Fortical and Pregnancy

In studies on Fortical and pregnancy, the medication increased the risk of low birth rate when it was given in high doses to pregnant rabbits. Since animals do not always respond to drugs the same way that humans do, however, the full risks of humans using the medication during pregnancy are unknown. If you are taking Fortical and pregnancy occurs, notify your healthcare provider immediately.

Fortical and Pregnancy: An Overview

Fortical® (calcitonin salmon nasal spray) is a prescription medication used to treat osteoporosis. It is approved only for use in postmenopausal women (and, therefore, not in pregnant women). Fortical may not be safe for use during pregnancy, although the full risks are not known at this time. Studies in pregnant animals have suggested that the drug may cause problems when used during pregnancy.
 

Fortical and Pregnancy Category C

The U.S. Food and Drug Administration (FDA) uses a category system to classify the possible risks to a fetus when a specific medicine is taken during pregnancy. Pregnancy Category C is given to medicines that have not been studied in pregnant humans but that do appear to cause harm to the fetus in animal studies. Also, medicines that have not been studied in any pregnant women or animals are automatically given a pregnancy Category C rating.
 
When given to pregnant rabbits, very high doses of calcitonin salmon (given by injection) increased the risk of low birth weight. Fortical does not cross the placenta, however, so it does not reach the fetus directly.
 
It is important to note that Fortical is not approved for women who are premenopausal, including pregnant women.
 

Fortical and Pregnancy: Final Thoughts

If you are pregnant or are thinking of becoming pregnant while taking Fortical, let your healthcare provider know. He or she will consider both the benefits and risks of taking the drug during pregnancy before making a recommendation in your particular situation.
 
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