Taking Enzofalm Tablet and Shelcal XT Tablet along with Gemfrac 600 MCG injection (teriparatide) is generally safe when done under medical supervision. Enzofalm Tablet, which contains diclofenac, paracetamol, and serratiopeptidase, helps relieve pain and inflammation and has no direct interaction with teriparatide, although monitoring for stomach- or kidney-related side effects is advised. Shelcal XT Tablet provides calcium and vitamin D, which support bone health and are commonly recommended during teriparatide treatment to manage osteoporosis. Always consult your doctor before taking these medicines together and report any unusual symptoms promptly.