One hundred postmenopausal women with osteoporosis treated with nasal
spray calcitonin were followed up in three centers for 15 months. The
therapeutic regimen consisted of four cycles of continuous treatment,
each followed by a one-month drug-free interval. At any study visit, n
o more than three patients showed abnormal finding at rhinoscopy. Only
four patients did not complete the study due to adverse events, all o
f moderate intensity. As far as the analgesic effect of study drug is
concerned, for all variables, a statistically significant improvement
(P < 0.01) was observed between baseline conditions and subsequent eva
luations. Analgesic consumption also decreased significantly during th
e study. No statistically significant changes in either bone mineral d
ensity or bone mineral content were observed during 15 months of obser
vation. The results of this study confirm that nasal spray calcitonin
is well tolerated and does not cause pathological abnormalities at the
site of administration as indicated by repeated rhinoscopy examinatio
ns.