The Food and Drug Administration (FDA) has posted a discontinuation notice for Miacalcin Nasal Spray (calcitonin-salmon; Mylan).

Miacalcin Nasal Spray is a polypeptide hormone indicated to treat postmenopausal osteoporosis. The 200 IU/spray multi-dose container with pump has been discontinued; this is not due to the product’s safety, efficacy or quality.  

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Calcitonin acts primarily on the bone, but direct renal effects and actions on the gastrointestinal tract are also recognized. Calcitonin-salmon appears to have actions essentially identical to calcitonins of mammalian origin, but its potency per mg is greater and it has a longer duration of action.

Miacalcin is also available as a 200 IU/mL strength injection. This formulation is indicated to treat Paget’s disease of bone, hypercalcemia, and postmenopausal osteoporosis in women >5 years postmenopausal. 

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