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 (peptide hormone) presented as an injectable solution for intramuscular, intravenous, or subcutaneous use. It treats bone metabolism disorders such as postmenopausal osteoporosis, Paget's disease of bone, hypercalcemia of malignancy, acute bone pain, and osteogenesis imperfecta.

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 peptide used to manage disorders of bone turnover and calcium metabolism.

  • Postmenopausal osteoporosis: reduces bone resorption and helps maintain bone density.
  • Paget's disease of bone: normalises abnormal bone remodeling and alleviates bone pain.
  • Hypercalcemia of malignancy: lowers elevated serum calcium levels.
  • Acute bone pain: provides rapid analgesic relief in metastatic bone disease.
  • Osteogenesis imperfecta: improves bone strength and reduces fracture risk.

How It Works

  • Calcitonin salmon binds to calcitonin receptors on osteoclasts, inhibiting their activity and thereby decreasing bone resorption. This action leads to a reduction in serum calcium concentrations and helps restore balance in bone remodeling processes, contributing to improved bone density and pain relief in affected patients.

Side Effects

Miacalcic may cause a range of adverse reactions, most of which are mild and transient.

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Flushing: temporary redness of the face or neck.
  • Dizziness: light‑headed sensation, especially after injection.
  • Injection site reactions: pain, erythema, or swelling.
  • Headache: mild to moderate intensity.
  • Nasal irritation: when administered intranasally (if applicable).

Serious or Rare Side Effects

  • Hypersensitivity reactions: rash, urticaria, or angioedema.
  • Anaphylaxis: severe allergic response requiring immediate medical attention.
  • Severe hypocalcemia: markedly low calcium levels, potentially causing neuromuscular symptoms.
  • Acute renal impairment: rare cases of kidney function decline.
  • Cardiovascular events: rare instances of hypotension or arrhythmia.

Precautions & Warnings

Before initiating therapy with Miacalcic, consider the following safety measures.

  • Assess calcium levels: monitor serum calcium before and during treatment.
  • Review medical history: evaluate for previous hypersensitivity to calcitonin.
  • Caution in renal impairment: adjust monitoring in patients with kidney disease.
  • Avoid concurrent calcitonin products: prevent duplication of therapy.
  • Pregnancy and lactation: use only if clearly needed, as safety data are limited.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Miacalcic can interact with other medications; awareness of these interactions helps optimise safety.

Major Interactions (Avoid)

  • Concurrent calcitonin preparations: risk of overdose and additive effects.
  • High‑dose calcium or vitamin D supplements: may diminish therapeutic efficacy.

Moderate Interactions (Monitor Closely)

  • Bisphosphonates: increased risk of hypocalcemia; monitor calcium levels.
  • Loop diuretics: may exacerbate electrolyte disturbances; check renal function.
  • NSAIDs: potential for gastrointestinal irritation; assess patient tolerance.
  • Anticoagulants: monitor for any changes in bleeding risk, although interaction is uncommon.

Frequently Asked Questions

Miacalcic is prescribed for several bone‑related conditions, including postmenopausal osteoporosis, Paget's disease of bone, hypercalcemia of malignancy, acute bone pain associated with metastatic disease, and osteogenesis imperfecta. In each case, the drug helps regulate bone turnover and calcium levels, aiming to improve bone strength and reduce pain.

Calcitonin salmon is a synthetic analogue of the natural hormone calcitonin. It binds to calcitonin receptors on osteoclasts, the cells responsible for breaking down bone, thereby inhibiting their activity. This reduces bone resorption, lowers serum calcium concentrations, and can provide analgesic effects in bone pain.

The specific dose and administration schedule of Miacalcic are determined by the prescribing clinician based on the patient’s condition, age, renal function, and other individual factors. Healthcare professionals tailor the regimen to achieve optimal therapeutic outcomes while minimising potential adverse effects.

Safety data for calcitonin salmon in pregnancy and lactation are limited, and the product is classified as pregnancy category unknown. It should only be used if the potential benefit justifies any potential risk to the fetus or infant, and the decision must be made by a qualified healthcare provider.

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

Miacalcic (calcitonin salmon) differs from bisphosphonates and denosumab in its mechanism; it directly inhibits osteoclast activity via calcitonin receptors, whereas the others affect bone resorption through different pathways. Calcitonin often provides rapid pain relief and is useful when other agents are contraindicated, but its long‑term efficacy may be lower than that of bisphosphonates.

Miacalcic should be stored at 2‑8 °C (refrigerated). Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the solution. If temporary temperature excursions occur, consult the product’s stability guidelines before use.

Miacalcic is supplied as an injectable solution and can be given intramuscularly, intravenously, or subcutaneously, depending on the clinical indication and physician preference. Administration is performed by a qualified healthcare professional using aseptic technique, and the injection site should be monitored for local reactions.

The most serious risks include severe hypersensitivity reactions such as anaphylaxis, marked hypocalcemia leading to neuromuscular symptoms, and rare cases of acute renal impairment. Patients should be observed for signs of allergic response and have serum calcium monitored regularly during therapy.

Miacalcic is contraindicated in individuals with known hypersensitivity to calcitonin salmon or any component of the formulation. It should also be avoided in patients receiving duplicate calcitonin therapy or those for whom the risk of severe hypocalcemia outweighs potential benefits, as determined by their healthcare provider.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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