Generic Name and Formulations:
Calcitonin-salmon (rDNA origin) 200 IU/spray; nasal spray.
Various generic manufacturers
Not shown to increase BMD in early postmenopausal women.
1 spray (200Units) in alternating nostrils daily.
Correct hypocalcemia and other disorders (eg, Vit. D deficiency) prior to initiating; monitor serum calcium during therapy. Supplement diet with calcium (1g/day) and Vit. D (400 IU/day); reevaluate periodically. Seizures. Do periodic nasal exams; discontinue if severe nasal ulceration occurs. Increased risk of malignancies. Pregnancy (Cat.C), nursing mothers: not recommended.
May antagonize lithium; adjust dose.
Rhinitis, epistaxis, other nasal symptoms, back pain, arthralgia, headache; hypersensitivity reactions, antibody formation.
Formerly known under the brand name Fortical or Miacalcin.
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