Gemcal Nasal Spray is a medicine used for the treatment of osteoporosis in postmenopausal women. It makes the bones stronger and lowers the risk of fractures. It may also be used for bone pain associated with Paget's disease.
Gemcal Nasal Spray should be used as you have been advised by your doctor. Normally you should blow your nose gently before using it, keep one nostril closed while applying the medicine into the other, and then sniff hard to make sure it reaches deep into the nose. Then repeat for the other nostril. You should take adequate supplements of calcium and vitamin D while on the treatment of this medicine to make it more effective.
The most common side effects of this medicine include runny nose, nose bleed, back pain, joint pain, headache, and other nose symptoms such as itching, irritation, and discomfort. These are usually mild but if they bother you or do not go away, your doctor may be able to suggest ways of preventing or reducing them.
To make sure the medicine is safe for you, before taking this medicine, let your doctor know if you have any problems with your heart, kidneys, or liver. Pregnant and breastfeeding mothers should consult with their doctors before taking the medicine.
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Gemcal
Runny nose
Nosebleeds
Nasal irritation
Back pain
Joint pain
Headache
How to use Gemcal Nasal Spray
Use this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Insert the bottle tip into one nostril and close the other nostril. Direct the spray towards the sides of your nostril, away from the cartilage dividing the two sides of your nose. As you spray, breath gently and keep the head upright. Repeat the same process for the other nostrils.
How Gemcal Nasal Spray works
Gemcal Nasal Spray is a calcitonin receptor agonist. It acts by suppressing the activity of osteoclasts, cells that cause destruction of bone, thereby strengthening the bones and minimizing the risk of fractures.
Safety advice
Alcohol
No interaction found/established
Pregnancy
CONSULT YOUR DOCTOR
Gemcal Nasal Spray may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Gemcal Nasal Spray is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
No interaction found/established
Kidney
No interaction found/established
Liver
No interaction found/established
What if you forget to take Gemcal Nasal Spray?
If you miss a dose of Gemcal Nasal Spray, use it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
You have been prescribed Gemcal Nasal Spray to make your bones stronger, and lower the risk of fractures.
It is used in women with osteoporosis who have undergone menopause.
It may cause temporary dizziness. Don't drive or do anything requiring concentration until you know how it affects you.
Unopened bottles should be stored in the refrigerator. Once opened, they should be stored at room temperature for up to 35 days.
Stop using it and inform your doctor if you get any nosebleeds or notice any ulceration inside your nose.
Discontinue Gemcal Nasal Spray and inform your doctor immediately if you get a rash, itchy skin, swelling of face and mouth, or have difficulty in breathing.
Fact Box
Chemical Class
Hormones
Habit Forming
No
Therapeutic Class
PAIN ANALGESICS
Action Class
Bone Resorption Inhibitors- Calcitonin
Patient concerns
One and half month breastfeeding mother . Pain around knees after chickengunia
I have been taking gemcal plus for my calcium content the problem is that bones at times pains a lot feel that some calcium or vitamins content is less
Dr. Akshat Goel
Orthopaedics
Check your Vitamin-D3 levels and Vitamin-B12 levels
I am suffering from problem of ache of left leg if I walk for long time but consecutive use of tablets like gemcal or shellcal or gemcal d3, relieves me from this pain pretty well. Compared to my age i am overweight so what's the exact cause of problem
*Post menopausal osteoporosis, High calcium levels in the blood
How much was the improvement?
Poor
52%
Excellent
30%
Average
19%
What were the side-effects while using Gemcal Nasal Spray?
No Side Effec*
71%
Nausea
14%
Vomiting
14%
*No Side Effect
How do you take Gemcal Nasal Spray?
With or witho*
83%
With food
17%
*With or without food
Please rate Gemcal Nasal Spray on price
Expensive
60%
Not Expensive
40%
FAQs
Does Gemcal Nasal Spray need to be refrigerated?
Yes, an unopened bottle of Gemcal Nasal Spray need to be refrigerated. It should be kept at a temperature between 2°C and 8°C. Do not freeze. After opening the bottle of Gemcal Nasal Spray, store it at room temperature between 15°C and 30°C.
Does Gemcal Nasal Spray increase bone density?
Gemcal Nasal Spray contains calcitonin which is a hormone that is naturally produced by the thyroid gland and is responsible for maintaining calcium balance in the body. Gemcal Nasal Spray decreases the bone loss and damage in patients with osteoporosis. In some cases, it also helps in bone formation by activating the bone forming cells, thereby increasing the bone density.
Can Gemcal Nasal Spray reduce the calcium levels in blood?
Yes, Gemcal Nasal Spray can reduce the levels of calcium in the blood. If the calcium levels in your blood drop down severely then it can present with numbness or tingling in your fingers, toes, or around your mouth. The blood calcium levels need to be monitored in such cases. Immediately contact your doctor if you experience any such symptoms.
How should I use Gemcal Nasal Spray?
Follow the directions given by your prescriber and do ask him in case of any doubts. Usually, it is to be given in single nostril once daily. To start with we take 1 spray in left nostril on day 1, followed by right nostril on the second day. Continue to take the medicine inside the nose by switching nostrils every alternate day. Each bottle is set to deliver 30 doses. Do not use the bottle after 30 days.
Is it fine to use Gemcal Nasal Spray in pregnant women?
Generally, Gemcal Nasal Spray is not recommended for pregnant women. However, enough evidence is not available to suggest risk associated with the use of Gemcal Nasal Spray causing birth defects or miscarriage in pregnant women. Gemcal Nasal Spray should be used in pregnant women with utmost caution. It is used only if the prescribing doctor finds potential benefit to be much larger than the risk involved.
Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
Bikle DD. Agents That Affects Bone Mineral Homoestasis. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 758, 766.
Friedman PA. Agents Affecting Mineral Ion Homeostasis and Bone Turnover. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 1283-84, 1294.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 184-85.
Calcitonin. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2011. [Accessed 02 Apr. 2019] (online) Available from:
Calcitonin-salmon [Prescribing Information]. Stein, Switzerland: Novartis Pharma Stein AG; 2017. [Accessed 28 Mar. 2023] (online) Available from:
Country of origin: India Expires on or after: August, 2025
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