Fortical

Hypercalcemia, Osteoporotic Fractures, Osteoporosis + 5 more

Treatment

20 Active Studies for Fortical

What is Fortical

Salmon calcitonin

The Generic name of this drug

Treatment Summary

Nasal spray containing a 32-amino acid chain, a type of protein.

Miacalcin

is the brand name

image of different drug pills on a surface

Fortical Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Miacalcin

Salmon calcitonin

1986

16

Effectiveness

How Fortical Affects Patients

Calcitonin helps increase bone mass and reduce the amount of calcium in the blood. It also increases the amount of certain minerals that the kidneys flush out, like calcium, phosphate, sodium, magnesium, and potassium. This results in more water, sodium, potassium, and chloride being released into the intestine.

How Fortical works in the body

Calcitonin helps to increase bone density by attaching itself to cells in your bones. This triggers a reaction that produces enzymes that help your body keep more calcium. It also helps your bones by activating a pathway that helps retain calcium.

When to interrupt dosage

The proposed dose of Fortical is contingent upon the ascertained condition, such as Osteoporosis, Postmenopause and Hypercalcemia. The measure of dosage may vary, depending on the technique of delivery (e.g. Injection, solution or Intramuscular; Subcutaneous) featured in the table beneath.

Condition

Dosage

Administration

Immobilization

, 200.0 [iU], 2200.0 [iU]/mL, 20000.0 [iU]/mL, 200.0 [iU]/mL, 100.0 [iU], 200.0 [USP'U]/mL, 200.0 units/mL, 200.0 units/pump actuation, 100.0 units/mL, 200.0 units/spray

, Nasal, Spray, metered, Spray, metered - Nasal, Intramuscular; Subcutaneous, Solution - Intramuscular; Subcutaneous, Solution, Liquid, Liquid - Intramuscular; Subcutaneous, Spray, Spray - Nasal, Injection, solution - Intramuscular; Subcutaneous, Injection, solution - Intramuscular, Injection, solution, Intramuscular, Liquid - Intramuscular; Intravenous; Subcutaneous, Intramuscular; Intravenous; Subcutaneous, Solution - Nasal, Liquid - Nasal, Injection, solution - Intramuscular; Intravenous; Subcutaneous

Postmenopause

, 200.0 [iU], 2200.0 [iU]/mL, 20000.0 [iU]/mL, 200.0 [iU]/mL, 100.0 [iU], 200.0 [USP'U]/mL, 200.0 units/mL, 200.0 units/pump actuation, 100.0 units/mL, 200.0 units/spray

, Nasal, Spray, metered, Spray, metered - Nasal, Intramuscular; Subcutaneous, Solution - Intramuscular; Subcutaneous, Solution, Liquid, Liquid - Intramuscular; Subcutaneous, Spray, Spray - Nasal, Injection, solution - Intramuscular; Subcutaneous, Injection, solution - Intramuscular, Injection, solution, Intramuscular, Liquid - Intramuscular; Intravenous; Subcutaneous, Intramuscular; Intravenous; Subcutaneous, Solution - Nasal, Liquid - Nasal, Injection, solution - Intramuscular; Intravenous; Subcutaneous

Paget’s Disease

, 200.0 [iU], 2200.0 [iU]/mL, 20000.0 [iU]/mL, 200.0 [iU]/mL, 100.0 [iU], 200.0 [USP'U]/mL, 200.0 units/mL, 200.0 units/pump actuation, 100.0 units/mL, 200.0 units/spray

, Nasal, Spray, metered, Spray, metered - Nasal, Intramuscular; Subcutaneous, Solution - Intramuscular; Subcutaneous, Solution, Liquid, Liquid - Intramuscular; Subcutaneous, Spray, Spray - Nasal, Injection, solution - Intramuscular; Subcutaneous, Injection, solution - Intramuscular, Injection, solution, Intramuscular, Liquid - Intramuscular; Intravenous; Subcutaneous, Intramuscular; Intravenous; Subcutaneous, Solution - Nasal, Liquid - Nasal, Injection, solution - Intramuscular; Intravenous; Subcutaneous

Hypercalcemia

, 200.0 [iU], 2200.0 [iU]/mL, 20000.0 [iU]/mL, 200.0 [iU]/mL, 100.0 [iU], 200.0 [USP'U]/mL, 200.0 units/mL, 200.0 units/pump actuation, 100.0 units/mL, 200.0 units/spray

, Nasal, Spray, metered, Spray, metered - Nasal, Intramuscular; Subcutaneous, Solution - Intramuscular; Subcutaneous, Solution, Liquid, Liquid - Intramuscular; Subcutaneous, Spray, Spray - Nasal, Injection, solution - Intramuscular; Subcutaneous, Injection, solution - Intramuscular, Injection, solution, Intramuscular, Liquid - Intramuscular; Intravenous; Subcutaneous, Intramuscular; Intravenous; Subcutaneous, Solution - Nasal, Liquid - Nasal, Injection, solution - Intramuscular; Intravenous; Subcutaneous

Osteoporotic Fractures

, 200.0 [iU], 2200.0 [iU]/mL, 20000.0 [iU]/mL, 200.0 [iU]/mL, 100.0 [iU], 200.0 [USP'U]/mL, 200.0 units/mL, 200.0 units/pump actuation, 100.0 units/mL, 200.0 units/spray

, Nasal, Spray, metered, Spray, metered - Nasal, Intramuscular; Subcutaneous, Solution - Intramuscular; Subcutaneous, Solution, Liquid, Liquid - Intramuscular; Subcutaneous, Spray, Spray - Nasal, Injection, solution - Intramuscular; Subcutaneous, Injection, solution - Intramuscular, Injection, solution, Intramuscular, Liquid - Intramuscular; Intravenous; Subcutaneous, Intramuscular; Intravenous; Subcutaneous, Solution - Nasal, Liquid - Nasal, Injection, solution - Intramuscular; Intravenous; Subcutaneous

Osteoporosis

, 200.0 [iU], 2200.0 [iU]/mL, 20000.0 [iU]/mL, 200.0 [iU]/mL, 100.0 [iU], 200.0 [USP'U]/mL, 200.0 units/mL, 200.0 units/pump actuation, 100.0 units/mL, 200.0 units/spray

, Nasal, Spray, metered, Spray, metered - Nasal, Intramuscular; Subcutaneous, Solution - Intramuscular; Subcutaneous, Solution, Liquid, Liquid - Intramuscular; Subcutaneous, Spray, Spray - Nasal, Injection, solution - Intramuscular; Subcutaneous, Injection, solution - Intramuscular, Injection, solution, Intramuscular, Liquid - Intramuscular; Intravenous; Subcutaneous, Intramuscular; Intravenous; Subcutaneous, Solution - Nasal, Liquid - Nasal, Injection, solution - Intramuscular; Intravenous; Subcutaneous

Osteitis Deformans

, 200.0 [iU], 2200.0 [iU]/mL, 20000.0 [iU]/mL, 200.0 [iU]/mL, 100.0 [iU], 200.0 [USP'U]/mL, 200.0 units/mL, 200.0 units/pump actuation, 100.0 units/mL, 200.0 units/spray

, Nasal, Spray, metered, Spray, metered - Nasal, Intramuscular; Subcutaneous, Solution - Intramuscular; Subcutaneous, Solution, Liquid, Liquid - Intramuscular; Subcutaneous, Spray, Spray - Nasal, Injection, solution - Intramuscular; Subcutaneous, Injection, solution - Intramuscular, Injection, solution, Intramuscular, Liquid - Intramuscular; Intravenous; Subcutaneous, Intramuscular; Intravenous; Subcutaneous, Solution - Nasal, Liquid - Nasal, Injection, solution - Intramuscular; Intravenous; Subcutaneous

Therapeutic procedure

, 200.0 [iU], 2200.0 [iU]/mL, 20000.0 [iU]/mL, 200.0 [iU]/mL, 100.0 [iU], 200.0 [USP'U]/mL, 200.0 units/mL, 200.0 units/pump actuation, 100.0 units/mL, 200.0 units/spray

, Nasal, Spray, metered, Spray, metered - Nasal, Intramuscular; Subcutaneous, Solution - Intramuscular; Subcutaneous, Solution, Liquid, Liquid - Intramuscular; Subcutaneous, Spray, Spray - Nasal, Injection, solution - Intramuscular; Subcutaneous, Injection, solution - Intramuscular, Injection, solution, Intramuscular, Liquid - Intramuscular; Intravenous; Subcutaneous, Intramuscular; Intravenous; Subcutaneous, Solution - Nasal, Liquid - Nasal, Injection, solution - Intramuscular; Intravenous; Subcutaneous

Warnings

There are 20 known major drug interactions with Fortical.

Common Fortical Drug Interactions

Drug Name

Risk Level

Description

Abacavir

Minor

Salmon calcitonin may decrease the excretion rate of Abacavir which could result in a higher serum level.

Acetaminophen

Minor

Salmon calcitonin may decrease the excretion rate of Acetaminophen which could result in a higher serum level.

Acetohexamide

Minor

The therapeutic efficacy of Acetohexamide can be decreased when used in combination with Salmon calcitonin.

Aclidinium

Minor

Salmon calcitonin may decrease the excretion rate of Aclidinium which could result in a higher serum level.

Acrivastine

Minor

Salmon calcitonin may decrease the excretion rate of Acrivastine which could result in a higher serum level.

Fortical Toxicity & Overdose Risk

Pregnant women, nursing mothers, and those with a history of allergies should be careful when taking salmon calcitonin, as it may reduce fetal weight in animals. Allergy reactions may also occur, such as difficulty breathing, swelling of the tongue or throat, and anaphylaxis. The manufacturer has reported an increased risk (from 0.7% to 2.4%) of cancer when taking salmon calcitonin orally compared to placebo. Other side effects may include nausea, rhinitis, headaches, and back pain.

Fortical Novel Uses: Which Conditions Have a Clinical Trial Featuring Fortical?

57 active trials are being conducted to assess the potential of Fortical to facilitate Therapeutic procedures, address Postmenopause symptoms and treat Osteitis Deformans.

Condition

Clinical Trials

Trial Phases

Hypercalcemia

1 Actively Recruiting

Phase 4

Immobilization

0 Actively Recruiting

Paget’s Disease

0 Actively Recruiting

Osteoporotic Fractures

3 Actively Recruiting

Phase 4, Not Applicable

Osteoporosis

25 Actively Recruiting

Not Applicable, Phase 4, Phase 1, Phase 2

Osteitis Deformans

0 Actively Recruiting

Postmenopause

4 Actively Recruiting

Not Applicable, Phase 4

Therapeutic procedure

0 Actively Recruiting

Fortical Reviews: What are patients saying about Fortical?

5

Patient Review

12/14/2010

Fortical for Decreased Bone Mass Following Menopause

This medication is prescribed for bone loss prior to menopause. It's great because it will actually grow back! After using it for two years and taking 1200mg of calcium daily, 50% of my bone loss had grown back. Another generic brand, calcitonin spray; the sprayer jams after only 2 weeks of usage.

5

Patient Review

5/28/2011

Fortical for Decreased Bone Mass Following Menopause

This was simple to use and the only downside was a bit of nose irritation.

4

Patient Review

2/14/2009

Fortical for Decreased Bone Mass Following Menopause

I've only been using this medication for a week or so, but I'm already seeing some benefits. My nose is less runny and there's less crusting.

3.3

Patient Review

9/21/2007

Fortical for Decreased Bone Mass Following Menopause

3

Patient Review

2/23/2010

Fortical for Decreased Bone Mass Following Menopause

I took Fortical a total of four times and now experience burning sensations when urinating. As a result, I have discontinued use of the medication.

3

Patient Review

9/14/2009

Fortical for Decreased Bone Mass Following Menopause

After I fractured and compressed a thoracic vertebra in an accident, my doctor prescribed this medication.

2.7

Patient Review

3/29/2013

Fortical for Decreased Bone Mass Following Menopause

I've been using Fortical for almost four years now. However, after my most recent bone scan results, it appears that the condition of my bones have worsened since I started taking the medication. My doctor wants me to try a different drug now. Other than that, I liked how easy this drug was to take and didn't experience any side effects.

2.3

Patient Review

3/25/2012

Fortical for Decreased Bone Mass Following Menopause

My bone density results have improved after using this drug for two years. I was diagnosed with osteopenia before starting the medication, and now my doctors say that I no longer have it.

2

Patient Review

9/27/2009

Fortical for Decreased Bone Mass Following Menopause

I found that a combination of weight-bearing exercises, calcium supplements, and Fortical helped to reverse my bone loss from osteopenia to normal. However, I don't think that any of these treatments would have been enough on their own.

1.7

Patient Review

11/2/2012

Fortical for Decreased Bone Mass Following Menopause

I used Fortical for almost a year, and started getting nosebleeds soon after starting. I had to keep stopping so they could heal, but they never did. I finally discontinued use, and now almost a year later I'm still dealing with the sores.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about fortical

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is Miacalcin nasal spray used for?

"The text is saying that calcitonin is a nasal spray and injection used to treat osteoporosis in postmenopausal females, Paget's disease of bone, and high calcium, but it is not the best option."

Answered by AI

What is fortical pills used for?

"This drug is used to manage osteoporosis in women who are at least 5 years post-menopausal. Calcitonin helps to prevent bone loss and maintain strong bones, which decreases the likelihood of fractures."

Answered by AI

How does calcitonin nasal spray work?

"The purpose of calcitonin salmon nasal spray is to reduce the rate at which bones are broken down by cells called osteoclasts, and to encourage cells called osteoblasts to rebuild bones. This increases the density of bone in the lower spine."

Answered by AI

How long can you take calcitonin?

"Calcitonin helps to prevent bone loss when a person is immobilized for a short period of time following an osteoporotic fracture."

Answered by AI

Clinical Trials for Fortical

Image of Clinical and Translational Science Center, Weill Cornell Medical College in New York, United States.

Treatment for Menopause

40 - 90
Female
New York, NY

This study will compare adherence, tolerability, safety, and treatment satisfaction between a calcium-rich food and a traditional calcium carbonate supplement in women ages 40 to 90 who are at increased risk for osteoporosis. Participants will be randomly assigned to receive either a calcium-rich food providing 500 mg of calcium from milk-derived minerals or a 500 mg calcium carbonate supplement once daily for four weeks. Participants will complete brief weekly questionnaires assessing supplement use, gastrointestinal symptoms, and treatment satisfaction. The goal of the study is to determine whether the form in which calcium is consumed influences adherence and participant experience. No blood draws, imaging studies, or other invasive procedures are involved

Waitlist Available
Has No Placebo

Clinical and Translational Science Center, Weill Cornell Medical College

Jeff Zhu

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Image of Translational Physiology Laboratory within the Food Science Clinical Research Laboratory in Fort Collins, United States.

Mitoquinone for Postmenopausal Brain Health

18+
Female
Fort Collins, CO

The goal of this clinical trial is to learn if 3 months of taking the dietary supplement MitoQ \[a mitochondria-targeted antioxidant that targets to reduce mitochondrial reactive oxygen species (mitoROS)\] works to treat age- and menopause-related reductions in brain artery (cerebrovascular) function in postmenopausal women 60 years of age or older free of clinical disease. The main questions it aims to answer are: Does MitoQ improve cerebrovascular function in postmenopausal women? If so, does MitoQ improve cerebrovascular function by lowering mitoROS in these arteries? Researchers will compare MitoQ to a placebo (a look-alike substance that contains no drug) to see if MitoQ can improve cerebrovascular function by lowering mitoROS in arteries involved in brain health and function. Participants will: Take MitoQ (20 mg/day) or a placebo every day for 3 months Visit the research laboratory at baseline and then after 3 months for cerebrovascular testing; there is also a check-in visit at 6 weeks, which is the halfway point Keep track of symptoms and events during their treatment period to report to the study team

Waitlist Available
Dietary Supplement

Translational Physiology Laboratory within the Food Science Clinical Research Laboratory

Image of UC San Diego in San Diego, United States.

Epione Device for Bone Conditions

18+
All Sexes
San Diego, CA

The goal of this investigational device exemption is to evaluate the Epione assistance for introducer placement during percutaneous procedures in musculo-skeletic (MSK) structures of the pelvis and the spine in adults. The main question is the determination of the rate of feasible procedures assisted by the Epione device Participants will undergo their procedure(s) as planned by their physician. If they accept to participate to the study, the differences with standard of care will be: * The use of the Epione device to place the introducer(s), instead of freehand placement if they do not participate * Additional CT or CBCT scans during the procedure.

Recruiting
Has No Placebo

UC San Diego (+2 Sites)

Sean Tutton, MD

Precision IO Group

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Image of University of Maryland, Baltimore, Department of Epidemiology and Public Health, Division of Gerontology in Baltimore, United States.

OPTIONS Program for Osteoporosis

65+
All Sexes
Baltimore, MD

Osteoporosis is a disease that weakens bones so the bones may break easily. The risk for osteoporosis increases with age in both women and men. Osteoporosis affects 10 million older adults in the US. Osteoporosis is a common cause of broken bones in the hips and legs. Broken bones can lead to disability, nursing home placement, and death. Because of the dire consequences, a broken hip or leg is one of the most dreaded injuries for older adults. Many studies confirm that a simple regimen of exercise, healthy diet and bone-strengthening medications can improve overall recovery after a broken hip or leg. This regimen can prevent a person from becoming disabled, having future fractures, and even prevent death. Many older adults have surgery in a hospital after breaking a hip or leg. Then older adults go to a skilled nursing facility (SNF) for rehabilitation. Care in SNFs varies greatly. Some patients do not receive the regimen that the investigators know is most beneficial to improve bone health and recovery. Even patients who get exercise, healthy diet, and bone-strengthening medication in the SNF, may not continue with the regimen once patients go home. Therefore, the investigators want to implement and test OsteoPorotic fracTure preventION System (OPTIONS). OPTIONS is a program that will integrate the regimen into the care that is provided in SNFs and after discharge to the community. OPTONS will provide information about exercise, diet, and bone-strengthening medication. OPTIONS will provide doctors, clinical staff, patients, and care partners with the information these stakeholders need to carry out the best-practice regimen. The investigators are partnering with PointClickCare, a large cloud-based healthcare software provider, with SNFs and community care sites across the US. The investigators will include 32 SNFs from different US areas. The investigators will flip a coin to assign SNFs to the intervention (OPTIONS) or the control arm (enhanced usual care) of the study. Enhanced usual care is the care that is typically provided in SNFs after a fracture and adding information about a publicly available fall prevention toolkit. The investigators are using an "implementation science" approach that requires the investigators to get input from the OPTIONS study's vast stakeholder community throughout the study. The OPTIONS study's stakeholders include patients, care partners, clinicians, and professional organizations. The research question is, can using OPTIONS in SNFs and in the community after discharge improve physical function and quality of life in older people in the year after a hip or leg fracture? The investigators are measuring patient-reported outcomes. The investigators will include 1553 patients across the 32 facilities. The investigators have selected outcomes that are important to patients. Specifically, the investigators are measuring patient-reported function and quality of life. The investigators are also measuring patient-reported falls and fractures. The investigators will track the number of patients who die during the study. This study's hypothesis is that patients who receive OPTIONS will report better physical function (i.e., can walk and take better care of themselves) than those who receive enhanced usual care. The investigators also hypothesize that patients that receive OPTIONS will report a better quality of life than those who receive enhanced usual care. This study will provide sound data about the effectiveness of OPTIONS. OPTIONS could then be spread to other SNFs and community-based programs. This would ensure that all older people receive the right care after a hip or leg fracture.

Recruiting
Has No Placebo

University of Maryland, Baltimore, Department of Epidemiology and Public Health, Division of Gerontology (+1 Sites)

Denise Orwig, PhD

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