Drug ID: 3d00000008
Drug Name: Calcitonin- Salmon
Generic Names: Ostospray | Zycalcit | Miacalcic Nasal Spray | Calsynar | Miacalcin
Category: Hypocalcemic Agents
Legal Status: Non Opioid Prescription only drug
Indication for Mother: Category C
Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.
Recommended Dose: Adult: Postmenopausal osteoporosis- 100 u/day or every other day.
Bone pain due to malignant neoplasm’s- 200 u 4 times/day, up to 48 hours.
Nasal-Postmenopausal osteoporosis- 200 u/day, alternating nostrils everyday.
Recommended In: This medication is a man-made version of the hormone, used to treat osteoporosis in postmenopausal women and Paget’s disease. It is also used to treat conditions with high calcium levels in the blood such as cancers spread to the bone and hyperparathyroidism.
Directions For Use: It comes as a nasal spray and solution to be injected under the skin (subcutaneously) or into the muscle (intramuscularly). It is usually used once a day or once every other day.
Storage: Refrigerate at 2-8°C. Nasal: Refrigerate at 2-8°C. Do not freeze.
Dosage Forms: Intramuscular Injection | Subcutaneous Injection | Nasal Spray
Side Effects: Body as a whole- Influenza-like symptoms, edema, fever.
Skin- Rash, skin ulceration, eczema, hair loss, itching, increased sweating.
Musculoskeletal- Muscle pain, inflammation of joints with pain and stiffness.
Respiratory- Upper respiratory tract infection and inflammation, bronchus, pneumonia, coughing, difficulty in breathing.
Eye and ENT- Nasal symptoms such as inflammation, runny nose and bleeding occur with the nasal spray. Taste perversion, sneezing, ringing in the ear, hearing loss. increase or decrease in tears, inflammation of conjunctiva, blurred vision, visual disturbance.
Heart- High blood pressure, heart attack, palpitation, bundle branch block.
Gastrointestinal- Constipation, abdominal pain, nausea, vomiting, flatulence, increased appetite, gastritis, dry mouth.
Metabolic- Increased thirst, weight increase.
Liver- Gall stone, inflammation of liver.
Genitourinary- Inflammation of kidney and urinary bladder, diarrhea, blood in urine, kidney stone .
Central Nervous System- Headache, Dizziness, tingling, fainting, migraine, neuralgia, agitation, tremor.
Blood and Immune System- Lymph nodes swelling, infection, anemia.
Potentially Fatal- Anaphylactic shock.
In Case of Overdose: It may produce nausea and vomiting as the only adverse effects.
Avoid If: Avoid using contaminated solution of this medication.
Proper diet should be followed while taking this medication. It may cause flushing (warm, redness of skin).
Prior intradermal test should preferably be done.
It should not be used in children <18 yr.
Caution needed for pregnant women, breast feeding, kidney patients.
Drug Interaction: A product that may interact with this drug is: lithium.