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Image:Pamidronic acid.svg
Pamidronic acid
Systematic (IUPAC) name
(3-amino-1-hydroxy-1-phosphono-propyl)phosphonic acid
Identifiers
CAS number	40391-99-9
ATC code	M05BA03
PubChem	4674
DrugBank	APRD01161
Chemical data
Formula	C3H11NO7P2
Mol. weight	235.07 g/mol
Pharmacokinetic data
Bioavailability	n/a
Protein binding	54%
Metabolism	Nil
Half life	28 ± 7 hours
Excretion	Renal
Therapeutic considerations
Pregnancy cat.	B3(AU) D(US)
Legal status	POM(UK) ℞-only(US)
Routes	Intravenous

Pamidronic acid (INN) or pamidronate disodium (USAN), marketed as pamidronate disodium pentahydrate under the brand name Aredia®, is a bisphosphonate used to prevent bone loss, and treat osteoporosis. It is also used to strengthen bone in Paget's disease, to prevent bone loss due to steroid use, and in certain cancers with high propensity to bone, such as multiple myeloma. In multiple myeloma, it is usually administered as an intravenous infusion, lasting about 3 hours. The therapy is repeated monthly, and lasts for the life of the patient. Due to its ability to sequester calcium in bone, it is also used to treat high calcium levels.

[edit] Administration

Intravenous, usually 90 mg monthly. 30 mg, 60 mg, and 90 mg vials are available, mixed with mannitol.

[edit] Side effects

Common side effects include bone pain, low calcium levels, nausea, and dizziness. Osteonecrosis of the jaw is a rare complication which has been associated with the use of bisphosphonates, including pamidronate.<ref name = Zarychanski>Zarychanski R, Elphee E, Walton P, Johnston J (2006). "Osteonecrosis of the jaw associated with pamidronate therapy.". Am J Hematol 81 (1): 73-5. PMID 16369966.</ref>

[edit] References

Bisphosphonates (M05A)edit
Nitrogenous:	Pamidronic acid, Alendronic acid, Ibandronic acid, Risedronic acid, Zoledronic acid
Non-nitrogenous:	Etidronic acid, Clodronic acid, Tiludronic acid