Generic Name: Calcitonin-Salmon

  • What is Miacalcin?

    Miacalcin is used nasally to help your bones retain and store calcium. Miacalcin is used to treat osteoporosis in women who are more than 5 years into menopause and who have a low bone mass compared to healthy premenopausal women. Miacalcin should be used as an alternative to estrogen in patients who do not want to use or who cannot tolerate estrogen, and in whom estrogens are not an option.

    Patients using Miacalcin should also be taking calcium (at least 1000 milligrams [mg]) and vitamin D (at least 400 IU [international units]).

  • What is the most important information I should know about Miacalcin?

    Rarely, Miacalcin can cause serious allergic reactions that require emergency medical attention. If your doctor suspects that you may have an allergy to Miacalcin, he or she will likely test your sensitivity to it before prescribing it. When using Miacalcin nasal spray, your doctor may periodically examine your nostrils and sinuses to check for any possible side effects.

  • Who should not take Miacalcin?

    You should not take Miacalcin if you have an allergy to it or any of its ingredients.

  • What should I tell my doctor before I take the first dose of Miacalcin?

    Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Miacalcin. Also, talk to your doctor about your complete medical history, especially if you have any ulcerations inside your nostrils or if you have ever had an allergic reaction to Miacalcin. Talk to your doctor to make sure you have adequate levels of calcium and vitamin D. If not, your doctor may recommend you start taking calcium and vitamin D supplements.

  • What is the usual dosage?

    The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

    Adults: The usual dose is one spray in one nostril once daily, alternating nostrils every other day. It is recommended that you use this medication with an adequate amount of calcium and vitamin D.

  • How should I take Miacalcin?

    Miacalcin should be kept in the refrigerator until you are ready to use it. Once you start to use the nasal spray, you should store it at room temperature and in an upright position for up to 35 days.

    Before using a new bottle, let the bottle reach room temperature and then "prime" it by pressing down on the pump until a full spray of solution is released. The bottle only needs to be primed the first time you use a new one. The nasal spray should only be sprayed in one nostril daily, not both, unless your doctor tells you otherwise. After 30 doses, the nasal spray bottle may not deliver the correct amount of solution even if there is still some in the bottle. Keep track of the number of doses used from the bottle.

  • What should I avoid while taking Miacalcin?

    The use of Miacalcin nasal spray may cause you to develop nasal conditions such as runny nose, sinusitis, or a nosebleed. Therefore, you should avoid using any other nasal agents that may irritate your nose unless your physician tells you to use them.

  • What are possible food and drug interactions associated with Miacalcin?

    The use of calcitonin and lithium may lead to decreased lithium levels. Ask your doctor whether your dose of lithium will need to be adjusted. Speak to your doctor about any other medications or supplements you are taking.

  • What are the possible side effects of Miacalcin?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Side effects of the nostrils or nose as a whole may include: bloody nose, dryness, nasal crusts, infection, irritation, itching, redness, runniness or congestion, soreness across the bridge of the nose, sores, tenderness, thick and/or uncomfortable feeling

    Side effects of the body as a whole may include: back pain, arthritic pain, headache

  • Can I receive Miacalcin if I am pregnant or breastfeeding?

    You should not take Miacalcin during pregnancy unless your physician prescribes it for you.

    It is not known whether Miacalcin is excreted in breast milk. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of Miacalcin?

    If you miss a dose of Miacalcin, take it as soon as you remember. If it is almost time for your next dose, skip the dose you missed and return to your normal dosing schedule. Do not take two doses at once.

  • How should I store Miacalcin?

    Store this medication in a refrigerator and protect it from freezing until you are ready to use it. Once you have opened a bottle, keep it in an upright position and at room temperature for up to 35 days.

Meet the Pharmacists

I'm Shereen A. Gharbia, PharmD. Welcome to PDR Health!

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