Product image of Miacalcic (Calcitonin Salmon, Synthetic) supplied by GNH India

Miacalcic

Active Ingredient:
Calcitonin Salmon, Synthetic
Origin:
EU

Miacalcic (Calcitonin Salmon, Synthetic)

Calcitonin salmon, the active ingredient in Miacalcic, is a calcitonin presented as an injectable formulation for intramuscular, intravenous or subcutaneous use. It treats osteoporosis in postmenopausal women, Paget's disease of bone, and hypercalcemia of malignancy.

GNH India supplies Miacalcic as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Essential Pharma (M) Limited

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Indications & Clinical Uses

Miacalcic is a calcitonin analogue that acts on bone metabolism disorders. It is indicated for the following conditions:

  • Osteoporosis in postmenopausal women: reduces bone resorption to improve bone density and lower fracture risk.
  • Paget's disease of bone: normalizes abnormal bone remodeling and alleviates bone pain.
  • Hypercalcemia of malignancy: lowers serum calcium levels by inhibiting osteoclast activity and increasing renal calcium excretion.

How It Works

  • Calcitonin salmon binds to calcitonin receptors on osteoclasts, inhibiting their activity and thereby decreasing bone resorption. The drug also reduces renal tubular reabsorption of calcium, promoting urinary calcium excretion, which together lower serum calcium concentrations and help restore normal bone turnover.

Side Effects

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Flushing: transient redness and warmth, often on the face.
  • Headache: mild to moderate intensity.
  • Injection site reactions: pain, erythema, or swelling at the administration site.
  • Dizziness: occasional light‑headedness.

Serious or Rare Side Effects

  • Anaphylaxis: severe allergic reaction requiring immediate medical attention.
  • Hypocalcemia: marked reduction in serum calcium that may cause muscle cramps or tetany.
  • Osteosarcoma: extremely rare malignant bone tumor reported with long‑term use.
  • Severe hypotension: sudden drop in blood pressure, especially with rapid IV administration.
  • Seizures: rare neurologic events possibly related to electrolyte disturbances.

Precautions & Warnings

Before using Miacalcic, consider the following precautions:

  • Renal impairment: monitor calcium and renal function closely.
  • Hypersensitivity: discontinue immediately if signs of allergic reaction appear.
  • Pregnancy: use only if the potential benefit justifies the potential risk to the fetus.
  • Concomitant calcium supplements: may diminish therapeutic effect; adjust dosing as needed.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Miacalcic may interact with several medications. Review the following groups:

Major Interactions (Avoid)

  • Calcium supplements: can antagonize calcitonin’s calcium‑lowering effect.
  • Bisphosphonates: concurrent use may increase risk of severe hypocalcemia.
  • Loop diuretics: may potentiate calcium loss and exacerbate hypocalcemia.

Moderate Interactions (Monitor Closely)

  • Corticosteroids: may reduce the therapeutic response to calcitonin.
  • Estrogen therapy: may have additive effects on bone density, requiring monitoring.
  • Antihypertensive agents: monitor blood pressure if calcitonin is given intravenously rapidly.

Frequently Asked Questions

Miacalcic contains synthetic salmon calcitonin and is prescribed for three main bone‑related conditions: osteoporosis in postmenopausal women, Paget's disease of bone, and hypercalcemia associated with malignancy. In each case, the drug helps lower serum calcium levels and reduces excessive bone turnover.

Calcitonin salmon binds to specific calcitonin receptors on osteoclasts, the cells responsible for bone breakdown. This binding blocks osteoclast activity, decreasing bone resorption, and also reduces renal reabsorption of calcium, promoting its excretion in urine, which together lower blood calcium concentrations.

The exact dosage and frequency of Miacalcic are determined by the prescribing clinician based on the patient’s condition, weight, renal function, and response to therapy. Healthcare professionals tailor the regimen to achieve optimal calcium control while minimizing adverse effects.

The pregnancy category for calcitonin salmon is listed as unknown. It should only be used during pregnancy or lactation when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and after careful consultation with a healthcare provider.

To place an order, submit an enquiry on the Miacalcic product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed), and required import documentation.

Miacalcic (calcitonin) acts by directly inhibiting osteoclasts and increasing renal calcium excretion, offering rapid calcium reduction. Compared with bisphosphonates, which bind bone mineral and have a longer half‑life, calcitonin provides a shorter‑acting option and may be preferred when rapid calcium lowering is needed or when bisphosphonate tolerance is an issue.

Miacalcic must be stored refrigerated at 2‑8 °C. Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the solution. If the product reaches room temperature for a short period during administration, it may be used, but it should be returned to refrigeration promptly.

Miacalcic is supplied as a sterile injectable solution and can be given intramuscularly, intravenously, or subcutaneously, depending on the clinical indication and physician preference. The injection site should be rotated for repeated doses, and the solution must be inspected for particulate matter before administration.

The most critical adverse events include severe allergic reactions such as anaphylaxis, marked hypocalcemia that can cause muscle cramps or tetany, rare cases of osteosarcoma with long‑term use, and sudden hypotension especially after rapid intravenous injection. Patients should be monitored closely for these signs.

Miacalcic is contraindicated in individuals with known hypersensitivity to salmon calcitonin or any excipients in the formulation. It should also be avoided in patients with severe renal impairment without close monitoring, and in those who have experienced severe reactions to other calcitonin preparations.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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