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Zoledronic Acid

Generic Name: Zoledronic Acid

Brand Names: Reclast, Zometa

Zoledronic acid is a potent IV bisphosphonate given yearly for osteoporosis or for cancer-related bone conditions.

EndocrineBone HealthOncology

What It's Used For

Zoledronic acid is prescribed for:

  • Osteoporosis treatment and prevention (Reclast - yearly)
  • Paget's disease of bone
  • Hypercalcemia of malignancy (Zometa)
  • Bone metastases (Zometa - monthly)
  • Endocrine bone conditions

Side Effects

Common side effects:

  • Acute phase reaction (flu-like symptoms after infusion)
  • Fever
  • Bone, joint, or muscle pain
  • Headache

Serious side effects:

  • Osteonecrosis of the jaw
  • Atypical femur fractures
  • Hypocalcemia
  • Renal impairment

Additional Information

What is Zoledronic Acid?

Zoledronic acid is the most potent bisphosphonate available.

Two Formulations

  • Reclast: 5 mg yearly for osteoporosis
  • Zometa: 4 mg for cancer-related conditions

Acute Phase Reaction

Flu-like symptoms are common after the first dose but typically resolve within 3 days and are less common with subsequent doses. Acetaminophen can help.

For details, see MedlinePlus.

Medical Disclaimer: This information is for educational purposes only and should not be considered medical advice. Always consult with your healthcare provider before starting, stopping, or changing any medication. Your doctor can provide personalized recommendations based on your specific health condition and medical history.

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