Dronamyl 4 mg/5 ml Concentrate for dilution for infusion
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of tumour-induced hypercalcaemia and skeletal conditions in advanced malignancies.
Dosage (summary)
4 mg IV infusion every 3-4 weeks; hydration required.
Special Populations
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Contraindicated in pregnancy and breastfeeding.
Key Drug Interactions
- Aminoglycosides
- Calcitonin
- Loop diuretics
- Nephrotoxic medicines
Contraindications
- Hypersensitivity to zoledronic acid
- Severe renal impairment
- Pregnancy
- Lactation
- Children
Common side effects
- Renal impairment
- Bone pain
- Nausea
- Fever
- Acute phase reaction
Counselling Points
- Maintain hydration
- Monitor renal function
- Report any thigh or groin pain
- Avoid invasive dental procedures
Serious warnings
- Risk of renal dysfunction
- Osteonecrosis of the jaw
- Hypocalcaemia
- Atypical femur fractures
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