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Calcitonin Salmon

These highlights do not include all the information needed to use safely and effectively. See full prescribing information for . nasal sprayInitial U.S. Approval: 1975

Approved
Approval ID

c82eb602-12e1-692b-d660-f8d5b5736b54

Product Type

HUMAN PRESCRIPTION DRUG LABEL

Effective Date

Sep 17, 2025

Manufacturers
FDA

Apotex Corp.

DUNS: 845263701

Products 1

Detailed information about drug products covered under this FDA approval, including NDC codes, dosage forms, ingredients, and administration routes.

Calcitonin Salmon

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code60505-0823
Application NumberANDA076396
Product Classification
M
Marketing Category
C73584
G
Generic Name
Calcitonin Salmon
Product Specifications
Route of AdministrationNASAL
Effective DateSeptember 17, 2025
FDA Product Classification

INGREDIENTS (5)

BENZALKONIUM CHLORIDEInactive
Code: F5UM2KM3W7
Classification: IACT
CALCITONIN SALMONActive
Quantity: 200 [iU] in 1 1
Code: 7SFC6U2VI5
Classification: ACTIB
HYDROCHLORIC ACIDInactive
Code: QTT17582CB
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT
SODIUM CHLORIDEInactive
Code: 451W47IQ8X
Classification: IACT

Drug Labeling Information

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

LOINC: 51945-4Updated: 9/20/2024

PRINCIPAL DISPLAY PANEL

PRINCIPAL DISPLAY PANEL - PACKAGE CARTON LABEL

**APOTEX CORP.**NDC 60505-0823-6

Calcitonin Salmon (synthetic origin) Nasal Spray

** (Calcitonin Salmon Nasal Solution, USP)**

Rx

30 Doses per bottle

2200 USP Calcitonin Salmon Units/mL (200 USP Calcitonin Salmon Units/spray)

FOR INTRANASAL USE ONLY

REFRIGERATE UNTIL OPENED

Carton-200spray

SPL UNCLASSIFIED SECTION

LOINC: 42229-5Updated: 9/20/2024

INSTRUCTIONS FOR USE

Calcitonin Salmon (synthetic origin)

(kal" si toe' nin)

Nasal Spray

For Nasal Use Only.

Important information about your Calcitonin Salmon (synthetic origin) Nasal Spray:

  • A single spray of Calcitonin Salmon (synthetic origin) Nasal Spray contains 1 daily dose of medicine.
  • Each Calcitonin Salmon (synthetic origin) Nasal Spray bottle contains the right amount of medicine. The bottle may not be completely filled to the top. This is normal.
  • This package contains 1 bottle of Calcitonin Salmon (synthetic origin) Nasal Spray with attached pump.
  • Store unopened bottles of Calcitonin Salmon (synthetic origin) Nasal Spray in the refrigerator between 2°C to 8°C (36°F to 46°F). Do not freeze.
  • After you open your bottle of Calcitonin Salmon (synthetic origin) Nasal Spray, store it at room temperature between 20°C to 25°C (68°F to 77°F) in an upright position. Do not shake the bottle.

Preparing your Calcitonin Salmon (synthetic origin) Nasal Spray:

**Step 1.**Remove the bottle from your refrigerator and let it reach room temperature. Check the medicine in the bottle to make sure it is clear and colorless without particles.

Step 2. Remove the clear plastic dust cap and the blue safety clip from the nasal spray pump.See Figure 1. The safety clip prevents the accidental discharge of the spray in your pocket or purse.

Figure-01

Step 3. Check to see if your Calcitonin Salmon (synthetic origin) Nasal Spray has been primed.

  • To make sure you get the right dose of Calcitonin Salmon (synthetic origin) Nasal Spray medicine you must prime each new bottle and pump before you use it for the first time.
  • Check to see if the bottle and pump has already been primed by pressing on the pump 1 time.See Figure 2.
  • If you see a full spray from the pump, the bottle and pump has already been primed for you.
  • If you do not see a full spray, you must prime the bottle and pump.

Figure-02

Step 4. Priming your Calcitonin Salmon (synthetic origin) Nasal Spray:

  • Hold the bottle upright with your pointer finger and middle finger on the 2 side arms of the pump, and your thumb on the bottom of the bottle. Firmly press down on the arms of the pump and press down again if needed until you see a full spray of medicine.See Figure 2.
  • Now your Calcitonin Salmon (synthetic origin) Nasal Spray is ready for you to use.
  • Do not prime the pump before you use it each day because this will waste your medicine.

Giving your Calcitonin Salmon (synthetic origin) Nasal Spray dose:

Step 5. Insert the nasal spray pump in 1 side of your nose.See Figure 3.

  • Keep your head upright. Carefully tilt the bottle and place the nose spray pump into 1 side of your nose.

Figure-03

Step 6. Firmly press down on the nose spray pump to release the medicine. See Figure 4.

  • Give 1 spray of Calcitonin Salmon (synthetic origin) Nasal Spray, 1 time daily, in 1 side of your nose (nostril). Spray your medicine in a different side of your nose each day.
  • You do not need to breathe or inhale while you are giving your dose.
  • You may not feel the spray inside your nose.
  • Some of the medicine may drip out of your nose. This is normal, and you are still getting all of the medicine you need.

Figure-04

Cleaning your Calcitonin Salmon (synthetic origin) Nasal Spray pump:

Step 7. Wipe the nose spray pump with a clean, damp cloth 1 to 2 times a week.See Figure 5.

  • Dry the nose spray pump with a clean cloth.

Figure-05

Storing your Calcitonin Salmon (synthetic origin) Nasal Spray:

Step 8. Replace the blue safety clip, then replace the protective cap on the nasal spray unit.See Figure 6.

  • Be careful not to push down on the pump while you are putting the cap back on it.
  • Do not refrigerate Calcitonin Salmon (synthetic origin) Nasal Spray between doses.
  • Store Calcitonin Salmon (synthetic origin) Nasal Spray upright.
  • Do not shake the bottle.

Figure-06

When should I throw away Calcitonin Salmon (synthetic origin) Nasal Spray?

  • Unopened, refrigerated bottles can be used until the expiration date stamped on the bottle and box.
  • Throw away Calcitonin Salmon (synthetic origin) Nasal Spray after you use 14 doses (2 mL fill) or 30 doses (3.7 mL fill) (sprays).
  • Throw away Calcitonin Salmon (synthetic origin) Nasal Spray bottles left at room temperature (opened or unopened) for more than 30 days (2 mL fill) or 35 days (3.7 mL fill).

For more information on Calcitonin Salmon (synthetic origin) Nasal Spray, call Apotex Corp. at 1-800-706-5575.

This Patient Information and Instructions for Use has been approved by the U.S. Food and Drug Administration.

APOTEX INC.
CALCITONIN SALMON (SYNTHETIC ORIGIN) NASAL SPRAY

Manufactured by

Manufactured for

Apotex Inc.

Apotex Corp.

Toronto, Ontario

Weston, FL

Canada M9L 1T9

33326

Revised: November 2017

DESCRIPTION SECTION

LOINC: 34089-3Updated: 12/13/2023

11 DESCRIPTION

Calcitonin is a polypeptide hormone secreted by the parafollicular cells of the thyroid gland in mammals and by the ultimobranchial gland of birds and fish.

Calcitonin Salmon (synthetic origin) Nasal Spray is a synthetic polypeptide of 32 amino acids in the same linear sequence that is found in calcitonin of salmon origin. This is shown by the following graphic formula:

graphic-formula

It is provided in a 2 mL or 3.7 mL fill glass bottle as a solution for nasal administration. This is sufficient medication for at least 14 doses (2 mL fill) or 30 doses (3.7 mL fill).

Active Ingredient: calcitonin salmon 2200 USP Calcitonin Salmon Units per mL (corresponding to 200 USP Calcitonin Salmon Units per 0.09 mL actuation).

Inactive Ingredients: benzalkonium chloride, hydrochloric acid (added as necessary to adjust pH), purified water and sodium chloride.

The activity of calcitonin salmon nasal spray is stated in International Units based on bioassay in comparison with the International Reference Preparation of calcitonin salmon for Bioassay, distributed by the National Institute of Biological Standards and Control, Holly Hill, London.

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Calcitonin Salmon - FDA Drug Approval Details