ZOMETA International Site for Healthcare Professionals Outside of the US

US Residents

ZOMETA Dosing and Administration

For non-US healthcare professionals: Get information about ZOMETA and its product characteristics.

Tumour-Induced Hypercalcaemia (TIH)

Treat with ZOMETA 4 mg in TIH1

For patients with TIH, the recommended ZOMETA dose is 4 mg1

  • ZOMETA 4 mg in 100 mL of calcium-free infusion solution should be infused over no less than 15 minutes1

Hydration is key when treating TIH with ZOMETA1,2

  • Because TIH causes severe fluid imbalances, maintaining proper hydration during treatment is critical2
  • Patients must be assessed before administration of ZOMETA to ensure they are adequately hydrated1
  • Vigorous saline hydration should be employed to bring urine output to approximately 2 L/day3
  • Overhydration should be avoided in patients at risk for cardiac failure1

Assess renal function prior to treatment in patients with TIH1

  • The risks and benefits of ZOMETA therapy should be evaluated in patients with TIH who have severe renal impairment1
  • No dose adjustment is necessary in patients with serum creatinine <400 μmol/L or <4.5 mg/dL1
    • Patients with higher serum creatinine levels were not included in clinical studies of ZOMETA in TIH
References: 1. ZOMETA Summary of Product Characteristics. Novartis Pharma AG. 2. Major P. The use of zoledronic acid, a novel, highly potent bisphosphonate, for the treatment of hypercalcemia of malignancy. Oncologist. 2002;7:481-491. 3. ZOMETA US Prescribing Information. Novartis Pharmaceuticals Corporation.

Disclaimer: This is an international website for ZOMETA® (zoledronic acid) and is intended for healthcare professionals outside the US. If you are a US resident, please click on the US Residents link at the top of this page. The information on this site is not country-specific and may contain information that is outside the approved indications in the country in which you are located.

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