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SLE Classification — SCE Rheumatology MCQ

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HardSLE & Antiphospholipid SyndromeSLE ClassificationSCE Rheumatology

A man with severe glucocorticoid-induced osteoporosis completed 18 months of teriparatide five years ago and another 6 months after a later fracture. He now asks for a fresh 24-month course. What does the UK product information permit?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: ADo not repeat teriparatide because the cumulative 24-month lifetime course has been completed

Explanation lettering: C = shown as A · D = shown as C · A = shown as D

C is correct. Forsteo is 20 micrograms daily and its maximum total duration is 24 months; that 24-month course should not be repeated over a patient’s lifetime. Splitting the exposure into separate courses does not reset the limit. Alternate-day or monthly regimens are not authorised ways to evade the cumulative-duration restriction.

Reference: Forsteo 20 micrograms/80 microlitres SmPC: https://www.medicines.org.uk/emc/product/2215/smpc