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Hi mt and welcome to our site. I would double check this information with your Pharmacist, but according to Novartis the manufacturer of Miacalcin nasal spray the med should be stored in the refrigerator *prior* to opening and then at room temperature *after* it's opened. Here's the link from Novartis on this, the information is on page 10 under "storage and dispensing." Also, read the literature that came with the medication, it should say how it's supposed to be stored. Check this with your Pharmacist and Good Luck. If you have any other questions just click the "reply" link.

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