Zometa 4 mg Injection
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 over 15 mins every 3-4 weeks; hydration required.
Onset of Action / Duration
Onset: 2-3 months for skeletal conditions.
Special Populations
- Renal impairment
- Elderly
Pregnancy & Breastfeeding
Not recommended during pregnancy or breastfeeding due to potential harm.
Key Drug Interactions
- Aminoglycosides
- Calcitonin
- Loop diuretics
- Nephrotoxic drugs
Contraindications
- Hypersensitivity to zoledronic acid
- Severe renal impairment
- Pregnancy
- Breastfeeding
Common side effects
- Renal impairment
- Bone pain
- Fever
- Nausea
- Hypocalcaemia
Counselling Points
- Maintain hydration
- Monitor for renal function
- Report any jaw pain or dental issues
- Avoid invasive dental procedures
Serious warnings
- Renal function monitoring required
- Risk of osteonecrosis of the jaw
- Acute phase reaction
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