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This medicine is a hormone used to treat osteoporosis that occurs after menopause.

Before using
INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding.

Directions
Follow the directions for using this medicine provided by your doctor. This medicine comes with a patient information leaflet. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. BEFORE THE FIRST DOSE, the pump must be activated. Hold the bottle upright and depress the 2 white side arms toward the bottle until a faint spray is seen. This needs to be done the first time only. After the first faint spray is seen, the bottle is activated and ready for use. TO USE THIS MEDICINE: Use medicine in only 1 nostril each day. Alternate nostrils every day. Per the manufacturer in U.S., place the nozzle into the nostril with your head upright and depress the pump toward the bottle. It is not necessary to inhale while spraying this medicine. Per the manufacturer in Canada, place the nozzle into the nostril with your head bent slightly forward and depress the pump toward the bottle. After taking a dose, sniff vigorously several times to prevent the medicine from running out of the nose. STORE THE UNOPENED BOTTLE in the refrigerator. After opening, the bottle may be kept at room temperature until gone (up to 30 days). Store the bottle in an upright position. IF YOU MISS A DOSE OF THIS MEDICINE, use it as soon as possible. If you do not remember until the next day, skip the missed dose and go back to your regular dosing schedule.

Cautions
Do not stop using this medicine without checking with your doctor. For this medicine to work well, it is important to have enough calcium and vitamin D in your diet. Ask your doctor, nurse, or pharmacist about your diet or about taking calcium supplements. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are using this medicine. If you sneeze after using this medicine, it is not necessary to repeat the spray. This medicine can be used even if you have a cold or a stuffy nose. IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. IT IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast milk. IF YOU ARE OR WILL BE BREAST-FEEDING while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby.