribing protocol. The use for the treatment of osteoporosis in men is unlicensed and therefore non-Formulary.

Prescribing Notes:

Parathyroid hormone injection (Natpar®) for chronic hypoparathyrodism is not recommended for use by SMC and is non-Formulary

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Specialist Only
TERIPARATIDE

Restrictions:

Restricted to specialist use for the treatment of established severe osteoporosis in post-menopausal women for whom parathyroid hormone (PTH 1-84) is not tolerated or appropriate. The treatment of osteoporosis associated with glucocorticoid therapy and the treatment of osteoporosis in men at increased risk of fracture is not recommended by SMC and is non-Formulary.

Prescribing Notes:

The preferred brand is Movymia®.

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