We all know that as we age, especially after menopause, our mothers' and grandmothers' bones gradually weaken, right? There are times when we are afraid that even a small fall will break an arm or a leg. This condition in which bones become thin and easily brittle is called osteoporosis. So today we are talking about a special medicine that is given to treat this condition, in a slightly strange way, that is, used in the nose. That is the calcitonin nasal spray.
What is this calcitonin?
Simply put, calcitonin is a hormone that is naturally produced in our bodies. The main function of this hormone is to help keep our bones strong. How does that happen? There are cells in our bodies that dissolve, or break down, bones. What this calcitonin drug does is to control the activity of those cells and stop the breakdown of bones . Then the density of the bones increases and they become stronger.
This medicine is mainly used to treat osteoporosis in women after menopause . It helps to reduce the risk of bone fractures. In Sri Lanka, you may find this medicine under the brand names `Fortical` or `Miacalcin`.
Things you need to tell your doctor before taking this medicine
Before giving you this medicine, your doctor will need to know some details about your health condition. So be sure to tell him about these things.
- Nose problems: Tell your doctor if you have frequent nosebleeds, frequent nosebleeds, or if you have recently had an accident with your nose.
- Allergies: You must tell your doctor if you have any allergies to calcitonin, fish such as salmon (since this medicine is similar to a protein obtained from salmon), other medicines, foods, or dyes.
- Pregnancy: Tell your doctor if you are pregnant, trying to become pregnant, or breastfeeding.
How do you use this nasal spray correctly?
The way this is used is very important.
This is a nasal spray only. Do not ingest or use it in any other way for any reason .
Use only the prescribed dose as prescribed by your doctor. The most important thing is not to use it in the same nostril every day . Doing so can damage the membranes inside the nose. So, if you used the left nostril today, use the right nostril tomorrow. In this way , change the nostrils every day .
If you have any questions about how to use this, don't be shy and ask your doctor for the exact instructions.
What if I take too much by mistake?
If you think you have accidentally taken too much of this medicine, call the National Poisons Information Centre at the Colombo National Hospital immediately. Or go to the Emergency Department (ETU) of the nearest hospital.
What to do if you miss a dose of medication?
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take your next dose at the scheduled time. Never take a double dose .
Things to be careful about when taking medicine
- Regular medical check-ups: Check with your doctor regularly to see how you are doing. Your doctor will examine the inside of your nose before you start taking the medicine and while you are using it.
- Be aware of cancer risk: Some studies have found that long-term use of this medication may slightly increase the risk of certain types of cancer. Don't be alarmed by this, but it's important to talk openly with your doctor about this risk and follow his or her advice.
- Calcium and Vitamin D: This is a very important point. To get the most out of this medicine, you need to get enough calcium and vitamin D every day . Otherwise, taking the medicine alone will not work. Usually, you need at least 1000 milligrams of calcium and 400 IU of vitamin D per day. Ask your doctor about what calcium and vitamin D supplements are right for you, and how to get these from foods like milk, yogurt, cheese, and small fish.
- Other medications: Tell your doctor about all other medications you are taking (including vitamins, herbal remedies, and supplements). Some medications may interact with this one.
What are the possible side effects?
Like any medicine, this one can cause side effects in some people. Let's take a look at what they are.
| Classification of side effects | |
|---|---|
| Things to tell your doctor immediately | |
| Allergic reactions | Skin rash, itching, swelling of the lips, tongue or face. |
| Breathing difficulties | Difficulty breathing, feeling like chest tightness. |
| Other serious symptoms | Dizziness , fever, nosebleeds or nasal sores, tingling sensation in the limbs. |
| Things that are usually not serious, but should be reported to the doctor if they persist | |
| Nasal discomfort | Runny nose, stuffy nose, inflammation of the nose. |
| Other minor inconveniences | Back or joint pain, flushing, headache, nausea, stomach upset, and watery eyes. |
How to store the medicine?
It is also very important to store this medicine properly.
- Keep away from children: First, keep this medicine out of the reach of children .
- Before use: Keep the medicine in a cool place , such as the refrigerator door (between 2 and 8 degrees Celsius) until the medicine bottle seal is broken. But never in the freezer . Do not let the medicine harden.
- After use: Once you start using it, that is, after spraying for the first time, do not refrigerate it again . Store it at room temperature (between 15 and 30 degrees Celsius), out of direct sunlight, and in an upright position .
- Expiration: This medicine is only good for 35 days from the day you start using it. After 35 days, throw away any medicine left in the bottle. Also, do not use the medicine after the expiration date printed on the bottle.
Take-Home Message
- Calcitonin nasal spray is an effective medication for controlling osteoporosis that occurs after menopause.
- When using this, you must switch nostrils every day (left today, right tomorrow).
- To get the most out of your medication, it is essential to get enough calcium and vitamin D daily. Consult your doctor about this.
- If you experience severe allergic symptoms such as facial swelling and difficulty breathing, seek medical advice immediately.
- Store the medicine properly in the refrigerator until use, and at room temperature once you start using it.
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