What GEMCAL is used for?

It is used for the treatment of,

• osteoporosis after menopause (postmenopausal osteoporosis) in women more than 5 years after menopause with low bone mass who refuse or cannot tolerate estrogens, or in whom estrogens are not an option

Tell your doctor if you are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription. Especially,

• lithium

• The recommended dose of GEMCAL is one spray daily in alternated nostrils unless directed otherwise by your healthcare provider
• Start with a spray in the left nostril on your first day, followed by a spray in the right nostril on the second day
• Continue to alternate nostrils every day. There are at least 30 “doses” of GEMCAL in each bottle
• You should keep track of the number of doses used from the bottle
• After 30 doses, each spray may not deliver the correct amount of medication, even if the bottle is not completely empty

If you use more GEMCAL

• If you accidentally use too much GEMCAL contact your doctor at once or go to the nearest hospital

If you forget to use GEMCAL

• If you forget to use a dose, do not worry. Simply miss that dose and use your next dose at the right time. Do not use two doses at the same time

If you stop using GEMCAL

• Do not stop using GEMCAL unless your doctor tells you to