It is generally recommended to take calcium and vitamin D supplements along with teriparatide injections like Gemfrac to support bone health and enhance the medication’s effectiveness. Taking Enzofalm (which contains diclofenac, paracetamol, and serratiopeptidase) and Shelcal XT (a calcium and vitamin D supplement) together with Gemfrac is usually considered safe, but it is important to do so under medical supervision.

1. Vitamin and Calcium Supplementation with Teriparatide

   • Teriparatide stimulates new bone formation, and adequate calcium and vitamin D levels are essential to maximize this effect and maintain bone strength.
   • Shelcal XT provides both calcium and vitamin D, which complements teriparatide therapy.

2. Safety of Taking Enzofalm with Teriparatide

   • Enzofalm is used to relieve pain and inflammation and contains diclofenac (a nonsteroidal anti-inflammatory drug), paracetamol (a pain reliever), and serratiopeptidase (an enzyme that reduces swelling).
   • There are no direct contraindications with teriparatide, but monitoring for side effects like gastrointestinal discomfort or kidney function is advisable.

3. Use of Shelcal XT Alongside Teriparatide

   • Shelcal XT supports bone mineralization by supplying calcium and vitamin D, which are important during teriparatide treatment.
   • Taking these together is common practice to optimize osteoporosis management.

4. Recommendations and Precautions

   • Always consult your endocrinologist or orthopedic specialist before combining these medications to ensure appropriate dosing and avoid interactions.
   • Report any unusual symptoms such as severe stomach pain, allergic reactions, or persistent side effects promptly.

5. Relevant Medical Specialties and Follow-up

   • Endocrinologists or orthopedic doctors typically manage osteoporosis treatment involving teriparatide.
   • Regular follow-up with bone density tests is important to monitor treatment effectiveness and adjust therapy as needed.

Please discuss your medication plan with your specialist doctor to ensure safe and effective treatment tailored to your needs.