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The following safety information highlights key risks and precautions when using calcitonin salmon. It is crucial to discuss any concerns with your healthcare provider to ensure safe use of this medication.

• Allergic Reactions: Some individuals may experience severe allergic reactions to calcitonin salmon, which may require urgent medical attention. If you have a history of allergies, inform your healthcare provider, as they may perform a skin test to assess your risk. Seek immediate medical help if you notice symptoms such as difficulty breathing, hives, or swelling of the throat, lips, tongue, or face.

• Low Calcium Levels (Hypocalcemia): This medication can lead to reduced calcium levels, which may cause muscle cramps, twitching, or seizures. It is important to discuss the use of calcium and vitamin D supplements with your provider to prevent hypocalcemia, especially if you have low vitamin D levels or other conditions affecting mineral processing.

• Nasal Irritation: Users of calcitonin salmon nasal spray commonly experience nasal side effects such as a runny or bloody nose. In some cases, more serious conditions like nasal ulcers may develop. Regular follow-up appointments are essential for monitoring these effects. If nasal ulcers occur, your provider may advise discontinuing or pausing the nasal spray.

• Cancer Risk: Clinical studies have shown a higher incidence of cancer in individuals using calcitonin salmon compared to a placebo. Discuss any concerns regarding this risk with your healthcare provider, who can help weigh the benefits and risks of continuing this treatment.

Common side effects:

• Runny nose
• Nose irritation
• Nose dryness
• Nose redness
• Back pain
• Joint pain
• Bloody nose

Less common but important to monitor:

• Headaches
• Sinus infections
• Flu-like symptoms
• Rashes
• Stomach pain
• Nausea
• Dizziness
• Watery eyes

Serious side effects:

• Severe allergic reactions
• Difficulty breathing
• Hives
• Swelling of the face, lips, tongue, or throat

When using calcitonin salmon, it's important to be aware of potential interactions with other medications. Notably, combining calcitonin salmon with Lithium—a drug commonly prescribed for bipolar disorder—can lead to increased urinary clearance of lithium, resulting in lower lithium levels in the blood. This may necessitate an adjustment of the lithium dosage to maintain its effectiveness.

Additionally, calcitonin salmon may affect the excretion rates of certain substances, such as Magnesium. This interaction is considered minor, but it's advisable to monitor magnesium levels if you're taking supplements or medications containing magnesium.

No formal drug interaction studies have been conducted with calcitonin salmon. Therefore, it's crucial to inform your healthcare provider about all medications, supplements, and over-the-counter drugs you're currently using. This will help them assess potential interactions and adjust your treatment plan accordingly.