By Medically reviewed by hellodoktor

Generic Name: Miacalcic Brand Name(s): Miacalcic.


What is Miacalcic® (salcatonin) used for?

Miacalcic® is commonly used for the treatment of:

How should I take Miacalcic® (salcatonin)?

Miacalcic® cannot be taken by mouth because it is rapidly broken down in the stomach. Instead it is given as an injection. It can be injected intravenously (into the vein) or intramuscularly (into the muscle of the thigh or buttock). It can also be injected subcutaneously. That means that it is injected into the layer of fat just under the skin.

If you will be giving the subcutaneous injections yourself, your doctor or nurse will teach you how to inject yourself properly.

If you are not sure about anything, ask your doctor or nurse before you start.

How do I store Miacalcic® (salcatonin)?

Miacalcic® is best stored in the refrigerator. To prevent drug damage, do not freeze. There may be different brands of Miacalcic® that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush Miacalcic® down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Miacalcic® (salcatonin)?

Do not use Miacalcic® if you have an allergy to:

  • Salcatonin
  • Any of the other ingredients

You may get hives or an itchy skin rash, swelling of the face, lips, tongue or throat, wheezing or troubled breathing, fast heartbeat, faintness or other symptoms if you use it.

Your doctor may have performed a skin test to check for an allergy before giving you this medicine.

Is it safe during pregnancy or breastfeeding?

There is not enough experience with Miacalcic® in pregnant women or nursing mothers to recommend its use. Your doctor can discuss with you the risks and benefits of using this medicine while you are pregnant or breastfeeding.

Side effects

What side effects can occur from Miacalcic® (salcatonin)?

Tell your doctor if you notice any of the following side effects and they worry you:

  • Redness, swelling or pain at the site of injection
  • Nausea or vomiting
  • Abdominal pain
  • A hot flushed face
  • Dizziness
  • Frequent passing of urine or passing large amounts of urine
  • Diarrhea
  • Headache
  • Fever and chills
  • Pain in the joints
  • Numbness, tingling or cramps in arms or legs
  • Itching of the palms of the hands
  • Unusual taste
  • Fatigue
  • Visual disturbances
  • Trembling

Stop using Miacalcic® and tell your doctor immediately or go to Accident and Emergency at your nearest hospital if any of the following happen:

  • A severe reaction at the site of injection
  • Swelling of the face, lips, tongue or throat
  • Swelling of other parts of the body such as legs or ankles
  • Tightness in the chest, wheezing or troubled breathing
  • Hives or an itchy skin rash (can affect entire body)
  • Fast heartbeat
  • Fainting

You may be having a serious allergic reaction to Miacalcic® and may need urgent medical attention or hospitalization. Allergic reactions are rare.


What drugs may interact with Miacalcic® (salcatonin)?

Miacalcic® may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Products may interact with this drug, such as:

  • Calcitonin
  • Cardiac glycosides or calcium channel blocking agents
  • Bisphosphonates
  • Lithium

Does food or alcohol interact with Miacalcic® (salcatonin)?

Miacalcic® may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with Miacalcic® (salcatonin)?

Miacalcic® may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Tell your doctor if you have any problems with your kidneys.


The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Miacalcic® (salcatonin).

What is the dose of Miacalcic® (salcatonin) for an adult?

The dose of Miacalcic® depends on the condition being treated.

Acute bone loss

The recommended dosage is 100 IU daily or 50 IU twice daily administered subcutaneously or intramuscularly. The dose may be reduced to 50 IU daily at the start of remobilization. The recommended treatment duration is 2 weeks and should not exceed 4 weeks in any case due to the association of the increased risk of malignancies and long term calcitonin use.

For Paget’s disease

The usual dose is 80 to 100 I.U. (international units) of Miacalcic® each day or every second day. The dose is given by intramuscular or subcutaneous injection. The dose of Miacalcic® may be adjusted depending on the response to treatment. This medicine may be needed for anywhere from a few months to a few years.

For hypercalcaemia

The usual dose is 5 to 10 I.U. of Miacalcic® per kg of body weight per day. It can be given intravenously or by intramuscular or subcutaneous injection.

What is the dose of Miacalcic® (salcatonin) for a child?

There is insufficient evidence to support the use of salmon calcitonin in conditions associated with paediatric osteoporosis. Use of salmon calcitonin in children 0 to 18 years is therefore not recommended.

How is Miacalcic® (salcatonin) available?

Miacalcic® is available in the following dosage forms and strengths:

  • Each Miacalcic® pack contains 5 ampoules of salcatonin.
  • Each 1 ml ampoule of Miacalcic® contains either 50 I.U. or 100 I.U. salcatonin (also known as salmon calcitonin). The ampoule also contains glacial acetic acid, sodium acetate, sodium chloride and water for injections.

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If it is more than 4 hours until your next dose is due, inject the dose as soon as you remember and then go back to injecting it as you would normally.

If it is less than 4 hours until your next dose is due, wait and inject your dose at the usual time.

Do not use a double dose to make up for the one that you missed.

It won’t do any harm if you miss a dose but some of your symptoms may come back temporarily until you get back on schedule.

If you have trouble remembering when to use your medicine, ask your pharmacist for some hints.

Hello Health Group does not provide medical advice, diagnosis or treatment.


Review Date: December 25, 2016 | Last Modified: September 13, 2019

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