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APO-CALCITONIN NASAL SPRAY 200 UNIT — DIN 02247585

CALCITONIN (SALMON SYNTHETIC) : 200 UNIT · APOTEX INC · SOLUTION · wholesale supply in Canada

Health Canada status: CANCELLED POST MARKET

What is APO-CALCITONIN NASAL SPRAY?

APO-CALCITONIN NASAL SPRAY 200 UNIT contains CALCITONIN (SALMON SYNTHETIC) : 200 UNIT. It is listed in the Health Canada Drug Product Database under DIN 02247585, held by APOTEX INC, supplied as SOLUTION for NASAL administration. Health Canada currently lists it as cancelled post market, status dated 01-Oct-2013. This Drug Identification Number is no longer authorized for sale in Canada, so Nexara does not supply it. The record is kept here because buyers still meet the number on old formularies, purchase orders and tender documents; Nexara can help identify an authorized alternative.

What is APO-CALCITONIN NASAL SPRAY used for?

Treatment of postmenopausal osteoporosis in females >5 years postmenopause with low bone mass who cannot tolerate estrogens. Used with calcium (1000 mg) and Vitamin D (400 IU).

Authorized indication as written in the Health Canada product monograph. For healthcare professionals and licensed purchasers; this is not medical advice.

Is there a generic Calcitonin (Salmon Synthetic) in Canada, and who makes it?

Every market authorization holder with a Canadian DIN for this molecule, and how many of their listings Health Canada currently shows as marketed.

7 holders have a Canadian DIN containing Calcitonin (Salmon Synthetic), across 10 DINs, of which 1 are currently marketed. Marketed count is the number that matters: an approval that is not marketed cannot be bought.

Market authorization holderDINsMarketedBrand namesPosition
SANOFI-AVENTIS CANADA INC11CALCIMARSourceable in Canada
APOTEX INC20APO-CALCITONIN INJECTABLE, APO-CALCITONIN NASAL SPRAYNo marketed DIN
FERRING INC20CALTINE INJ 100 UNIT/ML (1ML AMP), CALTINE INJ 100UNIT/ML (0.5ML AMP)No marketed DIN
NOVARTIS PHARMACEUTICALS CANADA INC20MIACALCIN INJECTION 200IU/ML, MIACALCIN NASAL SPRAY 200 IUNo marketed DIN
PRO DOC LIMITEE10PRO-CALCITONIN - 200No marketed DIN
SANDOZ CANADA INCORPORATED10SANDOZ-CALCITONIN NSNo marketed DIN
STERIMAX INC10CALCITONIN SALMON INJECTION USPNo marketed DIN

Health Canada’s Drug Product Database does not flag which listing is the originator and which are subsequent-entry products, so Nexara does not label them here. Interchangeability is determined provincially, not federally — confirm for your province before a formulary switch. Nexara can confirm which of these is actually obtainable, and on what lead time, per order.

How is it supplied and stored?

Pack configuration, storage class and the handling constraints that drive cold-chain planning. One DIN can cover more than one pack size, and the pack — not the DIN — is what gets priced, shipped and invoiced.

Strength on the label200 UNIT
Dosage formSOLUTION
RouteNASAL
Pack configuration (monograph)Packs containing two (2) clear glass bottles (Type I) with metered nasal spray pump, delivering at least 14 doses of 200 IU each.
StorageUnopened: Refrigerate (2-8°C). Protect from freezing. Opened/Primed: Store at room temperature (below 25°C) upright; use within 4 weeks.
Shipping classCold chain — validated shipper with temperature monitoring

Pack detail is kept as a regulatory record. This DIN is no longer authorized for sale in Canada, so Nexara does not quote this pack.

Substance and classification

Active substanceCalcitonin (Salmon Synthetic)
ATC codeH05BA01
AHFS class68:24.00
Biosimilar biologicNo

Health Canada record and identifiers

The regulatory facts straight from the Drug Product Database, plus every identifier form Nexara accepts on a purchase order. A DIN written without its leading zeros is the commonest reason an order line fails to match.

DIN (8-digit, as used in ordering)02247585
DIN (unpadded, as printed on some documents)2247585
Brand nameAPO-CALCITONIN NASAL SPRAY
Generic / active ingredientCALCITONIN (SALMON SYNTHETIC) : 200 UNIT
Market authorization holderAPOTEX INC
Health Canada schedulePrescription
ATC codeH05BA01
ATC anatomical main groupH — Systemic hormonal preparations
ATC therapeutic subgroupH05BA
Current statusCANCELLED POST MARKET
Status date01-Oct-2013
Original market date2003-09-12 00:00:00
Status sourceLive Health Canada DPD sync

Verify on the primary sources

Health Canada DPD record Approved product monograph (PDF)

How is it administered?

One spray (200 IU) per day administered intranasally, alternating nostrils daily. Pump must be primed before first use.

Included because it drives pack selection and wastage. Consult the monograph.

Contraindications

Known hypersensitivity to salmon calcitonin or to any component of the formulation.

Warnings and precautions

Possibility of systemic allergic reactions (bronchospasm, anaphylaxis). Perform nasal examination before and during treatment; discontinue if severe mucosal ulceration occurs.

What can be used instead?

Alternatives on every axis a buyer actually considers — the same molecule in another presentation, the same class, an adjacent class, or a fixed-dose combination. Every row is led by the marketed DIN count, because that is what can be bought this week.

1 · Same molecule, other Canadian presentations

1 of 10 Canadian DINs for this molecule are currently marketed. Marketed products are listed first.

ProductStrengthFormHolderHealth Canada statusDIN
CALCIMAR200 UNITSOLUTIONSANOFI-AVENTIS CANADA INCMARKETED01926691
APO-CALCITONIN INJECTABLE200 UNITLIQUIDAPOTEX INCCANCELLED POST MARKET02246058
CALCITONIN SALMON INJECTION USP200 UNITSOLUTIONSTERIMAX INCAPPROVED02383233
CALTINE INJ 100 UNIT/ML (1ML AMP)100 UNITLIQUIDFERRING INCCANCELLED POST MARKET02007134
CALTINE INJ 100UNIT/ML (0.5ML AMP)100 UNITLIQUIDFERRING INCCANCELLED POST MARKET01940376
MIACALCIN INJECTION 200IU/ML200 UNITLIQUIDNOVARTIS PHARMACEUTICALS CANADA INCAPPROVED02144301
MIACALCIN NASAL SPRAY 200 IU200 UNITSPRAYNOVARTIS PHARMACEUTICALS CANADA INCCANCELLED POST MARKET02240775
PRO-CALCITONIN - 200200 UNITSOLUTIONPRO DOC LIMITEECANCELLED POST MARKET02311046
SANDOZ-CALCITONIN NS200 UNITLIQUIDSANDOZ CANADA INCORPORATEDCANCELLED POST MARKET02261766

2 · Same class — other molecules in ATC H05BA

MoleculeCanadian brandsDINsMarketedSourceable
Calcitonin (Salmon Synthetic)APO-CALCITONIN INJECTABLE · APO-CALCITONIN NASAL SPRAY · CALCIMAR · CALCITONIN SALMON INJECTION USP · +6 more101Yes

A molecule with zero marketed DINs cannot be sourced domestically, however many approvals it holds — if one of these sits on a formulary or in an older protocol, that is the line to check.

3 · Adjacent classes in ATC H05B

ATC subgroupMoleculesDINsMarketed
H05BXCinacalcet · Doxercalciferol · Paricalcitol4722

Not clinical advice. These tables describe what can be supplied in Canada, not what should be prescribed. Substitution within or across classes is a prescriber and pharmacist decision, and interchangeability is determined provincially.

Can this still be bought in Canada?

No. This Drug Identification Number is cancelled post market in Health Canada's Drug Product Database, so the product is no longer authorized for sale in Canada and Nexara does not supply it. This page is kept as a regulatory record.

If you are looking for a current equivalent, the alternatives above list every product sharing this therapeutic class, with the marketed ones first. Ask us to source an alternative

Ordering questions

Who can buy this from Nexara?

Licensed entities only. Nexara holds Health Canada establishment licence DEL 3-002896-A and ships only to a licensed address. Patients and unlicensed buyers are routed to a partner pharmacy.

Is there a minimum order?

Yes, set per product line and per pack multiple rather than on the order total, so you are never asked to buy a part-pack. The minimum for this line is confirmed with your quote.

What is the lead time?

Confirmed per order at quotation, and it depends on current stock position and whether the product is in shortage.

Why is there no price on this page?

Nexara quotes a delivered Canadian price per order, against a verified licence. Foreign list prices are published on incompatible bases and are not a guide to what any buyer can obtain here, so this page shows which markets list the molecule and on what basis, and nothing more.

Can Nexara supply this for a clinical trial?

Yes — comparator and background-therapy supply, including sourcing from other markets where a Canadian pack will not satisfy the protocol. Clinical trial supply.

Sources and disclaimer

Product data sourced from the Health Canada Drug Product Database and the approved product monograph (PDF). Health Canada status reconciled against the live DPD sync. Last reviewed 10 Sep 2026.

Nothing on this page is medical advice. Nexara Health is a licensed wholesale distributor and supplies licensed entities only; consumer orders are routed to a partner pharmacy. Alternatives tables describe supply, not clinical equivalence.

Health Canada Drug Product Database (DPD), DIN 02247585. Last reviewed 2026-09-10. Nexara Health is a licensed wholesaler and supplies licensed entities only; consumer orders are routed to a partner pharmacy.