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Bisphosphonates intravenous solution (4 mg/100 mL; 4 mg/5 mL; 5 mg/100 mL)

Zoledronic acid

Generic name: zoledronic acid

Brand names: Reclast, Zometa, Zometa Concentrate, Aclasta

Last updated November 5, 2026 0 views
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What is zoledronic acid?

Reclast and Zometa are 2 different brands of zoledronic acid.

Reclast is utilized to treat or stop osteoporosis triggered by menopause, or steroid use. zoledronic acid also boosts bone mass in men with osteoporosis. Reclast is for use when you have a high threat of bone fracture.

Reclast is likewise utilized to treat Paget's condition of bone.

Zometa is utilized to treat high blood degrees of calcium triggered by cancer cells (additionally called hypercalcemia of malignancy). This medication additionally deals with multiple myeloma (a kind of bone marrow cancer) or bone cancer that has spread out from somewhere else in the body.

You should not make use of Reclast and Zometa at the exact same time.

Zoledronic acid may likewise be used for objectives not provided in this drug overview.

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Warnings

Do not use if you are expecting. Use reliable contraception, and ask your physician how long to stop pregnancy after you stop using zoledronic acid.

Zoledronic acid can cause severe kidney issues, particularly if you are dehydrated, if you take diuretic medicine, or if you currently have kidney condition. Call your doctor if you pee much less than typical, if you have swelling in your feet or ankle joints, or if you feel tired or breathless.

Additionally call your medical professional if you have muscle spasms, feeling numb or tingling (in hands and feet or around the mouth), new or uncommon hip discomfort, or severe discomfort in your joints, bones, or muscle mass.

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Before taking this medicine

You must not be treated with zoledronic acid if you dislike it.

You also should not obtain Reclast if you have:

  • reduced degrees of calcium in your blood (hypocalcemia); or
  • severe kidney disease.

You should not be treated with zoledronic acid if are currently utilizing any kind of various other bisphosphonate (such as alendronate, etidronate, ibandronate, pamidronate, risedronate, or tiludronate).

Tell your physician if you have actually ever before had:

  • kidney disease;
  • hypocalcemia;
  • thyroid or parathyroid surgical treatment;
  • surgical procedure to eliminate component of your intestinal tract;
  • bronchial asthma brought on by taking pain killers;
  • any problem that makes it tough for your body to soak up nutrients from food (malabsorption);.
  • an oral issue (you might require a dental examination before you get zoledronic acid);.
  • if you are dehydrated; or.
  • if you take a diuretic or "water pill".

Zoledronic acid can create severe kidney issues, specifically if you are dehydrated, if you take diuretic medication, or if you currently have kidney illness.

zoledronic acid might trigger jaw bone troubles (osteonecrosis). The threat is highest in individuals with cancer, blood cell disorders, pre-existing dental troubles, or people treated with steroids, radiation treatment, or radiation. Ask your doctor about your own threat.

You may need to have an unfavorable maternity test prior to starting this therapy.

Do not utilize if you are expectant. This medication may hurt a coming child or cause birth defects. Zoledronic acid can continue to be in your body for weeks or years after your last dose. Usage effective birth control to stop maternity while utilizing this medicine. Talk with your doctor regarding the need to avoid maternity after you stop making use of zoledronic acid.

This medication might influence fertility (ability to have youngsters) in ladies. Nevertheless, it is essential to use contraception to stop maternity due to the fact that zoledronic acid can harm a coming infant.

You should not breastfeed while using zoledronic acid.

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Zoledronic acid side effects

Obtain emergency situation medical help if you have indicators of an allergy: hives; wheezing, breast tightness, difficulty breathing; swelling of your face, lips, tongue, or throat.

Zoledronic acid might trigger severe negative effects. Call your doctor at once if you have:

  • brand-new or uncommon pain in your thigh or hip;
  • jaw discomfort or tingling, red or swollen gums, loose teeth, or slow healing after oral job;
  • severe joint, bone, or muscle mass pain;
  • kidney troubles-- little or no peeing, swelling in your feet or ankles, feeling tired;
  • reduced red blood cells (anemia)-- pale skin, unusual exhaustion, feeling light-headed or short of breath, cool hands and feet; or
  • reduced calcium degrees-- muscle mass spasms or tightenings, tingling or tingly sensation (around your mouth, or in your fingers and toes).

Significant side effects on the kidneys might be more probable in older adults.

Typical side effects of zoledronic acid might consist of:

  • difficulty breathing;
  • queasiness, throwing up, diarrhea, irregular bowel movements;
  • bone pain, muscle or joint discomfort;
  • fever or other influenza signs;
  • exhaustion;
  • eye pain or swelling;
  • discomfort in your arms or legs;
  • migraine; or
  • anemia.

This is not a complete list of negative effects and others may occur. Call your physician for clinical recommendations regarding adverse effects. You may report side effects to FDA at 1-800-FDA-1088.

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How is zoledronic acid given?

Zoledronic acid is given as an infusion into a vein. A healthcare provider will give you this injection.

Zoledronic acid is sometimes given as a single dose only one time. It may also be given once every 1 or 2 years. How often you receive zoledronic acid will depend on why you are using this medicine. Follow your doctor's instructions.

Drink at least 2 glasses of water within a few hours before your injection to keep from getting dehydrated.

You will need frequent medical tests.

Pay special attention to your dental hygiene while using zoledronic acid. Brush and floss your teeth regularly. If you need to have any dental work (especially surgery), tell the dentist ahead of time that you are using zoledronic acid.

Zoledronic acid is only part of a complete program of treatment that may also include diet changes and taking calcium and vitamin supplements. Follow your doctor's instructions very closely.

Your doctor will determine how long to treat you with this medicine. Zoledronic acid is often given for only 3 to 5 years.

What happens if I miss a dose?

Call your medical professional for instructions if you miss a visit for your zoledronic acid injection.

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What happens if I overdose?

Seek emergency situation clinical attention or call the Toxin Customer service at 1-800-222-1222.

Stay clear of cigarette smoking, or attempt to stop. Cigarette smoking can minimize your bone mineral density, making cracks more likely.

Stay clear of alcohol consumption large amounts of alcohol. Heavy alcohol consumption can additionally create bone loss.

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What other drugs will affect zoledronic acid?

Zoledronic acid can harm your kidneys, particularly if you additionally make use of certain medications for infections, cancer, osteoporosis, organ transplant being rejected, bowel disorders, hypertension, or pain or joint inflammation (consisting of Advil, Motrin, and Aleve).

Other medicines may affect zoledronic acid, including prescription and non-prescription medicines, vitamins, and organic items. Inform your medical professional regarding all your present medicines and any kind of medication you start or stop utilizing.

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Before you take this medicine: the information on this page is general and may not cover your personal circumstances. Read the label supplied with your medicine and ask a pharmacist or doctor if you are unsure, especially if you are pregnant, breastfeeding, taking other medicines or managing a long-term condition.
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