Compare Evista vs. calcitonin

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Evista
(Raloxifene)

calcitonin

Prevents bone loss and lowers your risk of breast cancer. Evista (Raloxifene) is effective at reducing bone loss and lowering the risk of breast cancer in postmenopausal women, but does carry the risk of blood clots.Treats high calcium levels and prevents bone loss. Miacalcin (calcitonin) can be used for osteoporosis, but it is not a first choice because there are more effective medications available.
Reviews & ratings
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Have you used Evista (Raloxifene)?
Worth itNot sureNot worth it

Not enough reviews for this treatment. Help someone out, leave a review!

Have you used Miacalcin (calcitonin)?
Worth itNot sureNot worth it
Side effects
Evistacalcitonin
  • Sweating 1%
  • Uterine Disorder 1%
  • Vaginal Hemorrhage 1%
  • Urinary Tract Disorder 1%
More Evista side effects »
  • Back pain 3%
  • Stuffy nose 5%
More calcitonin side effects »
How it works
Evistacalcitonin
Evista (Raloxifene) is a selective estrogen receptor modulator (SERM). It acts like estrogen to make your bones stronger and less likely to break, and also protects breast and uterus tissues from other estrogen effects.Miacalcin (calcitonin) blocks the cells that break down bone. This makes stronger bones and lowers calcium levels in the blood.
Type of medication
Evistacalcitonin
Prescription onlyLower-cost generic availablePrescription onlyLower-cost generic available
Available as
Evistacalcitonin
  • Pill
  • Nasal spray
  • Injection
Used for
Evistacalcitonin
Risk factors for serious side effects
Evistacalcitonin
  • History of stroke
  • Heart and blood vessel problems
  • History of mini stroke (TIA)
  • Atrial fibrillation
  • Smoking
Detailed Evista (Raloxifene) risks & warnings »
  • Allergy to fish
  • Seizure history
  • Low calcium in blood
  • Age 65 and above
  • History of cancer
Detailed Miacalcin (calcitonin) risks & warnings »
Pregnancy

Research studies with real people or animals found harmful effects on unborn babies. If you’re pregnant, the risks to your unborn baby outweigh the benefits.

Alcohol
Evistacalcitonin
  • Regular exercise, cutting back on smoking, and drinking less alcohol can also reduce your risk of bone loss.
No alcohol related info.
Food
Evistacalcitonin
  • Take 1 tablet daily with or without food about the same time each day. It’s important to read the information you get with your medicine about how to take Evista (Raloxifene).
No food related info.
Kidneys and liver
Evistacalcitonin
  • Evista (Raloxifene) is processed by the kidney and liver. If you have kidney or liver problems, talk to your doctor because you may need a different dose.
No kidneys and liver related info.
Upsides and benefits
Evistacalcitonin
  • Evista (Raloxifene) doesn’t affect the breast or uterus the same way that estrogen does, so the risk of cancer is much lower.
  • Taking Evista (Raloxifene) with calcium and vitamin D improves spine and hip bone health and lowers the risk of fractures.
  • Lowers total cholesterol and low-density lipoprotein (LDL) cholesterol (the bad cholesterol).
  • Using the nasal spray causes fewer side effects than the injectable version.
  • Can help with bone pain if you've had a recent fracture.
  • Available in generic.
Downsides and risks
Evistacalcitonin
  • Can only take Evista (Raloxifene) once you’re in menopause. You can't take it if you're pregnant or breastfeeding.
  • Evista (Raloxifene) isn’t as effective as tamoxifen at lowering the risk of invasive breast cancer.
  • Shouldn’t take it with any other forms of estrogen (pills, patches, or injection).
  • It doesn’t increase bone strength as much as estrogen does and isn’t effective for treating hot flashes.
  • Miacalcin (calcitonin) is not as effective as other medications used to stop bone loss or lower calcium levels.
  • You're at a higher risk for certain cancers while taking Miacalcin (calcitonin).
  • If you're allergic to fish, you might also be allergic to Miacalcin (calcitonin).
Tips from our pharmacists for people taking the medication
Evistacalcitonin
  • Take 1 tablet daily with or without food about the same time each day. It’s important to read the information you get with your medicine about how to take Evista (Raloxifene).
  • Your doctor may tell you to take calcium and vitamin D with Evista (Raloxifene) to prevent osteoporosis (bone thinning and loss), especially if you don’t get enough in your diet.
  • Regular exercise, cutting back on smoking, and drinking less alcohol can also reduce your risk of bone loss.
  • New, unopened nasal spray bottles should be stored in the refrigerator until you use them. Once they are opened, they should be stored at room temperature for up to 35 days.
  • Allow nasal spray bottle to reach room temperature before use. Prime before first use by spraying in the air 5 times until full spray is produced.
  • Toss spray bottle after 30 doses. It may not feel empty yet, but it won't deliver the correct dose anymore.
  • Follow the directions your doctor or pharmacist tells you so you get the full dose every time.
  • Continue to take your calcium or vitamin D.
  • The nasal spray is only used for weak bones. Forms of the drug that are injected in the skin or muscles are used for other conditions such as high calcium in the blood, Paget's disease, and weak bones.
Learn more
More about EvistaSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Evista (Raloxifene)?
Worth itNot sureNot worth it
More about calcitoninSide effectsAlternativesFDA package insert
Have you used Miacalcin (calcitonin)?
Worth itNot sureNot worth it