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  1. Home
  2. Medicine

  3. Kalciray 200 Nasal Spray 60 mdi

Kalciray 200 Nasal Spray 60 mdi, Pack of 1 SPRAY
Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Non returnable*
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Whats That

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Synonym :

CALCITONIN SALMON

Composition :

CALCITONIN-200IU

Manufacturer/Marketer :

Instaray Pharmaceuticals

Consume Type :

NASAL

Return Policy :

Not Returnable

Expires on or after :

About Kalciray 200 Nasal Spray 60 mdi

Kalciray 200 Nasal Spray 60 mdi belongs to groups of medications called hypocalcemic agents, primarily indicated for the treatment of postmenopausal osteoporosis in women more than five years postmenopause when alternative therapies are unsuitable. Post-menopausal osteoporosis is a medical condition that causes thinning and weakening of the bones during/after a menopausal period.

Kalciray 200 Nasal Spray 60 mdi contains Calcitonin, a human hormone that prevents bone breakdown and increases bone density (thickness). Thus it helps to treat osteoporosis in postmenopausal women.

Use Kalciray 200 Nasal Spray 60 mdi as prescribed by the doctor. Kalciray 200 Nasal Spray 60 mdi may cause certain side effects such as hypocalcemia, runny nose, nosebleed, sinus pain, application site reactions such as rhinitis (stuffy nose), epistaxis (nose bleeds) and other nasal symptoms, back pain, arthralgia (Joint pain) and headache. Most of these side effects do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

Kalciray 200 Nasal Spray 60 mdi is for intranasal use only, do not inject or take it orally. Before using Kalciray 200 Nasal Spray 60 mdi, inform your doctor of all your medical conditions, sensitivities, and all medications you are using. Kalciray 200 Nasal Spray 60 mdi is intended for post-menopausal women; therefore, Kalciray 200 Nasal Spray 60 mdi should not be recommended for other populations. Avoid drinking alcohol because it affects how the body absorbs calcium and vitamin D, which are essential for good bone formation.

Uses of Kalciray 200 Nasal Spray 60 mdi

Postmenopausal osteoporosis

Directions for Use

Insert the tip of the bottle into a nostril while closing the other nostril and spray towards the sides of the nostril. Keep your head straight and breathe gently. Repeat the same process for another nostril.

Medicinal Benefits

Kalciray 200 Nasal Spray 60 mdi contains Calcitonin, a calcitonin receptor agonist that prevents the loss of bones that happens after menopause and helps to rebuild bones. Calcitonin is a hormone that the C-cells in the thyroid gland produce and release. It opposes the parathyroid hormone's action, helping regulate the blood’s calcium and phosphate levels. Kalciray 200 Nasal Spray 60 mdi works by suppressing the activity of the osteoclasts (cells that break down bone). When the osteoclasts break down bone tissue, the calcium enters the bloodstream. Kalciray 200 Nasal Spray 60 mdi lessens the amount of calcium in the blood by preventing the breakdown of bone. Thereby, Kalciray 200 Nasal Spray 60 mdi strengthens the bones and minimizes the risk of fractures. Kalciray 200 Nasal Spray 60 mdi also seems to decrease the amount of calcium the kidneys can re-absorb, lowering calcium levels further.

Storage

Store in a cool and dry place away from sunlight
Side effects of Kalciray 200 Nasal Spray 60 mdi
Here are the steps to manage Joint Pain caused by medication usage:
  • Please inform your doctor about joint pain symptoms, as they may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Your doctor may prescribe common pain relievers if necessary to treat joint discomfort.
  • Maintaining a healthy lifestyle is key to relieving joint discomfort. Regular exercise, such as low-impact sports like walking, cycling, or swimming, should be combined with a well-balanced diet. Aim for 7-8 hours of sleep per night to assist your body in repairing and rebuilding tissue.
  • Applying heat or cold packs to the affected joint can help reduce pain and inflammation.
  • Please track when joint pain occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • If your joint pain is severe or prolonged, consult a doctor to rule out any underlying disorders that may require treatment.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.

Drug Warnings

Before using Kalciray 200 Nasal Spray 60 mdi, Inform your doctor about all your medical conditions, sensitivities, and all medications you are using. Kalciray 200 Nasal Spray 60 mdi is intended for post-menopausal women; therefore, Kalciray 200 Nasal Spray 60 mdi should not be recommended for other populations. In rare situations, individuals using Kalciray 200 Nasal Spray 60 mdi may be affected with anaphylactic shock (a sudden, severe, life-threatening allergic reaction leading to difficulty breathing); if you encounter it, stop using Kalciray 200 Nasal Spray 60 mdi and contact your doctor immediately.

Drug-Drug Interactions

verifiedApollotooltip
calcitonin (salmon synthetic)Etelcalcetide
Severe

Drug-Drug Interactions

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calcitonin (salmon synthetic)Etelcalcetide
Severe
How does the drug interact with Kalciray 200 Nasal Spray 60 mdi:
Etelcalcetide may decrease the calcium levels in the blood. Concomitant use with calcitonin may increase the risk of hypocalcemia, or low blood calcium.

How to manage the interaction:
Although there is an interaction, calcitonin can be taken with etelcalcetide if prescribed by the doctor. Consult the prescriber if you notice symptoms of hypocalcemia like numbness or tingling around your mouth, muscle spasms, or mental changes (irritability, depression, psychosis). Do not discontinue using any medication without contacting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Consume calcium-rich foods like milk, yoghurt, cheese, green leafy vegetables, fish with bones such as salmon, sardines, calcium-fortified cereals and orange juice.
  • Exposure to sunlight helps synthesise vitamin D, essential for strong bones and muscles.
  • Eating vitamin-D-rich foods such as egg yolks, salmon, oily fish like sardines, and mackerel.
  • Indulging in regular exercise to prevent bone loss. Activities include brisk walking, dancing, jogging, and strength training exercises like lifting weights and using weight machines or elastic bands.
  • Engaging in activities for stress relief, such as meditation and yoga.
  • Preserving a healthy weight eases pressure on the bones.
  • Taking medications if one is at risk for osteoporosis.
  • Quitting smoking and limiting alcohol consumption.

Habit Forming

No

Therapeutic Class

HYPOCALCEMIC AGENTS

Kalciray 200 Nasal Spray 60 mdi Substitute

Substitutes safety advice

Product Substitutes

Author Details

Bayyarapu Mahesh KumarDoctor badge

Written By

Bayyarapu Mahesh Kumar

M Pharmacy

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Jul 8, 2025 | 9:47 AM IST

Doctor imageWe provide you with authentic, trustworthy and relevant information

Drug-Diseases Interactions

verifiedApollotooltip
CALCITONIN-200IUDisorders of mineral metabolism
Moderate
CALCITONIN-200IUDisorders of mineral metabolism
Moderate

Drug-Diseases Interactions

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CALCITONIN-200IUDisorders of mineral metabolism
Moderate
How does the disease interact with Kalciray 200 Nasal Spray 60 mdi:
Calcium levels in the serum are reduced . Patients who already have hypocalcemia should use caution when administering calcium to prevent unwanted side effects. It is preferable to address hypocalcemia before beginning medication. A sufficient intake of calcium and vitamin D should be made sure during the course of treatment if calcitonin is used to promote bone mineral density, as in the case of osteoporosis

How to manage the interaction:
Calcitonin may cause hypocalcemic effects. Therefore, it should be administered cautiously to patients with preexisting hypocalcemia, since they may be particularly sensitive to these effects.
CALCITONIN-200IUDisorders of mineral metabolism
Moderate
How does the disease interact with Kalciray 200 Nasal Spray 60 mdi:
Prior to beginning medication, hypocalcemia and other abnormalities of mineral metabolism, such as vitamin D deficiency, should be corrected when calcitonin is used to treat osteoporosis. The body must have an adequate quantity of calcium and vitamin D for the necessary increase in bone mineral density to occur. When treating patients with these conditions with calcitonin salmon nasal spray, serum calcium and hypocalcemia symptoms should be kept under close observation. Throughout the course of treatment, it is important to ensure an adequate intake of calcium and vitamin D

How to manage the interaction:
In patients with mineral metabolism disorders, serum calcium and symptoms of hypocalcemia should be monitored during therapy. Appropriate intake of calcium and vitamin D should be ensured throughout the course of treatment.

FAQs

Kalciray 200 Nasal Spray 60 mdi contains Calcitonin, a human hormone that prevents bone breakdown and increases bone density (thickness).

If you have osteoporosis, avoid smoking, or try to quit. Tobacco use disrupts the mechanisms of bone turnover, resulting in reduced bone mass and bone mineral density (BMD), making bones prone to osteoporosis.

Kalciray 200 Nasal Spray 60 mdi contains Calcitonin, a hormone that regulates the calcium level in the blood. This hormone helps in bone formation and also helps the body to reverse bone loss. Due to this, the number of cells that damages bones become comparatively less; hence the bone damage is halted. Using Kalciray 200 Nasal Spray 60 mdi can increase bone formation by activation of the bone-forming cells.

Persons whose age is more than 45 years have low estrogen levels, females reaching menopause, too much consumption of alcohol, tobacco or caffeine, use of glucocorticoids and lack of calcium and vitamin D in foods are some of the factors that can increase the risk of osteoporosis.

Yes, Kalciray 200 Nasal Spray 60 mdi is used together with calcium and vitamin D to treat bone loss in women with postmenopausal osteoporosis who have been postmenopausal for at least five years. Kalciray 200 Nasal Spray 60 mdi inhibits the function of osteoclasts (bone breakdown), reducing bone resorption; thus, combining calcium and calcitonin could result in a positive bone balance.

Drug-Drug Interactions Checker List

  • LITHIUM
  • ETELCALCETIDE
  • FOSCARNET

Special Advise

  • Hypocalcemia has been reported. Make sure you get enough calcium and vitamin D, as recommended by the doctor.
  • Nasal side effects, including severe ulceration, are possible. Nasal examinations should be done regularly.

Disease/Condition Glossary

Postmenopausal osteoporosis: Postmenopausal osteoporosis is a medical disorder that causes bone loss and weakness during and after menopause. Estrogen insufficiency increases the risk of developing osteoporosis (weak bones). The decline in oestrogen during the menopause era (45 years of age) causes more bone resorption (osteoclasts; bone disintegration) than creation (osteoblasts; new bone development), leading to osteoporosis. Osteoporosis has no symptoms in the early stages. Yet, if sufficient care is not given, it might result in shattered bones. The bones do not pain at first, and breaks in the spine's bones may go unnoticed until they cause height reduction. Bones with osteoporosis might shatter at any time, even during normal tasks such as lifting or small activities.

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