Ospomyv is a prescription medicine indicated for treatment:
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of osteoporosis in women after menopause who are at high risk for fracture
or cannot use another osteoporosis medicine or other osteoporosis
medicines did not work well.
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to increase bone mass in men with osteoporosis who are at high risk for
fracture.
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of osteoporosis in men and women who will be taking corticosteroid
medicines (such as prednisone) for at least six months and are at high
risk for fracture.
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to treat bone loss in men who are at high risk for fracture receiving
certain treatments for prostate cancer that has not spread to other parts
of the body.
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to treat bone loss in women who are at high risk for fracture receiving
certain treatments for breast cancer that has not spread to other parts of
the body.
What is the most important information I should know about Ospomyv?
If you receive Ospomyv, you should not receive other denosumab
products at the same time.
Ospomyv can cause serious side effects including:
Increased risk of
severe low calcium levels in your blood (hypocalcemia). Ospomyv may lower
the calcium levels in your blood. If you have low blood calcium before you
start receiving Ospomyv, it may get worse during treatment. Your low blood
calcium must be treated before you receive Ospomyv. Talk to your doctor
before starting Ospomyv. Your doctor may prescribe calcium and vitamin D
to help prevent low calcium levels in your blood while you take Ospomyv.
Take calcium and vitamin D as your doctor tells you to.
If you have advanced chronic kidney disease (may or may not be on kidney
dialysis), Ospomyv may increase your risk for severe low calcium levels in
your blood, which could result in hospitalization, life-threatening events
and death. A mineral and bone disorder associated with kidney disease
called chronic kidney disease-mineral bone disorder (CKD-MBD) may increase
your risk for severe low calcium levels in blood. Before you start Ospomyv and during treatment, your doctor may need to do certain
blood tests to check for CKD-MBD. Most people with low blood calcium levels do
not have symptoms, but some people may have symptoms. Call your doctor right
away if you have symptoms of low blood calcium such as:
- spasms, twitches, or cramps in your muscles
- numbness or tingling in your fingers, toes, or around your mouth
Serious allergic reactions have happened in people who take denosumab
products. Call your doctor or go to your nearest emergency room right away if
you have any symptoms of a serious allergic reaction. Symptoms of a serious allergic
reaction may include:
- low blood pressure (hypotension)
- trouble breathing
- throat tightness
- swelling of your face, lips, or tongue
- rash
- itching
- hives
Severe jaw bone problems (osteonecrosis) may happen when you take Ospomyv.
Your doctor should examine your mouth and may tell you to see your dentist before
you start Ospomyv. It is important for you to practice good mouth care during
treatment with Ospomyv.
Unusual thigh bone fractures. Some people have developed unusual fractures
in their thigh bone. Symptoms of a fracture include new or unusual pain in your
hip, groin, or thigh.
Increased risk of broken bones, including broken bones in the spine,
after stopping, skipping, or delaying Ospomyv. Talk with your doctor before staring Ospomyv treatment. After your treatment
with Ospomyv is stopped, or if you skip or delay taking a dose, your risk for
breaking bones, including bones in your spine, is increased. Your risk for having
more than 1 broken bone in your spine is increased if you have already had a
broken bone in your spine. Do not stop, skip or delay taking Ospomyv without
first talking with your doctor. If your Ospomyv treatment is stopped, talk to
your doctor about other medicine that you can take.
Serious Infections in your skin, lower stomach area (abdomen), bladder,
or ear may happen if you take Ospomyv. Inflammation of the inner lining of the
heart (endocarditis) due to an infection also may happen more often in people
who take Ospomyv. You may need to go to the hospital for treatment if you develop
an infection.
Ospomyv is a medicine that may affect the ability of your body to fight
infections. People who have a weakened immune system or take medicines that
affect the immune system may have an increased risk for developing serious
infections. Call your doctor right away if you have any of the following
symptoms of infection:
- fever or chills
- skin that looks red or swollen and is hot or tender to touch
- fever, shortness of breath, cough that will not go away
- severe abdominal pain
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frequent or urgent need to urinate or burning feeling when you urinate
Bone, joint, or muscle pains. Some people who take denosumab products
develop severe bone, joint, or muscle pain.
Do not take Ospomyv if you:
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have been told by your doctor that your blood calcium level is
too low.
- are pregnant or plan to become pregnant.
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are allergic to denosumab products or any of the ingredients in Ospomyv.
Before taking Ospomyv, tell your doctor about all of your medical
conditions, including if you:
- are taking other denosumab products.
- have low blood calcium.
- cannot take daily calcium and vitamin D.
- had parathyroid or thyroid surgery (glands located in your neck).
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have been told you have trouble absorbing minerals in your stomach or
intestines (malabsorption syndrome).
- have kidney problems or are on kidney dialysis.
- are taking medicine that can lower your blood calcium levels.
- plan to have dental surgery or teeth removed.
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are pregnant or plan to become pregnant. Ospomyv may harm your
unborn baby.
Females who are able to become pregnant:
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Your healthcare provider should do a pregnancy test before you start
treatment with Ospomyv.
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You should use an effective method of birth control (contraception)
during treatment with Ospomyv and for at least 5 months after your last
dose of Ospomyv.
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Tell your doctor right away if you become pregnant while taking Ospomyv.
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are breastfeeding or plan to breastfeed. It is not known if Ospomyv passes
into your breast milk. You and your doctor should decide if you will take
Ospomyv or breastfeed. You should not do both.
What are the possible side effects of Ospomyv?
It is not known if the use of Ospomyv over a long period of time may cause slow
healing of broken bones.
The most common side effects of Ospomyv in women who are being treated for
osteoporosis after menopause are back pain, muscle pain, pain in arms and
legs, bladder infection, and high cholesterol.
The most common side effects of Ospomyv in men with osteoporosis are back
pain, common cold (runny nose or sore throat), and joint pain.
The most common side effects of Ospomyv in patients with
glucocorticoid-induced osteoporosis are back pain, lung infection
(bronchitis), high blood pressure, and headache.
The most common side effects of Ospomyv in patients receiving certain
treatments for prostate or breast cancer are joint pain, pain in arms and
legs, back pain, and muscle pain. Additionally, in denosumab-treated men
with nonmetastatic prostate cancer receiving ADT, a greater incidence of
cataracts was observed.
Tell your doctor if you have any side effect that bothers you or that does
not go away. These are not all the possible side effects of Ospomyv. Call
your doctor for medical advice about side effects. You may report side
effects to FDA by phone at 1-800-FDA-1088, or visit www.fda.gov/medwatch.
Please see Ospomyv full Prescribing Information and Medication Guide.