Monograph Details

Musculoskeletal Disorders > Bone disorders
MIACALCIN INJECTION
Manufacturer
Novartis Pharmaceuticals Corp
Legal Classification
Rx
Pharmacological Class
Hormone.
Generic Name
Calcitonin-salmon 200Units/mL; SC or IM inj.
Also
MIACALCIN
Indications
Paget's disease of bone. Hypercalcemia. Postmenopausal osteoporosis.
Children
Not recommended.
Adults
Paget's: 100Units SC or IM daily. Hypercalcemia: initially 4Units/kg SC or IM every 12hrs, may increase after 1–2 days to 8Units/kg every 12hrs, and then after 2 more days to max 8Units/kg every 6hrs. Postmenopausal osteoporosis: 100Units SC or IM every other day.
Precautions
For nasal spray: do periodic nasal exams; discontinue if severe ulceration occurs. For inj: monitor for hypocalcemic tetany initially and urine sediments in chronic use; serum alkaline phosphatase and hydroxyproline in Paget's. Postmenopausal osteoporosis: supplement diet with calcium (1g/day) and Vit.D; reevaluate periodically. Pregnancy (Cat.C), nursing mothers: not recommended.
Adverse Reactions
Nasal spray: rhinitis and other nasal/respiratory symptoms, back pain, GI upset. Inj: GI upset, local inflammation, flushing, rash, antibody formation.
How Supplied
Nasal spray (3.7mL)—1 (30 doses)
Inj (2mL) vial—1
Additional Resources
Related Prescribing Note