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Miacalcic Kit 100U 5X1ml

IMPORTANT NOTE – A VALID AUSTRALIAN PRESCRIPTION IS REQUIRED BEFORE THIS ITEM CAN BE SHIPPED

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Drug Name: salcatonin
Private Price $54.99
PBS $37.30
Concession $5.20
Safety Net $0.00

S8 Note - This prescription item is Schedule 8 and can only be supplied on a script from a registered doctor in Queensland. Any prescriptions from any other state cannot be filled and will be returned in the mail

Note: Private, PBS and our prices are available to the general public. Concession and Safety Net prices are only available to people with the appropriate concession or Safety Net cards. See Prescriptions for more details.

GOVERNMENT AUTHORITY SCRIPT

This prescription item requires a pre approved authority from the Government in order to get this item at the quoted price. Authority prescriptions need to be applied for by the doctor writing the script and can include reasons such as increased quantities due to dosage, increased repeats, use for a pre determined specified use, or the nature of the medication itself requiring specialist interaction. In the event that an authority is not granted on the script, the price will revert to the private price quoted for that item

WARNING - MULTIPLE PACK PRESCRIPTION - PLEASE READ CAREFULLY

This item contains more than one pack of a prescription product. Before this can be dispensed the doctor has to give approval. The prescription must be written for the total quantity or the prescription must be endorsed by your doctor "Regulation 24" otherwise we will be unable to dispense the increased amount. If you proceed with the order without approval, we will only send out one pack at the single pack price and refund the difference. Eg If your prescription is written out for 30 Tablets with 5 repeats and it does not have “Regulation 24 “ written on the script, the ONLY quantity we can dispense is 30 at one time. Further dispensing of this product could only occur after an appropriate length of time - usually 21 days but depends on dosage. In this example if you would like to obtain 180 Tablets then the doctor must endorse the prescription “Regulation 24” or the quantity must be written out for 180 and not 30. NB Conditions apply on the writing of a Regulation 24 prescription. Ask your doctor or pharmacist for details.

We can no longer accept signed authority forms from your doctor as permission to dispense more than one pack. Please contact our pharmacist for more information.

If you order this item as Private, NO PBS stickers will be issued. Once any prescription order has been sent the product cannot be returned for a refund even if your doctor changes your medication or you have an adverse reaction.

Miacalcic Kit 100U 5X1ml

Miacalcic Kit 100U 5X1ml

Product ID: 57495
$54.99
Temporarily Low Stock Online
Temporarily Low Stock Online -
Please Try Your Local Store

Pharmacist Only Medicine

This product is a Pharmacist Only Medicine and requires pharmacist advice before we can dispatch this product. You must first place the order and then contact our pharmacists within 48 hours on 1300 367 283. The pharmacist will determine if this product is appropriate for you and if so, approve the order. In the event that you do not do this, the product will be deleted from your order and the balance of your order will be dispatched. This is not required if you have a doctor's prescription.

 

General Information

onsumer Medicine Information

What is in this leaflet

This leaflet answers some common questions about Miacalcic.

It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.

The information in this leaflet was last updated on the date listed on the final page.

Some more recent information on the medicine may be available.

You should ensure that you speak to your pharmacist or doctor to obtain the most up to date information on the medicine.

You can also download the most up to date leaflet from www.novartis.com.au. Those updates may contain important information about the medicine and its use of which you should be aware.

All medicines have risks and benefits. Your doctor has weighed the risks of you using Miacalcic against the benefits they expect it will have for you.

If you have any concerns about using this medicine, ask your doctor or pharmacist.

Keep this leaflet with the medicine. You may need to read it again.

What Miacalcic is used for

Miacalcic contains salcatonin, which is similar to calcitonin, a hormone produced by the body.


Miacalcic is used to treat Paget's disease

Paget's disease is a chronic disorder of the bones of the skeleton. Bone is a living tissue and, just like other parts of the body, it is constantly being renewed. This process is called bone remodelling.

Remodelling involves two types of bone cells - osteoclasts, which break down old bone and osteoblasts, which make new bone. In people with Paget's disease the osteoclasts in some bones are overactive, causing the bone to break down more quickly than usual. The osteoblasts then try to work faster to replace the lost bone. The new bone that is formed may be thicker but weaker than normal, which can cause pain and may lead to fractures (broken bones).

Miacalcic works by slowing down the breakdown of bone by the osteoclasts. This allows bone remodelling to go back to normal and protects the bones from being weakened. Miacalcic may also relieve bone pain.


Miacalcic is also used to treat hypercalcaemia (high calcium levels in the blood)

It helps to reduce the level of calcium in the blood when it becomes too high.

Ask your doctor if you have any questions about why Miacalcic has been prescribed for you. Your doctor may have prescribed this medicine for another reason.

Miacalcic is only available with a doctor's prescription. It is not addictive.

Miacalcic is not recommended for children except in special cases, since experience with using Miacalcic in this age group is limited.

Before you use Miacalcic

When you must not use it

Do not use Miacalcic if you have an allergy to:


salcatonin, the active ingredient in Miacalcic
any of the other ingredients listed at the end of this leaflet

You may get hives or an itchy skin rash, swelling of the face, lips, tongue or throat, wheezing or troubled breathing, fast heart beat, faintness or other symptoms if you use it.

Your doctor may have performed a skin test to check for an allergy before giving you this medicine. See the 'Side Effects' section of this leaflet for more information about allergic reactions.

Do not use Miacalcic if you are pregnant or breast-feeding. There is not enough experience with Miacalcic in pregnant women or nursing mothers to recommend its use. Your doctor can discuss with you the risks and benefits of using this medicine while you are pregnant or breast-feeding.

Do not use Miacalcic if the packaging is torn or shows signs of tampering. In that case, return it to your pharmacist.

Do not use Miacalcic after the use by (expiry) date printed on the pack or ampoule. If you use it after the expiry date has passed, it may not work as well as it should.

Before you start to use it

Tell your doctor if you have any problems with your kidneys. Your doctor may want to prescribe a lower dose of Miacalcic than usual if you have a kidney problem.

Taking other medicines

Tell your doctor if you are taking lithium. Your dosage may need to be adjusted.

Tell your doctor if you are taking any other medicines, including medicines that you buy without a prescription from a pharmacy, supermarket or health food shop. Other medicines may affect the way Miacalcic works. Your doctor or pharmacist can tell you what to do if you are taking any other medicines.

If you have not told your doctor about any of these things, tell him/her before you use Miacalcic.

How to use Miacalcic

Follow all directions given to you by your doctor and pharmacist carefully. These directions may differ from the information contained in this leaflet.

If you do not understand the instructions on the label, ask your doctor or pharmacist for help.

How it is given

Miacalcic cannot be taken by mouth because it is rapidly broken down in the stomach. Instead it is given as an injection. It can be injected intravenously (into the vein) or intramuscularly (into the muscle of the thigh or buttock). It can also be injected subcutaneously. That means that it is injected into the layer of fat just under the skin.

If you will be giving the subcutaneous injections yourself, your doctor or nurse will teach you how to inject yourself properly.

If you are not sure about anything, ask your doctor or nurse before you start.

How much is given

The dose of Miacalcic depends on the condition being treated.

For Paget's disease: the usual dose is 80 to 100 I.U. (international units)

of Miacalcic each day or every second day. The dose is given by intramuscular or subcutaneous injection. The dose of Miacalcic may be adjusted depending on the response to treatment. This medicine may be needed for anywhere from a few months to a few years.

For hypercalcaemia: the usual dose is 5 to 10 I.U. of Miacalcic per kg of body weight per day. It can be given intravenously or by intramuscular or subcutaneous injection.

If you forget to use it

If it is more than 4 hours until your next dose is due, inject the dose as soon as you remember and then go back to injecting it as you would normally.

If it is less than 4 hours until your next dose is due, wait and inject your dose at the usual time.

Do not use a double dose to make up for the one that you missed. It won't do any harm if you miss a dose but some of your symptoms may come back temporarily until you get back on schedule.

If you have trouble remembering when to use your medicine, ask your pharmacist for some hints.

If you use too much (overdose)

Immediately telephone your doctor or Poisons Information Centre (telephone 13 11 26), or go to Accident and Emergency at your nearest hospital if you think that an overdose has happened. Do this even if there are no signs of discomfort or poisoning.

While you are using Miacalcic

Things you must do

Keep all of your doctor's appointments so that your progress can be checked. If you have to take Miacalcic for a long time (for example, to treat Paget's disease), your doctor may want you to have X-rays or blood and urine tests from time to time to make sure Miacalcic is working and to prevent unwanted side effects from happening.

See your doctor if your symptoms reappear.

Sometimes after using Miacalcic for a while, your symptoms may reappear (this is called a "rebound" effect). If this happens, your doctor may stop Miacalcic for a short time and then start it again. This helps to restore the good effects of the medicine.If you are about to be started on any new medicine, remind your doctor and pharmacist that you are having treatment with Miacalcic.

Tell any other doctor, dentist or pharmacist who treats you that you are having treatment with Miacalcic.

Things you must not do

Do not give this medicine to anyone else, even if their symptoms seem to be the same as yours.

Do not use Miacalcic to treat any other complaints unless your doctor tells you to.

Things to be careful of

Be careful driving or operating machinery until you know how Miacalcic affects you. This medicine may cause dizziness in some people. Make sure you know how you react to Miacalcic before you drive a car, operate machinery or do anything else that could be dangerous.

Side effects

Tell your doctor or pharmacist as soon as possible if you do not feel well while you are using Miacalcic. All medicines can have side effects. Sometimes they are serious, but most of the time they are not. You may need medical treatment if you get some of the side effects.

Do not be alarmed by this list of possible side effects. You may not experience any of them.

Ask your doctor or pharmacist to answer any questions you may have.

Tell your doctor if you notice any of the following side effects and they worry you:


redness, swelling or pain at the site of injection
nausea or vomiting
abdominal pain
a hot flushed face
dizziness
frequent passing of urine or passing large amounts of urine
diarrhoea
headache
fever and chills
pain in the joints
numbness, tingling or cramps in arms or legs
itching of the palms of the hands
unusual taste
fatigue
visual disturbances

Stop using Miacalcic and tell your doctor immediately or go to Accident and Emergency at your nearest hospital if any of the following happen:


a severe reaction at the site of injection
swelling of the face, lips, tongue or throat
swelling of other parts of the body such as legs or ankles
tightness in the chest, wheezing or troubled breathing
hives or an itchy skin rash
fast heartbeat
fainting

You may be having a serious allergic reaction to Miacalcic and may need urgent medical attention or hospitalisation. Allergic reactions are rare. Tell your doctor if you notice anything else that is making you feel unwell. Other side effects not listed above may happen in some people.

After using Miacalcic

Storage


Keep the ampoules in the carton until it is time to use them.
Keep your ampoules in the refrigerator (about 2 °C to 8 °C). Do not freeze.

Keep the medicine where children cannot reach it.

Disposal

Throw out any Miacalcic left in the ampoule once the dose has been injected. Miacalcic does not contain any preservatives.

Dispose of the used ampoules safely.

If your doctor tells you to stop using Miacalcic or you find that it has passed the expiry date or has been left out of the fridge, ask your pharmacist what to do with any medicine you have left over.
Product description
What it looks like
Each Miacalcic pack contains 5 ampoules of salcatonin.
Ingredients
Each 1 mL ampoule of Miacalcic contains either 50 I.U. or 100 I.U. salcatonin (also known as salmon calcitonin). The ampoule also contains glacial acetic acid, sodium acetate, sodium chloride and water for injections.
Sponsor
Miacalcic is supplied in Australia by:
NOVARTIS Pharmaceuticals Australia Pty Limited
ABN 18 004 244 160
54 Waterloo Road
North Ryde NSW 2113
Telephone 1 800 671 203

® = Registered Trademark

This leaflet was prepared in January 2008.

Australian Registration Number: 50 I.U./1 mL ampoule: AUST R 13364
100 I.U./1 mL ampoule: AUST R 13363
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