Drug Name:Zoledronate
Drug Class:Bisphosphonate
Mechanism of Action:
  • Inhibits osteoclast-mediated bone resorption by binding to hydroxyapatite crystals in bone
  • Inhibits farnesyl pyrophosphate synthase, an enzyme involved in the mevalonate pathway
Use:
  • Treatment of osteoporosis in postmenopausal women
  • Treatment of Paget's disease of bone
  • Prevention of skeletal-related events in patients with bone metastases from solid tumors
Side Effects:
  • Flu-like symptoms (fever, fatigue, myalgia)
  • Nausea, vomiting, diarrhea
  • Hypocalcemia
  • Renal impairment
  • Osteonecrosis of the jaw
Contraindications:
  • Hypersensitivity to bisphosphonates
  • Severe renal impairment
  • Pregnancy and breastfeeding
Specialty:
  • Endocrinology
  • Oncology
  • Rheumatology