Can you take Calcipotriene / dimethicone topical with Teriparatide?
1 drug interaction and 13 additional warnings found for the following 2 drugs:
- calcipotriene/dimethicone topical
- teriparatide
Drug interactions
Moderate drug interactions
Moderate:
calcipotriene topical teriparatide
Applies to: calcipotriene / dimethicone topical and teriparatide
The medication in calcipotriene topical is absorbed through the skin into the bloodstream and may cause interactions with other medications. Using calcipotriene topical together with teriparatide may occasionally cause your blood calcium levels to become too high. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Contact your doctor if you experience signs and symptoms that may suggest excessive blood calcium levels such as dizziness, weakness, lethargy, muscle pain, headache, loss of appetite, nausea, vomiting, and seizures. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Food/lifestyle interactions
No alcohol/food interactions were found. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
Disease interactions
13 potential interactions Applies to: 11 conditions, including Vitamin D Deficiency, Hypotension, Nephrolithiasis, Hypercalcemia, and Hyperparathyroidism.
Hungry Bone Syndrome
Major:
teriparatide
Teriparatide has a major potential interaction with Hungry Bone Syndrome.
The use of teriparatide in patients with metabolic bone disease, other than osteoporosis is not recommended by the manufacturer.
Hypercalcemia
Major:
calcipotriene / dimethicone topical
The calcipotriene topical in calcipotriene / dimethicone topical has a major potential interaction with Hypercalcemia.
The use of calcipotriene topical preparations is contraindicated in patients with demonstrated hypercalcemia or evidence of vitamin D toxicity. Calcipotriene is a synthetic vitamin D3 analog. Systemic absorption of topically applied calcipotriene ranges from less than 1% for the scalp solution to 5% to 6% for the ointment. Calcipotriene has been reported to be 100 to 200 times less potent in its effects on calcium utilization than natural vitamin D, which facilitates the absorption of calcium in the intestine. Transient, rapidly reversible elevation of serum calcium has been reported following the topical administration of calcipotriene. If elevation in serum calcium outside the normal range occurs, treatment should be discontinued until normal calcium levels are restored. Patients should be advised to contact their physician if they experience early symptoms of hypercalcemia such as weakness, fatigue, somnolence, headache, anorexia, dry mouth, metallic taste, nausea, vomiting, abdominal cramps, constipation, diarrhea, vertigo, tinnitus, ataxia, exanthema, muscle pain, bone pain, and irritability.
Major:
teriparatide
Teriparatide has a major potential interaction with Hypercalcemia.
Patients known to have an underlying hypercalcemic disorder, such as primary hyperparathyroidism, should not be treated with parathyroid hormone and its analogs because of the risk of exacerbating hypercalcemia.
Hyperparathyroidism
Major:
teriparatide
Teriparatide has a major potential interaction with Hyperparathyroidism.
Patients known to have an underlying hypercalcemic disorder, such as primary hyperparathyroidism, should not be treated with parathyroid hormone and its analogs because of the risk of exacerbating hypercalcemia.
Hypotension
Moderate:
teriparatide
Teriparatide has a moderate potential interaction with Hypotension.
There have been reports of transient episodes of symptomatic orthostatic hypotension with the use of teriparatide in short-term clinical pharmacology studies. Caution is recommended when using this agent in patients at risk.
Neoplasm of Bone
Major:
teriparatide
Teriparatide has a major potential interaction with Neoplasm of Bone.
Parathyroid hormone and its analogs should not be used in patients who are at increased baseline risk for osteosarcoma. These agents should only be used if the potential benefits are considered to outweigh the potential risks. Monitor these patients according to clinical guidelines. Patients with bone metastases or a history of skeletal malignancies should not be treated with these agents.
Nephrolithiasis
Moderate:
teriparatide
Teriparatide has a moderate potential interaction with Nephrolithiasis.
Teriparatide should be used with caution in patients with active urolithiasis. If active or pre-existing hypercalciuria is suspected, measurement of urinary calcium excretion should be considered because of the potential to exacerbate urolithiasis in these patients.
Osteodystrophy
Major:
teriparatide
Teriparatide has a major potential interaction with Osteodystrophy.
The use of teriparatide in patients with metabolic bone disease, other than osteoporosis is not recommended by the manufacturer.
Paget's Disease
Major:
teriparatide
Teriparatide has a major potential interaction with Paget's Disease.
Parathyroid hormone and its analogs should not be used in patients who are at increased baseline risk for osteosarcoma. These agents should only be used if the potential benefits are considered to outweigh the potential risks. Monitor these patients according to clinical guidelines. Patients with bone metastases or a history of skeletal malignancies should not be treated with these agents.
Major:
teriparatide
Teriparatide has a major potential interaction with Paget's Disease.
The use of teriparatide in patients with metabolic bone disease, other than osteoporosis is not recommended by the manufacturer.
Poisoning by Vitamins
Major:
calcipotriene / dimethicone topical
The calcipotriene topical in calcipotriene / dimethicone topical has a major potential interaction with Poisoning by Vitamins.
The use of calcipotriene topical preparations is contraindicated in patients with demonstrated hypercalcemia or evidence of vitamin D toxicity. Calcipotriene is a synthetic vitamin D3 analog. Systemic absorption of topically applied calcipotriene ranges from less than 1% for the scalp solution to 5% to 6% for the ointment. Calcipotriene has been reported to be 100 to 200 times less potent in its effects on calcium utilization than natural vitamin D, which facilitates the absorption of calcium in the intestine. Transient, rapidly reversible elevation of serum calcium has been reported following the topical administration of calcipotriene. If elevation in serum calcium outside the normal range occurs, treatment should be discontinued until normal calcium levels are restored. Patients should be advised to contact their physician if they experience early symptoms of hypercalcemia such as weakness, fatigue, somnolence, headache, anorexia, dry mouth, metallic taste, nausea, vomiting, abdominal cramps, constipation, diarrhea, vertigo, tinnitus, ataxia, exanthema, muscle pain, bone pain, and irritability.
Renal Dysfunction
Moderate:
teriparatide
Teriparatide has a moderate potential interaction with Renal Dysfunction.
No pharmacokinetic differences were identified in patients with mild or moderate renal impairment after a single dose of teriparatide. In patients with severe renal impairment, the AUC and half-life of teriparatide were increased by 73% and 77%, respectively. Care should be exercised in patients undergoing dialysis for chronic renal failure as no studies have been performed in this patient population.
Vitamin D Deficiency
Major:
teriparatide
Teriparatide has a major potential interaction with Vitamin D Deficiency.
The use of teriparatide in patients with metabolic bone disease, other than osteoporosis is not recommended by the manufacturer.
More resources
calcipotriene / dimethicone topical
A total of 74 drugs are known to interact with calcipotriene / dimethicone topical.
- Calcipotriene / dimethicone topical is in the drug class topical antipsoriatics.
- Calcipotriene / dimethicone topical is used to treat Plaque Psoriasis.
teriparatide
A total of 104 drugs are known to interact with teriparatide.
- Teriparatide is in the drug class parathyroid hormone and analogs.
-
Teriparatide is used to treat the following conditions:
- Hypoparathyroidism (off-label)
- Osteoporosis
Drug Interaction Classification
| Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
| Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
| Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. | |
| No interaction information available. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.