* Calcitonin (Ca lei mar, Miacalcin
), a natural hormone given as a nasal spray, may help relieve pain from spinal compression fractures, but is not very effective at preventing fractures, and plays a limited role in osteoporosis treatment.
The company also recently rolled out three new products in the U.S., including calcitonin-salmon nasal spray (Miacalcin
), which is used to treat bone loss in postmenopausal women with osteoporosis.
Calcitonin (brand names: Fortical or Miacalcin
; not the same as calcium supplements) has been shown to prevent fractures of the spine but not of nonvertebral bones (e.g.
Q: I turned down Fosamax and Actonel in the past, but did agree to try Miacalcin
Nasal Spray for osteoporosis prevention.
Covered drugs will include anakinra (Kineret), adalimumab (Humira), and etanercept (Enbrel) for Medicare beneficiaries with rheumatoid arthritis, and calcitonin-salmon (Miacalcin
nasal spray) for homebound patients with osteoporosis.
In women who are more Brand name: than 5 years beyond Miacalcin
menopause, calcitonin slows bone loss, increases spinal bone density and may relieve the pain asso- ciated with bone fractures.
Calcitonin * Makes calcium more (Miacalcin
) available to bones.
[R] is administered by injection; 50 to 100 units daily or 3 times per week for 6-18 months.
]hey are raloxifene (Evista), bisphosphonates (Actonel, Boniva, Fosamax, Reclast), parathyroid hormone, denosumab (Prolia), and calcitonin (Fortical, Miacalcin
) (Level A evidence).
Calcitonin (eg, Calcimar, Miacalcin
) is FDA-approved for the treatment of postmenopausal osteoporosis.