Fortical⁚ A Closer Look at This Osteoporosis Medication
Introduction
Fortical, known generically as calcitonin-salmon, is a medication used to treat osteoporosis in postmenopausal women. It works by mimicking the hormone calcitonin, which helps regulate bone formation and breakdown. This article will delve into the details of Fortical, covering its uses, dosage, side effects, and important considerations.
Understanding Fortical
- What is it?⁚ Fortical is a man-made version of calcitonin, a hormone naturally produced by the thyroid gland. It comes as a nasal spray and works by slowing down bone loss and increasing bone density.
- Who is it for?⁚ Fortical is specifically for postmenopausal women who are at least five years past menopause and have osteoporosis. It may be considered when other osteoporosis treatments are unsuitable due to contraindications, intolerance, or unwillingness to use them.
- How does it work?⁚ Fortical inhibits the activity of osteoclasts, cells responsible for breaking down bone. This helps to prevent further bone loss and maintain bone density, reducing the risk of fractures.
Dosage and Administration
* Nasal spray⁚ The typical dosage is one spray (200 International Units) per day, administered into one nostril and alternating nostrils daily.
* Important instructions⁚
* Before using the first dose, allow the bottle to reach room temperature.
* Prime the pump before the first use by pressing the side arms several times until a full spray is produced.
* Do not prime the pump before each daily use.
* Store unopened bottles in the refrigerator and protect them from freezing.
* Store opened bottles upright at room temperature.
* Discard the bottle after 30 doses have been used.
* Additional recommendations⁚ Patients using Fortical should ensure adequate intake of calcium (at least 1000 mg per day) and Vitamin D (at least 400 IU per day) to support bone health.
Potential Side Effects
While Fortical can be beneficial in managing osteoporosis, it’s important to be aware of possible side effects. These can include⁚
* Common side effects⁚
* Nasal irritation⁚ This may include bleeding, runny or stuffy nose, dryness, itching, tenderness, or general discomfort.
* Other⁚ Flushing, nausea, back pain, and headache.
* Serious side effects⁚
* Allergic reactions⁚ Seek immediate medical attention if you experience symptoms such as rash, itching, swelling, severe dizziness, or trouble breathing.
* Low calcium levels⁚ Symptoms may include numbness or tingling around the mouth, fast or slow heart rate, muscle tightness or contraction, and overactive reflexes.
It’s crucial to discuss any side effects you experience with your doctor.
Important Considerations
* Pregnancy and breastfeeding⁚ Fortical is primarily used in postmenopausal women and is not recommended during pregnancy or breastfeeding. Consult your doctor for personalized advice.
* Drug interactions⁚ Inform your doctor about all medications and supplements you are taking, as they may interact with Fortical.
* Alternatives⁚ Several other medications are available for treating osteoporosis. Your doctor can help determine the best option based on your individual needs and medical history.
Conclusion
Fortical can be a valuable tool for managing osteoporosis in postmenopausal women. However, it’s essential to understand its potential benefits and risks before starting treatment. Always discuss your medical history and any concerns with your doctor to ensure Fortical is the right choice for you.