Missed a Yorvipath Dose? The 12-Hour Rule (FDA Label)
[Missed dose · Yorvipath]

I missed my Yorvipath dose. What should I do?

palopegteriparatide injection · Once daily injection · Label checked

Short answer: If the dose is less than 12 hours late, the Yorvipath label says to take it as soon as possible. If it is more than 12 hours late, skip it and take the next dose as scheduled. If treatment stops for 3 days or more, the label says your doctor should check for low calcium.

What does the Yorvipath label say about missed doses?

From the FDA label on DailyMed. Numbers in brackets are label section numbers.
SituationWhat the label says
ScheduleOnce daily
Less than 12 hours lateTake it as soon as possible (2.5)
More than 12 hours lateSkip it; take the next dose as scheduled (2.5)
Interrupted 3 days or moreCheck for low calcium; resume the prior dose (2.5)
Half-lifeAbout 60 hours for the released PTH (12.3)

What if I am less than 12 hours late?

Section 2.5 says to take Yorvipath as soon as possible if a dose is missed by less than 12 hours. The Medication Guide says the same.

Example: you inject at 8 a.m. and remember at 5 p.m. That is 9 hours, so under the label you would inject at 5 p.m. and take the next dose at 8 a.m. tomorrow.

What if more than 12 hours have passed?

Section 2.5 says to skip the missed dose and take the next dose as scheduled. If you remember at 10 p.m. (14 hours late), you would wait until 8 a.m.

What if I missed 3 or more days?

Section 2.5 says that if treatment is delayed or stopped for 3 days or more, the patient should be checked for signs of low calcium, and serum calcium may be measured. Calcium and active vitamin D may need to be restarted or increased. Yorvipath is then resumed at the previous dose as soon as possible, with a calcium test 7 to 10 days later.

Low calcium can cause tingling, muscle cramps or spasms. Tell your doctor about any gap of 3 days or more.

This page summarizes FDA labeling. It is not personalized medical advice; confirm what to do with your prescriber or pharmacist.

Missed-dose rules for other medicines

Frequently asked questions

How late can I take Yorvipath?+
Less than 12 hours late, according to section 2.5. After that, skip it.
I missed Yorvipath for 4 days. What does the label say?+
Gaps of 3 days or more call for a check for low calcium, possible calcium and vitamin D changes, and restarting at your previous dose (section 2.5).
Is Yorvipath the same as teriparatide?+
No. Yorvipath releases PTH slowly for hypoparathyroidism. Teriparatide (Forteo) is a different product for osteoporosis.