Peringatan Keamanan

Salmon calcitonin was shown to inhibit lactation in animals and is not recommend in nursing mothers. While research in animals have shown a decrease in fetal weight, no studies have yet shown similar results in humans. It is recommended however to proceed carefully when administering salmon calcitonin to pregnant women and consider if the benefits outweigh the risks. Because of its protein nature, salmon calcitonin may provoke an allergy reaction (bronchospams and swelling of the tongue/throat) that can turn into a full-blown anaphylactic response. The manufacturer also reports an increase in the risk of malignancies from oral route (0.7%) to intranasal route (2.4%) compared to placebo. The same may apply to IV, IM and SC routes since the systemic exposure is higher in those cases.
Nausea is noticeable in some patients but tends to decrease with continued administration. Rhinitis, headaches and back pain have also been reported among others.

Salmon calcitonin

DB00017

biotech approved investigational

Deskripsi

Synthetic peptide, 32 residues long formulated as a nasal spray.

Struktur Molekul 2D

Struktur tidak tersedia

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) Half-life elimination (terminal): I.M. 58 minutes; SubQ 59 to 64 minutes; Nasal: ~18 to 23 minutes
Volume Distribusi 0.15 to 0.3 L/kg
Klirens (Clearance) -

Absorpsi

Salmon calcitonin is rapidly absorbed with bioavailability of 71% following subcutaneous injection and 66% following intramuscular injection in humans. Via the nasal route, the bioavailability varies between 3 to 5% relative to IM.

Metabolisme

Salmon calcitonin primarily undergoes degradation in the kidneys to form pharmacologically inactive metabolites. It is also metabolized in the blood and the peripheral tissue.

Rute Eliminasi

Urine. Studies with injectable calcitonin show increases in the excretion of filtered phosphate, calcium, and sodium by decreasing their tubular reabsorption in the kidney.

Interaksi Makanan

2 Data
  • 1. Administer calcium supplement. Individuals who are taking salmon calcitonin for the treatment of postmenopausal osteoporosis should ingest at least 1000mg of elemental calcium daily (by food or through supplementation).
  • 2. Administer vitamin supplements. Individuals who are taking salmon calcitonin for the treatment of postmenopausal osteoporosis should take at least 400 international units of vitamin D daily.

Interaksi Obat

921 Data
Citalopram The therapeutic efficacy of Salmon calcitonin can be decreased when used in combination with Citalopram.
Fluoxetine The therapeutic efficacy of Salmon calcitonin can be decreased when used in combination with Fluoxetine.
Trazodone The therapeutic efficacy of Salmon calcitonin can be decreased when used in combination with Trazodone.
Sertraline The therapeutic efficacy of Salmon calcitonin can be decreased when used in combination with Sertraline.
Escitalopram The therapeutic efficacy of Salmon calcitonin can be decreased when used in combination with Escitalopram.
Zimelidine The therapeutic efficacy of Salmon calcitonin can be decreased when used in combination with Zimelidine.
Dapoxetine The therapeutic efficacy of Salmon calcitonin can be decreased when used in combination with Dapoxetine.
Seproxetine The therapeutic efficacy of Salmon calcitonin can be decreased when used in combination with Seproxetine.
Indalpine The therapeutic efficacy of Salmon calcitonin can be decreased when used in combination with Indalpine.
Ritanserin The therapeutic efficacy of Salmon calcitonin can be decreased when used in combination with Ritanserin.
Alaproclate The therapeutic efficacy of Salmon calcitonin can be decreased when used in combination with Alaproclate.
Paroxetine The therapeutic efficacy of Salmon calcitonin can be decreased when used in combination with Paroxetine.
Zoledronic acid The risk or severity of hypocalcemia can be increased when Salmon calcitonin is combined with Zoledronic acid.
Alendronic acid The risk or severity of hypocalcemia can be increased when Salmon calcitonin is combined with Alendronic acid.
Ibandronate The risk or severity of hypocalcemia can be increased when Salmon calcitonin is combined with Ibandronate.
Clodronic acid The risk or severity of hypocalcemia can be increased when Salmon calcitonin is combined with Clodronic acid.
Risedronic acid The risk or severity of hypocalcemia can be increased when Salmon calcitonin is combined with Risedronic acid.
Etidronic acid The risk or severity of hypocalcemia can be increased when Salmon calcitonin is combined with Etidronic acid.
Incadronic acid The risk or severity of hypocalcemia can be increased when Salmon calcitonin is combined with Incadronic acid.
Pamidronic acid The risk or severity of hypocalcemia can be increased when Salmon calcitonin is combined with Pamidronic acid.
Tiludronic acid The risk or severity of hypocalcemia can be increased when Salmon calcitonin is combined with Tiludronic acid.
Lithium citrate Salmon calcitonin may increase the excretion rate of Lithium citrate which could result in a lower serum level and potentially a reduction in efficacy.
Lithium carbonate Salmon calcitonin may increase the excretion rate of Lithium carbonate which could result in a lower serum level and potentially a reduction in efficacy.
Lithium hydroxide Salmon calcitonin may increase the excretion rate of Lithium hydroxide which could result in a lower serum level and potentially a reduction in efficacy.
Cyclosporine Cyclosporine may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Icosapent Icosapent may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefotiam Cefotiam may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Mesalazine Mesalazine may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefmenoxime Cefmenoxime may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefmetazole Cefmetazole may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Tenofovir disoproxil Tenofovir disoproxil may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Indomethacin Indomethacin may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cidofovir Cidofovir may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefpiramide Cefpiramide may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Ceftazidime Ceftazidime may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Loracarbef Loracarbef may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefalotin Cefalotin may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Nabumetone Nabumetone may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Ketorolac Ketorolac may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Tenoxicam Tenoxicam may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Celecoxib Celecoxib may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefotaxime Cefotaxime may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Tolmetin Tolmetin may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Foscarnet Foscarnet may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Rofecoxib Rofecoxib may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Piroxicam Piroxicam may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Methotrexate Methotrexate may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cephalexin Cephalexin may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Fenoprofen Fenoprofen may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Valaciclovir Valaciclovir may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Valdecoxib Valdecoxib may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Diclofenac Diclofenac may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Sulindac Sulindac may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Bacitracin Bacitracin may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Amphotericin B Amphotericin B may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cephaloglycin Cephaloglycin may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Flurbiprofen Flurbiprofen may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Adefovir dipivoxil Adefovir dipivoxil may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Pentamidine Pentamidine may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Etodolac Etodolac may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Mefenamic acid Mefenamic acid may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Acyclovir Acyclovir may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Naproxen Naproxen may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Sulfasalazine Sulfasalazine may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Phenylbutazone Phenylbutazone may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Meloxicam Meloxicam may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Carprofen Carprofen may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefaclor Cefaclor may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Diflunisal Diflunisal may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Tacrolimus Tacrolimus may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Ceforanide Ceforanide may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Salicylic acid Salicylic acid may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Meclofenamic acid Meclofenamic acid may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Acetylsalicylic acid Acetylsalicylic acid may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Carboplatin Carboplatin may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Oxaprozin Oxaprozin may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Ketoprofen Ketoprofen may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Balsalazide Balsalazide may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Ibuprofen Ibuprofen may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefditoren Cefditoren may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Atazanavir Atazanavir may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Colistimethate Colistimethate may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefuroxime Cefuroxime may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefapirin Cefapirin may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefadroxil Cefadroxil may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefprozil Cefprozil may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Ceftriaxone Ceftriaxone may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Olsalazine Olsalazine may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Lumiracoxib Lumiracoxib may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefamandole Cefamandole may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefazolin Cefazolin may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefonicid Cefonicid may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefoperazone Cefoperazone may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefotetan Cefotetan may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefoxitin Cefoxitin may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Ceftizoxime Ceftizoxime may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Cefradine Cefradine may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Magnesium salicylate Magnesium salicylate may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Salsalate Salsalate may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.
Choline magnesium trisalicylate Choline magnesium trisalicylate may decrease the excretion rate of Salmon calcitonin which could result in a higher serum level.

Target Protein

Calcitonin receptor CALCR

Referensi & Sumber

Synthesis reference: Marcos C. Poblet, Berta P. Obiols, Gemma J. Farres, "Procedure for preparing salmon calcitonin." U.S. Patent US5527881, issued October, 1991.

Contoh Produk & Brand

Produk: 32 • International brands: 1
Produk
  • Apo-calcitonin Injectable
    Liquid • 200 unit / mL • Intramuscular; Subcutaneous • Canada • Generic • Approved
  • Apo-calcitonin Nasal Spray
    Solution • 200 unit / spray • Nasal • Canada • Generic • Approved
  • Calcimar
    Solution • 200 unit / mL • Intramuscular; Subcutaneous • Canada • Approved
  • Calcitonin Salmon
    Spray, metered • 200 [iU]/0.09mL • Nasal • US • Generic • Approved
  • Calcitonin Salmon
    Spray, metered • 200 [iU]/1 • Nasal • US • Generic • Approved
  • Calcitonin Salmon
    Spray, metered • 200 [iU]/1 • Nasal • US • Generic • Approved
  • Calcitonin Salmon
    Spray, metered • 200 [iU]/0.09mL • Nasal • US • Generic • Approved
  • Calcitonin Salmon
    Powder • 1 g/1g • Not applicable • US
Menampilkan 8 dari 32 produk.
International Brands
  • Calcimar

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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