País: Malta
Idioma: anglès
Font: Medicines Authority
ZOLEDRONIC ACID, MONOHYDRATE
Sandoz Limited 200 Frimley Business Park, Frimley Camberley, Surrey GU16 7SR, United Kingdom
M05BA08
ZOLEDRONIC ACID MONOHYDRATE 4 mg
SOLUTION FOR INFUSION
ZOLEDRONIC ACID MONOHYDRATE 4 mg
POM
DRUGS FOR TREATMENT OF BONE DISEASES
Withdrawn
2013-07-15
PACKAGE LEAFLET: INFORMATION FOR THE USER ZOLEDRONIC ACID 4 MG/100 ML SOLUTION FOR INFUSION Zoledronic acid READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU ARE GIVEN THIS MEDICINE BECAUSE IT CONTAINS IMPORTANT INFORMATION FOR YOU. Keep this leaflet. You may need to read it again. If you have any further questions, ask your doctor, nurse or pharmacist. If you get any side effects, talk to your doctor, nurse or pharmacist. This includes any possible side effects not listed in this leaflet. WHAT IS IN THIS LEAFLET: 1. What Zoledronic acid is and what it is used for 2. What you need to know before you are given Zoledronic acid 3. How Zoledronic acid is used 4. Possible side effects 5. How to store Zoledronic acid 6. Contents of the pack and other information 1. WHAT ZOLEDRONIC ACID IS AND WHAT IT IS USED FOR The active substance in Zoledronic acid is zoledronic acid, which belongs to a group of substances called bisphosphonates. Zoledronic acid works by attaching itself to the bone and slowing down the rate of bone change. It is used: TO PREVENT BONE COMPLICATIONS, e.g. fractures, in adult patients with BONE METASTASES (spread of cancer from primary site to the bone). TO REDUCE THE AMOUNT OF CALCIUM in the blood in adult patients where it is too high due to the presence of a tumour. Tumours can accelerate normal bone change in such a way that the release of calcium from bone is increased. This condition is known as tumour-induced hypercalcaemia (TIH). 2. WHAT YOU NEED TO KNOW BEFORE YOU ARE GIVEN ZOLEDRONIC ACID Follow carefully all instructions given to you by your doctor. Your doctor will carry out blood tests before you start treatment with Zoledronic acid and will check your response to treatment at regular intervals. YOU SHOULD NOT BE GIVEN ZOLEDRONIC ACID _ _ if you are allergic to zoledronic acid, another bisphosphonate (th Llegiu el document complet
Page 1 of 21 SUMMARY OF PRODUCT CHARACTERISTICS 1. NAME OF THE MEDICINAL PRODUCT Zoledronic acid 4 mg/100 ml solution for infusion 2. QUALITATIVE AND QUANTITATIVE COMPOSITION One bottle of 100 ml solution for infusion contains 4 mg zoledronic acid, corresponding to 4.264 mg zoledronic acid monohydrate. 1 ml solution contains 0.04 mg zoledronic acid Excipient with known effect: This medicinal product contains 0.245 mmol (or 5.63 mg) sodium per dose. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Solution for infusion Clear and colourless solution 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS - Prevention of skeletal related events (pathological fractures, spinal compression, radiation or surgery to bone, or tumour-induced hypercalcaemia) in adult patients with advanced malignancies involving bone. - Treatment of adult patients with tumour-induced hypercalcaemia (TIH). 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Zoledronic acid must only be prescribed and administered to patients by healthcare professionals experienced in the administration of intravenous bisphosphonates. Posology Prevention of skeletal related events in patients with advanced malignancies involving bone Page 2 of 21 _Adults and elderly _ The recommended dose in the prevention of skeletal related events in patients with advanced malignancies involving bone is 4 mg zoledronic acid every 3 to 4 weeks. Patients should also be administered an oral calcium supplement of 500 mg and 400 IU vitamin D daily. The decision to treat patients with bone metastases for the prevention of skeletal related events should consider that the onset of treatment effect is 2-3 months. Treatment of TIH _Adults and elderly _ The recommended dose in hypercalcaemia (albumin-corrected serum calcium 12.0 mg/dl or 3.0 mmol/l) is a single dose of 4 mg zoledronic acid. Llegiu el document complet