Miacalcin

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

A product that may interact with this drug is: lithium.

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

Store in the refrigerator. Do not freeze. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Before using this medication, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: low level of calcium in the blood.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if this drug passes into breast milk. Consult your doctor before breastfeeding.

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: nausea, vomiting.

This medication is given by injection under the skin or into a muscle as directed by your doctor. For the treatment of high calcium, you will usually use this medication every 12 hours. For the treatment of osteoporosis, you will usually use this medication every other day. For the treatment of Paget's disease, you will usually use this medication daily to every other day. If you are using more than 2 milliliters of the medication at a time, it is recommended that you inject the medication into a muscle. Use this medication exactly as prescribed by your doctor. Learn all preparation and usage instructions in the product package. If you have questions about the use of this medication, consult your doctor or pharmacist.

The dosage is based on your medical condition and response to treatment. For the treatment of high calcium, the dosage is also based on weight. It is recommended to use this medication at the lowest effective dosage and for the shortest possible duration to treat your condition. Patients treated long-term with this medication have shown a rare risk of developing cancer. Discuss with your doctor the benefits and risks of long term treatment with this medication.

Before injecting each dose, check this product visually for particles or discoloration. If either is present, do not use the liquid. Also, clean the injection site with rubbing alcohol before injecting. It is important to change the location of the injection site each time to avoid problem areas under the skin or in the muscle.

Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same time(s) each day. If you are using this medication on a schedule other than every day (such as every other day), it may help to mark your calendar with a reminder.

Learn how to store and discard needles and medical supplies safely. Consult your pharmacist.

Tell your doctor if your condition lasts or gets worse.

(See also How to Use section).

Nausea, abdominal pain, diarrhea, vomiting, or flushing may occur. Using this medication at bedtime may help to decrease these side effects. Swelling/redness at injection site, a salty taste in mouth, increased urination, or loss of appetite may also occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: eye pain, swelling ankles/feet, muscle cramps/spasms, numbness/tingling of the arms/legs.

Get medical help right away if you have any very serious side effects, including: seizures.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/safety/medwatch-fda-safety-information-and-adverse-event-reporting-program.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.