Fortical

Generic Name: calcitonin nasal (kal si TOE nin)
Brand Names: Fortical, Miacalcin Nasal

What is Fortical?

Fortical (calcitonin - a polypeptide hormone) is a man-made form of a hormone that occurs naturally in the thyroid gland.

Fortical Nasal Spray is used to treat osteoporosis in women who have been in menopause for at least 5 years. It should be used along with adequate calcium and vitamin D intake.

Fortical Nasal Spray may also be used for purposes not listed in this medication guide.

Important information

To make sure you are not allergic to Fortical, your doctor may perform an allergy skin test before your first dose of Fortical Nasal Spray.

Before using Fortical, tell your doctor if you have any nasal or sinus problems such as nasal deformities, a chronic infection, or nasal pain.

Slideshow: 2014 Update - First Time Brand-to-Generic Switches

Avoid using any other nasal sprays or medicines at the same time you use Fortical unless your doctor has told you to.

Call your doctor at once if you have any type of severe irritation of your nose, or if you feel light-headed or faint.

Less serious nasal irritation is more likely to occur, such as minor bleeding, redness, itching, tenderness, dryness, crusting, scabs, or nasal congestion.

To be sure Fortical is not causing harmful side effects to the inside of your nose, your doctor may want to check your nasal passages often. Visit your doctor regularly.

Before using Fortical

Do not use Fortical if you are allergic to salmon calcitonin.

To make sure you can safely use Fortical, tell your doctor if you have any nasal or sinus problems such as nasal deformities, a chronic infection, or nasal pain.

FDA pregnancy category C. It is not known whether Fortical will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether calcitonin passes into breast milk or if it could harm a nursing baby. Do not use Fortical Nasal Spray without telling your doctor if you are breast-feeding a baby.

See also: Pregnancy and breastfeeding warnings (in more detail)

How should I use Fortical?

Use Fortical Nasal Spray exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

To make sure you are not allergic to Fortical, your doctor may perform an allergy skin test before your first dose of Fortical Nasal Spray.

Fortical Nasal Spray comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Store unopened Fortical in the refrigerator but do not allow it to freeze. Before priming the pump and using a new bottle, allow it to reach room temperature. Once you put the bottle and pump assembly together, you may keep the medicine at room temperature, away from light and heat. Keep the bottle upright while stored. Throw away the empty bottle of Fortical Nasal Spray. after you have used 30 doses.

Before your first use of the assembled bottle and pump, you must prime the spray. Allow the medicine to reach room temperature before priming.

To prime Fortical, spray the medicine into the air and away from your face, until a fine mist appears. You will need to prime the pump only before your first use of the newly assembled bottle.

Fortical is usually given as one spray per day into only one of your nostrils. Use the other nostril the next day and continue alternating back and forth for each daily dose.

Before each use, gently blow your nose to clear your nostrils.

Hold the nasal spray upright with your first and second fingers on each side of the pump and your thumb on the bottom of the bottle.

Gently insert the sprayer tip into the nostril but not far into your nose. Bend your head forward to aim the spray toward the back of your nose. Pump the spray unit firmly to spray the medicine into your nostril. You do not need to sniff or inhale deeply.

Fortical nasal spray delivers a fine mist into the nose. Even if you do not feel the spray while using it, the medication is still being absorbed by your nasal passages.

Avoid blowing your nose for several minutes after using Fortical Nasal Spray.

Each bottle contains 30 doses of Fortical nasal spray. Throw away the medicine after 30 uses, even if there is still medicine left in the bottle.

To be sure this medication is not causing harmful side effects to the inside of your nose, your doctor may want to check your nasal passages often. Visit your doctor regularly.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

An overdose of Fortical is not likely to produce life-threatening side effects.

What should I avoid?

Avoid using any other nasal sprays or nasal medications at the same time you use Fortical unless your doctor has told you to.

Fortical side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Fortical: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

  • tremors or shaking;

  • feeling like you might pass out; or

  • severe nasal irritation.

Less serious Fortical side effects may include:

  • bleeding from your nose;

  • runny or stuffy nose;

  • dryness, itching, tenderness, or general discomfort of your nose;

  • crusting, scabs, or sores inside your nose;

  • redness in or around your nose;

  • warmth, redness, or tingly feeling under your skin;

  • headache;

  • back pain; or

  • nausea.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Fortical?

There may be other drugs that can interact with Fortical. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about Fortical.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Fortical Nasal Spray only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2014 Cerner Multum, Inc. Version: 5.02. Revision Date: 2012-05-15, 11:55:16 AM.

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