s should
maintain good oral hygiene and should have a dental examination with
preventive dentistry prior to treatment with bisphosphonates. While on
treatment, these patients should avoid invasive dental procedures, if
possible. No data are available as to whether discontinuation of
bisphosphonate therapy reduces the risk of ONJ in patients requiring dental
procedures. A causal relationship between bisphosphonate use and ONJ has
not been established. Clinical judgment of the treating physician should
guide the management plan of each patient based on individual benefit/risk
assessment.
In postmarketing experience, severe and occasionally incapacitating
bone, joint, and/or muscle pain has been reported infrequently in patients
taking bisphosphonates.
The most common adverse events (greater than or equal to 15%) in bone
metastases clinical trials, regardless of causality, with Zometa 4 mg
(n=1031) were as follows: bone pain (55%), nausea (46%), fatigue (39%),
anemia (33%), pyrexia (32%), vomiting (32%), constipation (31%), dyspnea
(27%), diarrhea (24%), weakness (24%), myalgia (23%), anorexia (22%), cough
(22%), arthralgia (21%), lower-limb edema (21%), malignant neoplasm
aggravated (20%), headache (19%), dizziness (excluding vertigo) (18%),
insomnia (16%), decreased weight (16%), back pain (15%), and paresthesia
(15%).
Caution is advised when bisphosphonates are administered with
aminoglycosides, loop diuretics, and potentially nephrotoxic drugs.
Zometa contains the same active ingredient as found in Reclast(R)
(zoledronic acid). Patients being treated with Zometa should not be treated
with Reclast.
Patients should be administered an oral calcium supplement of 500 mg
and a multiple vitamin containing 400 IU of vitamin D daily.
Please see full Prescribing Information.
Disclaimer
The foregoing release contains forward-looking statements that can be
identified by terminology such as "may", "continue to", "anticipat
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SOURCE Novartis Copyright©2008 PR Newswire. All rights reserved | |
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