How Should Calcitonin Be Stored?

Store calcitonin injection in the refrigerator; be sure to avoid freezing it. Keep this and all other medications out of the reach of children.
Each unopened calcitonin nasal spray bottle should be stored in the refrigerator, but must be stored at room temperature once opened. Before you use each bottle for the first time, make sure to let it warm up to room temperature. Keep the nasal spray and all other medications out of the reach of children. Once you have assembled the nasal spray bottle, it must be stored upright, not on its side.
You must discard your bottle of nasal spray after it has been opened for a certain period of time (35 days for Miacalcin nasal spray and 30 days for Fortical nasal spray).

What Should I Do If I Miss a Dose?

If you do not take your calcitonin as scheduled and remember on the same day, take your missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose.

Generic Calcitonin

At this time, calcitonin nasal spray (but not injection) is available in generic form (see Generic Miacalcin Injection, Generic Miacalcin Nasal Spray, or Generic Fortical).

Who Makes It?

Calcitonin is made by Novartis Pharmaceuticals and Upsher-Smith Laboratories.

Strengths of Calcitonin

Calcitonin nasal spray is available in one strength -- calcitonin nasal spray 3.7 mL, containing at least 30 sprays, with 200 IU (international units) per spray.
Calcitonin injection is available in one strength -- calcitonin 2 mL vials, with 200 IU per mL, for a total of 400 IU per vial. Calcitonin injection does not come with needles or syringes; your healthcare provider can recommend the right needles and syringes for your particular situation.
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