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Zoledronic acid information


Zoledronic acid
Clinical data
Trade namesReclast, Zometa, others[1]
Other nameszoledronate
AHFS/Drugs.comMonograph
MedlinePlusa605023
License data
  • EU EMA: by INN
  • US DailyMed: Zoledronic_acid
  • US FDA: Zoledronic_acid
Pregnancy
category
  • AU: B3[2]
Routes of
administration
Intravenous
Drug classBisphosphonate[3]
ATC code
  • M05BA08 (WHO)
Legal status
Legal status
  • US: ℞-only
  • EU: Rx-only
Pharmacokinetic data
Protein binding22%
MetabolismNil
Elimination half-life146 hours
ExcretionKidney (partial)
Identifiers
IUPAC name
  • [1-hydroxy-2-(1H-imidazol-1-yl)ethane-1,1-diyl]bis(phosphonic acid)
CAS Number
  • 118072-93-8
PubChem CID
  • 68740
IUPHAR/BPS
  • 3177
DrugBank
  • DB00399
ChemSpider
  • 61986
UNII
  • 70HZ18PH24
KEGG
  • D08689 ☒N
  • D01968 ☒N
ChEBI
  • CHEBI:46557
ChEMBL
  • ChEMBL924 checkY
PDB ligand
  • ZOL (PDBe, RCSB PDB)
CompTox Dashboard (EPA)
  • DTXSID0042668 Edit this at Wikidata
Chemical and physical data
FormulaC5H10N2O7P2
Molar mass272.090 g·mol−1
3D model (JSmol)
  • Interactive image
SMILES
  • O=P(O)(O)C(O)(Cn1ccnc1)P(=O)(O)O
InChI
  • InChI=1S/C5H10N2O7P2/c8-5(15(9,10)11,16(12,13)14)3-7-2-1-6-4-7/h1-2,4,8H,3H2,(H2,9,10,11)(H2,12,13,14)
  • Key:XRASPMIURGNCCH-UHFFFAOYSA-N
 ☒NcheckY (what is this?)  (verify)

Zoledronic acid, also known as zoledronate and sold under the brand name Zometa[4] by Novartis among others, is a medication used to treat a number of bone diseases.[3] These include osteoporosis, high blood calcium due to cancer, bone breakdown due to cancer, Paget's disease of bone[3] and Duchenne muscular dystrophy (DMD). It is given by injection into a vein.[3]

Common side effects include fever, joint pain, high blood pressure, diarrhea, and feeling tired.[3] Serious side effects may include kidney problems, low blood calcium, and osteonecrosis of the jaw.[3] Use during pregnancy may result in harm to the baby.[3] It is in the bisphosphonate family of medications.[3] It works by blocking the activity of osteoclast cells and thus decreases the breakdown of bone.[3]

Zoledronic acid was patented in 1986 and approved for medical use in the United States in 2001.[3][5] It is on the World Health Organization's List of Essential Medicines.[6][7]

  1. ^ "International trade names for zoledronic acid". Drugs.com. Retrieved 14 January 2015.
  2. ^ a b "Zoledronic acid Use During Pregnancy". Drugs.com. 1 June 2020. Retrieved 19 October 2020.
  3. ^ a b c d e f g h i j "Zoledronic Acid". The American Society of Health-System Pharmacists. Retrieved 8 December 2017.
  4. ^ "PRESS RELEASE: Novartis's Reclast Receives FDA Approval FOR Women With Postmenopausal Osteoporosis". FierceBiotech. 20 August 2007. Retrieved 2021-09-02.
  5. ^ Fischer J, Ganellin CR (2006). Analogue-based Drug Discovery. John Wiley & Sons. p. 524. ISBN 9783527607495.
  6. ^ World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  7. ^ World Health Organization (2021). World Health Organization model list of essential medicines: 22nd list (2021). Geneva: World Health Organization. hdl:10665/345533. WHO/MHP/HPS/EML/2021.02.

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