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Related terms
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    Related terms
    • Brand Names: U.S.: Fortical®;Miacalcin®
    • Brand Names: Canada: Apo-Calcitonin®;Calcimar®;Caltine®;Miacalcin® NS;PRO-Calcitonin;Sandoz-Calcitonin

    • It is used to treat soft, brittle bones (osteoporosis) in women after change of life.
    • It is used to treat Paget's disease.
    • It is used to treat high calcium levels.
    • Calcitonin stops bone loss.
    • It helps get rid of calcium from the body.


    How to take

    • Follow how to use as you have been told by your doctor or read the package insert.
    • Follow the diet and workout plan that your doctor told you about.
    • Nose spray:
    • For the nose only.
    • Blow your nose before use.
    • Change nostrils every day.
    • Shot:
    • It is given as a shot into the fatty part of the skin or a muscle.
    • Your doctor may teach you how to give the shot.
    • Wash your hands before and after use.
    • Throw away needles in a needle/sharp disposal box and take the box back to your doctor when it is full.

    Missed Dose

    • Use a missed dose as soon as you think about it.
    • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
    • Do not use 2 doses or extra doses.
    • Do not change the dose or stop this drug. Talk with the doctor.


    • Store unopened nose spray bottle in a refrigerator until ready to use. Do not freeze.
    • Store opened nose spray bottle upright at room temperature. Throw away any part not used after 30 days.
    • Shot:
    • Store in a refrigerator. Do not freeze.



    • If you have an allergy to calcitonin or any other part of this drug.
    • If you have an allergy to salmon.
    • Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
    • If you are breast-feeding.


    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.
    • Tell your doctor if you are pregnant or plan on getting pregnant.

    Side Effects

    • Flushing. Wearing layers of clothes or summer clothes and staying in cool places may help.
    • Upset stomach or throwing up. Many small meals, good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
    • Nose irritation.
    • Irritation where the shot is given.


    • Change in the health problem being treated. Is it better, worse, or about the same?
    • Follow up with the doctor.

    Contact a healthcare provider

    • If you think there was an overdose, call your local poison control center or ER right away.
    • Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue or gray skin color; seizures; or swelling of face, lips, tongue, or throat.
    • Bad nose irritation.
    • For women, if you get pregnant while taking this drug.
    • Any rash.
    • Side effect or health problem is not better or you are feeling worse.

    General Statements

    • If you have a very bad allergy, wear an allergy ID at all times.
    • Do not share your drugs with others and do not take anyone else's drugs.
    • Keep all drugs out of the reach of children and pets.
    • Most drugs may be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
    • In Canada, take any unused drugs to the pharmacy. Also, visit to learn about the right way to get rid of unused drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Call your doctor for help with any side effects. If in the U.S., you may also call the FDA at 1-800-FDA-1088 or if in Canada, you may also call Health Canada's Vigilance Program at 1-866-234-2345.
    • Talk with the doctor before starting any new drug, including OTC, natural products, or vitamins.

    Author information
    • Copyright © 1978-2013 Lexi-Comp Inc. All rights reserved.

    Copyright © 2011 Natural Standard (

    The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.

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