Tepezza (Teprotumumab)

Prescription medicineOnly Available By Prescription

What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. They must be an online Canadian pharmacy with an address in Canada.
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
  • Products must be new. We cannot match the price of any used, short expiry or expired product.
  • Price match can only be issued over the phone with our customer service team. Please note at this time we cannot offer price matching for the products Ozempic or Saxenda.
What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.

Description

Tepezza (teprotumumab-trbw) is a human monoclonal antibody and insulin-like growth factor-1 receptor (IGF-1R) inhibitor indicated for the treatment of Thyroid Eye Disease (TED), also known as Graves’ orbitopathy. It is the first FDA-approved therapy specifically targeting the underlying pathophysiology of TED. By binding to IGF-1R, Tepezza inhibits the activation of fibroblasts and inflammatory pathways that contribute to orbital tissue expansion and inflammation. This mechanism reduces proptosis, diplopia, and other symptoms associated with active, moderate-to-severe TED.

Fact Table

Formula

C6408H9848N1692O2004S46

License

US FDA (2020)

Bioavailability

Not applicable (IV infusion)

Legal status

Prescription only (Rx-only)

Chemical Name

Teprotumumab

Elimination half-life

20 days (approx.)

Dosage (Strength)

10 mg/kg (1st infusion), then 20 mg/kg every 3 weeks for 7 additional infusions (IV)

Pregnancy

Contraindicated (may cause fetal harm)

Brands

Tepezza

Protein binding

Not applicable (monoclonal antibody)

PubChem CID

135565778

MedlinePlus

a620026

ChEBI

Not available

ATC code

L01FX16

DrugBank

DB15108

KEGG

D11922

Routes of administration

Intravenous (IV)

Directions

Tepezza is administered as an intravenous infusion once every three weeks for a total of eight infusions (over approximately 21 weeks). The recommended initial dose is 10 mg/kg followed by 20 mg/kg for each of the remaining seven doses. Infusions should be administered over 90 minutes and patients monitored during and after the infusion for signs of hypersensitivity or infusion-related reactions. Premedication may be considered in patients with a history of infusion reactions.

Tepezza should not be administered to patients with active or untreated inflammatory bowel disease or uncontrolled diabetes without appropriate risk assessment.

Ingredients

Each single-dose vial of Tepezza contains 500 mg of teprotumumab-trbw as a lyophilized powder. Inactive ingredients include L-histidine, L-histidine hydrochloride monohydrate, trehalose dihydrate, and polysorbate 20. After reconstitution and dilution, the solution is administered intravenously.

Contraindications

Tepezza is contraindicated in patients with known hypersensitivity to teprotumumab or any of its excipients. It should not be used in pregnant women due to the potential risk of fetal harm based on its mechanism of action.

Cautions

Caution is advised in patients with preexisting inflammatory bowel disease (IBD), as exacerbation of IBD has been reported. Patients should be screened for diabetes and blood glucose monitored throughout therapy, as hyperglycemia is a known adverse effect. Female patients of reproductive potential should use effective contraception during treatment and for 6 months after the final dose due to potential embryofetal toxicity. Infusion-related reactions, although uncommon, may require dose interruption or discontinuation.

Side Effects

Common and serious side effects associated with Tepezza include:

  • Muscle spasms
  • Nausea
  • Alopecia
  • Diarrhea
  • Fatigue
  • Hearing impairment (including hypoacusis and tinnitus)
  • Dry skin
  • Menstrual disorders
  • Hyperglycemia
  • Infusion-related reactions
  • Exacerbation of inflammatory bowel disease (e.g., Crohn’s disease, ulcerative colitis)
  • Rare but potentially irreversible hearing loss

IMPORTANT NOTE: The information provided above is for general awareness and educational purposes only. It is not intended to diagnose, treat, or replace professional medical or veterinary advice. Always consult your physician, pharmacist, or veterinarian regarding the safety, suitability, and proper use of any medication for yourself or your pet.

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