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abaloparatide

PTHrP analogue · Anabolic agent

PTHrP analogueAnabolic agent
CDSCO approved
EXCRETION
not curated
INTERACTIONS
none in our sources
PREGNANCY
not curated

Mechanism

A PTHrP(1–34) analogue that increases new bone formation. It permits greater bone formation with lower stimulation of bone resorption compared to teriparatide.

Indications

postmenopausal osteoporosis in women at high risk for fracturessevere osteoporosis in patients at a high risk for fracture

Dosing

Adult
Starting dose of 80 μg administered by subcutaneous injection into the periumbilical region of the abdomen. The site of administration should be rotated, but the time of injection should be the same each day.

Pharmacokinetics

Onset
peak concentrations approximately 30 min following subcutaneous injection
Half-life
approximately 1.7 h
Bioavailability
36%

Contraindications

  • Paget disease of bone
  • unexplained elevations of alkaline phosphatase
  • open epiphyses
  • prior radiation therapy involving the skeleton
  • patients at increased baseline risk for osteosarcoma

Side effects

Serious
  • hypercalcemia (lower incidence than teriparatide)
  • orthostatic hypotension (shortly after injection)
  • osteosarcoma

Related guidelines

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Sources: Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team