Calcitonin-Salmon Nasal Spray and Capastat

• Generic Name: calcitonin
• Dosage Forms: nasal spray
• Other Brand Names: Miacalcin, Fortical, Miacalcin Nasal

Calcitonin is a man-made form of a hormone that occurs naturally in the thyroid gland.

Calcitonin injection is used to treat Paget's disease of bone, or high levels of calcium in the blood (hypercalcemia). Calcitonin injection is also used to treat osteoporosis in postmenopausal women.

Calcitonin may also be used for purposes not listed in this medication guide.

• Generic Name: capreomycin
• Dosage Forms: injection, powder, for solution
• Other Brand Names: Capastat Sulfate

Treatment of active (clinical) tuberculosis (TB) in conjunction with other antituberculosis agents.

Second-line agent used in treatment of drug-resistant TB caused by Mycobacterium tuberculosis known or presumed to be susceptible to capreomycin.

For initial treatment of active TB caused by drug-susceptible M. tuberculosis, recommended multiple-drug regimens consist of an initial intensive phase (2 months) and a continuation phase (4 or 7 months). Although the usual duration of treatment for drug-susceptible pulmonary and extrapulmonary TB (except disseminated infections and TB meningitis) is 6–9 months, ATS, CDC, and IDSA state that completion of treatment is determined more accurately by the total number of doses and should not be based solely on the duration of therapy. A longer duration of treatment (e.g., 12–24 months) usually is necessary for infections caused by drug-resistant M. tuberculosis.

Patients with treatment failure or drug-resistant M. tuberculosis, including multidrug-resistant (MDR) TB (resistant to both isoniazid and rifampin) or extensively drug-resistant (XDR) TB (resistant to both isoniazid and rifampin and also resistant to a fluoroquinolone and at least one parenteral second-line antimycobacterial such as capreomycin, kanamycin, or amikacin), should be referred to or managed in consultation with experts in the treatment of TB as identified by local or state health departments or CDC.