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Zometa 4 Mg Intravenous Powder For Solution, Enter your medication into the WebMD interaction checker, prevention of skeletal related events in multiple myeloma, prevention of skeletal related events associated with bone metastases from solid tumor, increased calcium in the blood from cancer, loss of bone mineral density (BMD) due to anti-androgen drug, FDA Labeling for Zometa intravenous on RxList. Osteoporosis medications can preserve bone strength, improve bone mineral density and prevent any fractures. Finally, you can take zoledronic acid yearly through an IV. Ask about reliable forms of birth control while using this medication and after the last dose. * (Fertility is the ability to become pregnant.) Search for the cancer type you want to find out about. To read more about the side effects of Zometa, see the Zometa side effects section above. Examples of aminoglycoside antibiotics that can raise your risk for hypocalcemia and kidney problems include: If Zometa is used with one of these antibiotics, youll likely have frequent blood tests to check your calcium level and kidneys. . In these studies, Xgeva was found more effective than zoledronic acid for preventing bone problems. Osteopenia is the stage before osteoporosis when your bones have lost some of their bone mineral density. Zoledronic acid, aka zoledronate, is also available under the brand name Reclast. 2023 Healthline Media UK Ltd, Brighton, UK. It prevents bone resorption by osteoclasts. Osteoclasts are molecules in the body that are responsible for bone resorption, which is the process where osteoclasts break down and remove bone. Prior to the infusion of Bisphosphates, you need to be adequately hydrated, and staying hydrated after the infusion is very important. Osteolytic Bone Metastases of Solid Tumors, Osteolytic Bone Lesions of Multiple Myeloma. 2015;7(4):219-228. doi:10.1177/1758834015582178, Van Poznak CH, Unger JM, Darke AK, et al. At Infusion Associates, we provide medically-prescribed infusion therapy for patients with chronic conditions in a welcoming and friendly environment. Some people using medicines similar to Zometa have developed bone loss in the jaw, also called osteonecrosis of the jaw. The following lists contain some of the key side effects that may occur during Zometa treatment. Antibiotics are drugs that treat bacterial infections. If you have any questions, ask your doctor or pharmacist. Theyre more likely to stick to a treatment plan that involves one or a few infusions per year than one that involves taking a daily or weekly pill. Find information on cost and zoledronic acid, how generic and brand-name prices compare, what financial assistance is available, and more. A fever may occur after receiving Zometa. Risk of incident atrial fibrillation with zoledronic acid versus denosumab: A propensity scorematched cohort study. Over the first 24 hours following infusion, about 39% of the dose is excreted in the urine. Here we look at how Zometa and Xgeva are alike and different. She completed the certified APhA Delivering Medication Therapy Management Services course. When bone breakdown is slowed, less calcium is released into your blood. You may take osteoporosis medications. For more information, see the Zometa uses section above. Treatment options include a combination of surgery, rinses, antibiotics, and hyperbaric oxygen treatments. This usually takes a few days to a couple of weeks. To help make sure you dont miss a dose, try setting a reminder on your phone for your appointments. Zometa is approved by the Food and Drug Administration (FDA) to treat: Zometa is not approved for use in children. They can help treat cancer that has spread to the bones (bone metastasis), which is quite common. (2021). As you grow older, your bones break down. Call your doctor right away if you have serious side effects. Zoledronic acid can harm your kidneys, especially if you also use certain medicines for infections, cancer, osteoporosis, organ transplant rejection, bowel disorders, high blood pressure, or pain or arthritis (including Advil, Motrin, and Aleve). Ganesan K, et al. (See also How to Use section.). And, while there are oral medications to help increase bone density, some people havent experienced the expected relief. It is important to get each dose of this medication as scheduled. Both work towards the goal of strengthening your bones and reducing fractures. Theyre also very effective when it comes to increasing bone density. It doesnt come in a biosimilar form. You might receive Prolia as a substitution for bisphosphates. https://www.hemoncnc.com/wp-content/uploads/2022/06/pho-primary-care-logo-final-1-e1654789351629.png, Personalized Hematology-Oncology of Wake Forest, https://www.hemoncnc.com/wp-content/uploads/2021/04/osteoporosis-infusion.jpg, As you grow older, your bones break down. The insurance company will review the prior authorization request and decide if the drug will be covered. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Revlimid (lenalidomide) is a brand-name prescription drug used to treat five types of cancer. This helps protect and strengthen your bones. It regulates the levels of phosphate and calcium in the body. It isnt known if alcohol interacts with Zometa. It contains a different dose of zoledronic acid than Zometa. With this condition, bone cells in your jawbone die, leading to damage to your jawbone. Ibandronate is only for postmenopausal women. Denosumab was also found to reduce the risk of treatment-related osteoporosis in breast cancer and prostate cancer. Cancerthat spreads to the bones often causes pain. The National Institute for Health and Care Excellence (NICE) guidance says that doctors can use percutaneous cementoplasty as part of NHS treatment, but only if other ways of treating your pain have not worked. HRT may help prevent bone loss and reduce the risk of fractures. The drug is given as a subcutaneous injection (an injection just under your skin). But your gender identity may not align with how your body responds to this disease. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. With multiple myeloma and other solid tumors, denosumab was about as effective as Zometa. Curr Med Res Opin. Z. (An IV infusion is an injection into a vein thats given slowly over a period of time.). Keep all medications away from children and pets. Serious side effects on the kidneys may be more likely in older adults. These drugs can sometimes cause hypocalcemia (a low level of calcium in your blood). Tu KN, et al. This medication is used to treat high blood calcium levels (hypercalcemia) that may occur with cancer. There have been significant advances from fracture epidemiology to bone-density measurements. Osteoporosis is a bone disease that causes your bones to become more porous, like honeycomb, and brittle. A generic drug is an exact copy of the active drug in a brand-name medication. Youll also likely take a daily calcium and vitamin D supplement with Zometa. Prolia contains denosumab. Bisphosphonates are the most common treatments for osteoporosis. There are many options for osteoporosis infusion treatment, and one of them is right for you. This is a high level of calcium in your blood thats caused by cancer. The U.S. Food and Drug Administration (FDA) is investigating the risk of severe hypocalcemia with serious outcomes, including hospitalization and death, in patients with advanced kidney disease on dialysis treated with the osteoporosis medicine Prolia (denosumab). Different interactions can cause different effects. For females who are experiencing menopause, it is advisable to administer intravenous ibandronate every 3 months. Since 1970, osteoporosis was discovered, diagnosed, experimented on and treated in different ways. Its typically done at a healthcare facility, but in some cases, a healthcare provider may give you the drug in your home. Aminoglycosides are a specific type of antibiotic. (2022). Zometa isnt FDA-approved for osteoporosis or osteopenia. It can be used to: help protect the bones from the effects of some treatments for early breast cancer reduce the risk of early breast cancer spreading to the bones - this is called adjuvant treatment Is it possible to treat osteoporosis without medication. Its not known how often this side effect may have occurred in clinical studies of the drug. Your doctor may recommend infusions if you cant tolerate oral bisphosphonates or if you have a health condition, such as esophageal stricture, that makes you ineligible for them. This type of pharmacy is authorized to carry specialty medications. The efficacy of bisphosphonates for prevention of osteoporotic fracture: An update meta-analysis. Heavy drinking can also cause bone loss. It takes at least 7 days after a dose to get the full benefit of this drug. This group of drugs prevents bone loss by inhibiting your body's resorption of bone tissue. You should not use Reclast and Zometa at the same time. Zoledronic acid may harm an unborn baby or cause birth defects. Coleman RE. Sometimes bisphosphonates are called bone strengthening or bone hardening treatments. Zometa is a type of drug called a bisphosphonate. Most of the fractures occur on the hip, spine, or wrists. Avoid drinking large amounts of alcohol. Types of cancer that this happens with include lung cancer, head and neck cancer, kidney cancer, and ovarian cancer. Zometa cant cure cancer. They can give you tips on how to deal with any side effects that may be bothersome. Talk with your doctor about the need to prevent pregnancy after you stop using Zometa. Bone-targeted agents in the treatment of lung cancer. National Institute for Health and Care and Excellence (NICE) Technology appraisal guidance, 2012, Vertebroplasty and Kyphoplasty for the Palliation of Pain. Zometa can cause hypocalcemia and kidney problems, too. It attaches to your bones, making it harder for osteoclasts to break down the bone tissue. For more information about receiving Zometa during pregnancy, see the Zometa and pregnancy section above. Denosumab is given by injection every four weeks. Certain prescription steroids may cause osteoporosis by how your body accesses its stores of calcium and vitamin D. Osteoporosis and degenerative disk disease (DDD) are unique conditions that may be related. Doctors have previously used pamidronate infusions to treat childhood osteoporosis. If you have any pain in your thigh, hip, or groin while receiving Zometa, see your doctor. Dhesy-Thind, S., Fletcher, G., Blanchette, P. et al. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Following intravenous infusion, Zometa is rapidly taken up by bone. This can be a problem in advanced cancer, especially with breast cancer, prostate cancer and myeloma. (A class of drugs is a group of medications that work in a similar way.) Select a condition to view a list of medication options. Zometa is only part of a complete program of treatment that may also include diet changes and taking calcium and vitamin supplements. How Bone Metastases From Cancer Are Treated. According to a 2019 review, people with osteoporosis prefer less frequent treatments. Your doctor should check your mouth before you start this medication. For more information, please, Personalized Hematology-Oncology & Primary Care, Sickle Cell Anemia Treatments and Tips for a Healthy Lifestyle, Coping With Cancer Through Stress Management, Multiple Sclerosis Treatment with Infusions, MARKETING WEBSITE BY GROUP3 COMMUNICATIONS. Tell your doctor about all your current medicines and any medicine you start or stop using. You should explore other options first. The generic is considered to be as safe and effective as the original drug. The typical Zometa dosage for adults with hypercalcemia from cancer is 4 mg, given as a single dose. 2014;85(2):226-233. doi:10.1902/jop.2013.130017, Van Poznak C, Somerfield MR, Barlow WE, et al. The Food and Drug Administration (FDA) approves prescription drugs such as Zometa to treat certain conditions. And generics tend to cost less than brand-name drugs. Can diet help improve depression symptoms? Generics tend to cost less than brand-name drugs. Drug class: Bisphosphonates. Untreated overactive or underactive parathyroid glands may lead to. Read our, Guidelines for Bone-Modifying Agents With Bone Metastases, Surgeries and Specialist-Driven Procedures, Treating Metastatic HER2-Positive Breast Cancer, How Non-Small Cell Lung Cancer Is Treated, Bisphosphonates for Early-Stage Breast Cancer. Cancer that has spread to the bone can cause weakness, whichcancausepain. It aims for a specific type of protein called sclerostin. Your kidney function may also need to be checked. Some products that may interact with this drug include: calcium-containing IV fluids, "water pills" (diuretics such as bumetanide, furosemide). Leng S, Lentzsch S. Bone-modifying agents: Complicated to use. These tests are used to check your calcium level and kidney function. For the treatment of multiple myeloma and bone problems caused by the spread of cancer, this medication is usually given every 3 to 4 weeks or as directed by your doctor. Certain types of cancer can make osteoclasts more active than usual. This is known as hypocalcemia. Doctors have used them to treat osteoporosis since the 1990s. If your blood calcium level doesnt fall to a normal level within 7 days, you may need a second dose of Zometa. It can help to strengthen bones, making them less likely to break. Limit alcoholic beverages. Below are answers to some questions you may have about receiving Zometa. When taking these medicines, you need to take them with a large glass of water and prior to meals, then walk around for 30 minutes afterwards so as to avoid these side effects. The dosage is based on your medical condition (including your kidney function) and response to treatment. To assist with this, The Infusion Clinic administers extra IV fluids if there is no health contraindication. You may be able to have Zometa treatment if you have asthma, but you should check with your doctor. Bisphosphonate. Do not double the dose to catch up. This medication may cause severe kidney problems, especially in older adults. There are many different types of fractures. You may need a second infusion if your calcium level isnt back to normal within 7 days. Therefore, instead of a generic, biologics have biosimilars. Download our fact sheet Zoledronate Zoledronate is a type of medication called a bisphosphonate. While any bisphosphonates can cause osteonecrosis, 94% of cases are in people who've had it in high-dose IV form, not in doses given for osteoporosis. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Its important to note that youll have to get Zometa from your doctor or at a specialty pharmacy. Learn about side effects. If your kidneys dont work well, the drug can build up in your body. Do keep in mind that its possible for side effects to manifest up to three days after the infusion treatment. Get emergency medical help if you have signs of an allergic reaction to Zometa: hives; wheezing, chest tightness, trouble breathing; swelling of your face, lips, tongue, or throat. Some examples of these side effects are nausea, diarrhea, headache, and dizziness. J Clin Oncol. It will typically be given at a healthcare facility. What's the Relationship Between Osteoporosis and Obesity? Bone-modifying agents are a relatively new approach and are now recommended early on after a diagnosis of bone metastases for many cancers. (2016). Chiropractic care for osteoporosis is considered supplemental treatment and may help people manage their symptoms. Schedule an appointment with Dr. VanSweden for primary care and internal medicine. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Women who have gone through menopause receive this medication. Ther Adv Med Oncol. (Multiple myeloma is a form of cancer that affects the bone marrow tissue inside your bones.). Its not known if Zometa passes into breast milk or if the drug affects the way your body makes breast milk. Dizziness, headache, tiredness, or flu-like symptoms (such as fever, chills, muscle/joint aches) may occur. The drug remains stable with temporary short-term storage from 59F to 86F (15C to 30C). Zometa lowers the level of calcium in your blood. If you have any questions about Zometa or chemotherapy, talk with your doctor. If you have any dental problems, such as pain, while receiving Zometa, tell your dentist and doctor right away. It is also prescribed to those who have tried other osteoporosis treatments but stopped for lack of effectiveness or severe side effects. Goldshtein I, et al. This type of fracture can occur with no obvious cause. Mild side effects of Zometa can include:*. The first-line treatment for osteoporosis is bisphosphonates. (2022). Diuretics can also cause problems that affect how well your kidneys work. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. In fact, a different brand of zoledronic acid (the active drug in Zometa) is FDA-approved for osteoporosis. You can learn more about how we ensure our content is accurate and current by reading our. 2021;7(2):246-254. doi:10.1001/jamaoncol.2020.6353. Osteoporosis is common in the elderly, but there are many things you can do to prevent and treat it. In clinical trials, Zometa was found to reduce the risk of bone metastases by one-third and the risk of death by one-sixth. Osteoporosis treatment: Medications can help - Mayo Clinic Intravenous therapy is one of the most common forms of therapy. If you think this treatment is suitable for you, please ask your Doctor to refer you to our clinic. With hyperparathyroidism, your parathyroid glands (glands found near your thyroid gland in your neck) produce too much parathyroid hormone. The power to infuse bones into objects (usually weapons), beings, or powers. Depending on the drug, you might have this treatment: Doctors can treat bones affected by cancer by using special cement to strengthen them. There are many options for osteoporosis infusion treatment, and one of them is right for you. They experience an increased risk of cardiovascular disease, stroke and breast cancer. Below are examples of these side effects. (2016). The generic is considered to be as safe and effective as the original drug. In addition, certain underlying medical conditions such as hyperthyroidism or kidney disease may increase bone breakdown. It is also given every two years as an IV infusion to prevent osteoporosis. A rare but serious complication of bisphosphonates and denosumab isosteonecrosis of the jaw, a condition that makes part of the jaw bone break down. 2016;32(1):133-145. doi:10.1185/03007995.2015.1105795. The short-term side effects include: Unlike bisphosphonates, denosumab is safe for people with impaired kidney function. However, Reclast has different approved uses than those of Zometa. This can slow bone loss and may help prevent bone fractures. Zoledronic acid is also used with cancer chemotherapy to treat bone problems that may occur. Two primary classes of drugs are used to treat bone metastases. In addition, you should have regular dental exams to check for any problems. The costs of Zometa and Prolia will vary depending on your treatment plan. You can reduce the risks as long as you follow the instructions regarding your medicine. You may wonder how often certain side effects occur with this drug. The maximum plasma concentration (Cmax) of Zometa decreases to . It belongs to a class of drugs called bisphosphonates. This makes the recovery process slow and lengthy, and can often result in permanent disability. It also appears to delay the development of bone metastases, reduce skeletal tumor growth, and improve survival time by a little over a month. It also looks at what to expect and when a doctor may recommend them. If your kidney function worsens, your doctor may reduce your Zometa dose. Its not known how often this may have occurred in clinical studies of the drug. 2 Providers often recommend oral bisphosphonates for osteoporosis due to their effectiveness and relative affordability. Strengthening bones affected by metastases, which reduces pain and fracture risk Improving progression-free survival and overall survival Reducing the risk of bone metastases from breast cancer and possibly prostate cancer by a third Reducing the risk of osteoporosis, which is increased by many treatments for breast and prostate cancer When osteoclasts are overactive, too much calcium is released from your bones into your blood. There arent any foods that have been specifically reported to interact with Zometa. Your doctor may recommend treating your osteoporosis without medication if its mild and they dont think youre at an increased risk of fracturing a bone in the near future. Carefully using them can help eliminate specific side effects. Many drugs available today can slow the rate of bone loss and can rebuild bone strength. Consult your doctor for more details. Clynes MA, et al. This is if bisphosphates didnt work well enough or you couldnt use them. (To learn more, see How long do side effects of Zometa last? above.). Some types of cancer can spread to your bones from other parts of your body. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. You may need to have a negative pregnancy test before starting treatment with Zometa. These are different forms of cementoplasty for the spine.

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