SALMONCAL 2200IU Nasal Spray 3.2ml

INTRODUCTION SALMONCAL 2200IU NASAL SPRAY contains Calcitonin which belongs to the group of medicines called Calcium Metabolism Modifiers. It is used to treat postmenopausal osteoporosis (weak or brittle bones caused during menopause) in women who crossed 5 years of menopause when other treatments are not appropriate. Prior to the treatment, the doctor will perform a skin test to determine whether you are allergic to Calcitonin or not. During treatment with SALMONCAL 2200IU NASAL SPRAY, your doctor may take several bone-related tests to evaluate improvement in your condition. You may also be prescribed with vitamin D or calcium supplements, along with SALMONCAL 2200IU NASAL SPRAY to improve your disease condition. Before using SALMONCAL 2200IU NASAL SPRAY inform your doctor if you have low blood calcium levels or any type of cancer as a precaution. Do not use SALMONCAL 2200IU NASAL SPRAY without consulting your doctor if you are pregnant or breastfeeding. The most common side effects of using SALMONCAL 2200IU NASAL SPRAY are nasal irritation, headache, back pain and muscle pain. Consult your doctor if any of these side effect worsens. USES OF SALMONCAL 2200IU NASAL SPRAY It is used among women (greater than 5 years of menopause) to: Treat postmenopausal osteoporosis HOW SALMONCAL 2200IU NASAL SPRAY WORKS SALMONCAL 2200IU NASAL SPRAY stops the action of certain bone cells (such as osteoclasts) that destroys the bone mass. This action prevents bone loss and helps in building bone mass and density. As a result, it makes your bones stronger and reduces the risk of fracture. DIRECTIONS FOR USE Use SALMONCAL 2200IU NASAL SPRAY as advised by your physician. It is for intranasal use only. Prior to the use, prime the device by pressing 2-3 puffs in the air. Place the nozzle of the device inside your nostril and gently press the pump to release the spray. As SALMONCAL 2200IU NASAL SPRAY must be stored in the refrigerator, allow it to come to room temperature before use. Your doctor will decide the suitable dose, the number of sprays and duration of therapy for you depending on your age, body weight and health condition. Do not stop using SALMONCAL 2200IU NASAL SPRAY without consulting your doctor. SIDE EFFECTS OF SALMONCAL 2200IU NASAL SPRAY COMMON Back pain, muscle pain Headache Runny nose Nasal irritation or dryness RARE Stop using SALMONCAL 2200IU NASAL SPRAY and contact your doctor immediately if you experience any of the following side effects such as: Severe allergic reactions (such as skin rash, itching, swelling of the face, lips, eyes, tongue or throat causing wheezing or difficulty in breathing, chest tightness, fall in blood pressure, increased heartbeat) Signs of hypocalcemia (such as tingling or numbness of fingers, toes or around the mouth) Severe nasal irritation with nasal bleeding, redness, swelling or soreness, crusting sensation and nasal dryness HOW TO MANAGE SIDE EFFECTS Headache: Rest and relax. Drink plenty of fluids such as water or electrolytes and apply a pain-relieving balm on the head if necessary. Do not consume alcohol. Contact your doctor if the symptom did not improve. WARNING & PRECAUTIONS PREGNANCY There are no adequate studies to confirm the effects of SALMONCAL 2200IU NASAL SPRAY on pregnant women. Therefore, SALMONCAL 2200IU NASAL SPRAY should be used in pregnant women, only if considered necessary by the physician. BREASTFEEDING There are no adequate studies to confirm whether SALMONCAL 2200IU NASAL SPRAY can pass through breast milk or not. Therefore, SALMONCAL 2200IU NASAL SPRAY should be used in breastfeeding women, only if considered necessary by the physician. DRIVING AND USING MACHINES Do not drive or operate any heavy tools or machines if your ability is affected by SALMONCAL 2200IU NASAL SPRAY. ALLERGY Talk to your doctor before using SALMONCAL 2200IU NASAL SPRAY if you are allergic to Calcitonin. OTHERS Before using SALMONCAL 2200IU NASAL SPRAY, inform your doctor if you have: Hypocalcaemia (low calcium levels in blood) Any form of cancer Use in pediatrics: SALMONCAL 2200IU NASAL SPRAY is generally not recommended for use in children and adolescents (aged below 18 years). Therefore, consult your doctor before using it. Use in geriatrics: SALMONCAL 2200IU NASAL SPRAY should be used with caution in elderly patients (aged above 65 years). Therefore, consult your doctor before using it. INTERACTIONS A. Drug – Drug interactions: Before using SALMONCAL 2200IU NASAL SPRAY, inform your doctor if you are taking any of the following medicines such as: Medicines used to treat depression and mania (Ex. lithium) Other medicines used to treat osteoporosis (Ex. alendronate, zoledronic acid) Overdosage: If you or anyone else accidentally took more SALMONCAL 2200IU NASAL SPRAY contact your doctor or go to the nearest hospital straight away. SYNOPSIS Drug :   Calcitonin Pharmacological Category :   Calcitonin Receptor Agonist Therapeutic Indication :   Postmenopausal Osteoporosis            Dosage Forms :   Injection, Nasal Spray MORE INFORMATION Keep SALMONCAL 2200IU NASAL SPRAY out of the sight and reach of children Store SALMONCAL 2200IU NASAL SPRAY in a refrigerator between 2 to 8°C FAQs ABOUT SALMONCAL 2200IU NASAL SPRAY What is the use of SALMONCAL 2200IU NASAL SPRAY? SALMONCAL 2200IU NASAL SPRAY is used to treat postmenopausal osteoporosis (weak or brittle bones caused during menopause) in women who crossed 5 years of menopause when other treatments are not appropriate. How to use SALMONCAL 2200IU NASAL SPRAY? SALMONCAL 2200IU NASAL SPRAY is for intranasal use only. Prior to the use, prime the device by pressing 2-3 puffs in the air. Place the nozzle of the device inside your nostril and gently press the pump to release the spray. What are the side effects of SALMONCAL 2200IU NASAL SPRAY? The most common side effects of using SALMONCAL 2200IU NASAL SPRAY are nasal irritation, headache, back pain and muscle pain. Consult your doctor if any of these side effect worsens. Can elderly patients use SALMONCAL 2200IU NASAL SPRAY? Yes, elderly patients can use SALMONCAL 2200IU NASAL SPRAY after consulting their doctor. Can SALMONCAL 2200IU NASAL SPRAY cure osteoporosis? Yes. SALMONCAL 2200IU NASAL SPRAY helps in preventing osteoporosis and helps in gaining back the lost bone mass in postmenopausal women. How SALMONCAL 2200IU NASAL SPRAY works? SALMONCAL 2200IU NASAL SPRAY stops the action of certain bone cells (such as osteoclasts) that destroys the bone mass. This action prevents bone loss and helps in building bone mass and density. As a result, it makes your bones stronger and reduces the risk of fracture. Can I stop therapy with SALMONCAL 2200IU NASAL SPRAY once my symptoms subside? No. Do not stop using SALMONCAL 2200IU NASAL SPRAY without consulting your doctor once your symptoms subside, as it may reverse the healed condition. Continue to use SALMONCAL 2200IU NASAL SPRAY as long as instructed by your doctor. Can SALMONCAL 2200IU NASAL SPRAY cause cancer? Yes. SALMONCAL 2200IU NASAL SPRAY might cause cancer when used in long-term. Therefore, contact your doctor for advice before using it. REFERENCES 1. KD. Tripathi. Drugs affecting Calcium Balance. Essentials of Medical Pharmacology. 7th Edition. 2013. Page – 340. 2. C H Chesnut 3rd 1, S Silverman, K Andriano, H Genant, A Gimona, S Harris, D Kiel, M LeBoff, M Maricic, P Miller, C Moniz, M Peacock, P Richardson, N Watts, D Baylink. A randomized trial of nasal spray salmon calcitonin in postmenopausal women with established osteoporosis: the prevent recurrence of osteoporotic fractures study. PROOF Study Group. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. Pubmed.gov. September 2000. [Accessed on 29th November 2022] https://pubmed.ncbi.nlm.nih.gov/10996576/ 3. Novartis Pharma Stein AG. U.S. Food & Drug Administration. [Revised in September 2017] [Accessed on 29th November 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/020313s036lbl.pdf 4. Novartis Pharmaceutical Corporation. U.S. Food & Drug Administration. [Revised in July 2011] [Accessed on 29th November 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/020313s033lbl.pdf 5. Par Pharmaceutical. Calcitonin. [Revised in June 2016] [Accessed on 29th November 2022] https://www.parsterileproducts.com/pdfs/catalog/generic/Calcitonin_PI_20200506.pdf 6. Calcitonin. Apotex Inc. [Revised in November 2017] [Accessed on 29th November 2022] https://www1.apotex.com/products/us/downloads/pil/calc_naso_pil.pdf 7. Apotex Corp. Dailymed. [Revised in January 2021] [Accessed on 29th November 2022]. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c82eb602-12e1-692b-d660-f8d5b5736b54&audience=professional USEFUL DIAGNOSTIC TESTS Blood Calcium Levels PRODUCT DETAILS