Zoledronic acid monohydrate 4mg / 5ml injection
Ingredients in every 5 ml
|Zoledronic acid monohydrate||4 mg|
Each package contains
|ATC Level 1:||M - Musculo-skeletal system|
|ATC Level 2:||M05 - Drugs for Treatment of Bone Diseases|
|ATC Level 3:||M05B - Drugs Affecting Bone Structure and Mineralization|
18 YEARS OLD AND ABOVE
Prevention of skeletal related events in patients with advanced malignancies involving bone.
The recommended dose is 4 mg infusion given every 3 to 4 weeks. Patients should also be administered an oral calcium supplement of 500 mg and 400 IU vitamin D daily
Treatment of hypercalcemia of malignancy
The recommended dose in hypercalcemia (albumin-corrected serum calcium ≥12.0 mg/dl or 3.0 mmol/l) is a single dose of 4 mg zoledronic acid. Patients must be maintained well hydrated prior to and following administration of zoledronic acid.
Zometa must only be administered to patients by healthcare professionals experienced in the administration of intravenous bisphosphonates.
Zometa must not be mixed with calcium or other divalent cation containing infusion solutions, such as Lactated Ringer’s solution, and should be administered as a single intravenous solution in a line separate from all other drugs in no less than 15 minutes.
Patients must be maintained in a well hydrated state prior to and following administration of Zometa.
Hypercalcemia of malignancy (HCM) Zoledronic acid treatment in adult patients with HCM who also have severe renal impairment should be considered only after evaluating the risks and benefits of treatment. No dose adjustment is necessary in HCM patients with serum creatinine <400 µmol/l or <4.5 mg/dl Prevention of skeletal related events in patients with advanced malignancies involving bone When initiating treatment with zoledronic acid in patients with multiple myeloma or metastatic bone lesions from solid tumors, serum creatinine levels and creatinine clearance (Clcr) should be determined. Zoledronic acid is not recommended for patients presenting with severe renal impairment prior to initiation of therapy, which is defined for this population as Clcr <30 ml/min Following initiation of therapy, serum creatinine should be measured prior to each dose of Zoledronic Acid and treatment should be withheld if renal function has deteriorated.
– Prevention of skeletal related events (pathological fractures, spinal compression, radiation or surgery to bone, or tumor-induced hypercalcemia) in patients with advanced malignancies involving bone
– Treatment of hypercalcemia of malignancy
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