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Zoldria

Zoldria (Zoledronic Acid 4 mg/100 mL IV) — Sun Pharma bisphosphonate for cancer-related bone metastases, hypercalcaemia of malignancy, and osteoporosis. Hospital-administered IV infusion.

Medisinsk vurdert av Morgan Ellis — Farmasøytisk forsker · 8 års erfaring  · Sist gjennomgått: mai 2026

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Kort svar

Zoldria — Zoledronic Acid 4 mg/100 mL (Sun Pharma). Bisphosphonate — for cancer-related bone metastases (myeloma, breast, prostate, lung), tumour-induced hypercalcaemia, Paget’s disease, and severe osteoporosis. IV infusion under specialist supervision.

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Hvorfor bestille fra MedsBase

Zoldria ships from a WHO-GMP certified manufacturer in plain packaging, billed through a regulated payment processor (the statement descriptor reads a regulated card-payment processor — never MedsBase or any medication name). Every order carries our 20-business-day Reshipment Assurance.

⚠️ Specialist-supervised cancer therapy — this medication is started, monitored, and stopped by an oncologist or haematologist. Dosing depends on tumour type, stage, body surface area, organ function, and concomitant therapy. Self-treatment is not appropriate; the information below is educational and supports informed conversations with your specialist.

Osteonekrose i kjeven (ONJ)
All bisphosphonates carry ONJ risk — higher with IV agents (zoledronic acid, ibandronate IV) and longer cumulative therapy. Pre-treatment dental review is mandatory; complete invasive dentistry before starting. Avoid invasive dental procedures during therapy if possible. Notify dentist about bisphosphonate use lifelong (effects persist years after stopping).
Renal monitoring + adequate hydration
Bisphosphonates are renally cleared. Adequate hydration before/during IV administration. Monitor renal function and serum calcium. Hypocalcaemia is common; supplement with calcium + vitamin D throughout therapy. Avoid in CrCl <30 (oral) or <35 (IV).

Vanlige spørsmål

When is this used?

Bone metastases (myeloma, breast, prostate, lung), tumour-induced hypercalcaemia (zoledronic acid IV is fastest), Paget’s disease, and severe osteoporosis (especially adjuvant during AI therapy in breast cancer).

IV vs oral?

IV (zoledronic acid 4 mg q3-4 weekly for cancer; q12 monthly for osteoporosis; ibandronate 6 mg q3-4 weekly): more potent, fewer doses, no GI absorption issues. Oral (ibandronate 150 mg monthly): convenient, no IV access needed, but oesophagitis risk and absorption issues.

ONJ — how worried should I be?

ONJ is rare but cumulative. Risk factors: invasive dental procedures (extraction, implants), poor dental hygiene, smoking, diabetes, glucocorticoid use. Pre-treatment dental review and ongoing oral hygiene minimise risk. Discuss any planned dental work with your oncology team.

Calcium and vitamin D?

Mandatory throughout bisphosphonate therapy: calcium 1000-1500 mg/day plus vitamin D 800-1000 IU/day. Reduces hypocalcaemia risk and improves bone density.

Legemiddelinteraksjoner?

Calcium, magnesium, aluminium-containing antacids, iron, multivitamins reduce absorption (oral) — separate by ≥30 minutes. NSAIDs + bisphosphonates: increased GI risk. Aminoglycosides + bisphosphonates: increased nephrotoxicity.

Graviditet?

Long half-life in bone (years to decades). Generally avoided in pre-menopausal women without effective contraception. Limited human pregnancy data.

Hva om jeg glemmer en dose?

Oral monthly: take next morning if remembered the same week; if missed entirely, return to the original schedule next month. IV: scheduled by specialist; reschedule with oncology team.

Atypical femoral fracture?

Rare class effect after long-term use (typically >5 years osteoporosis use). Drug holiday at 3-5 years considered in osteoporosis. Cancer use typically continues based on disease state.

Acute phase reaction?

Common after first IV bisphosphonate dose: fever, myalgia, arthralgia, fatigue 1-3 days post-infusion. Usually mild, paracetamol-responsive, less severe with subsequent doses.

Stopping?

Specialist-determined based on disease, response, toxicity. Bisphosphonate effect on bone persists for years after stopping due to bone deposition.

Other Cancer & Bone-Health Medications

  • Zoldria — zoledronic acid IV — for bone mets and hypercalcaemia
  • Bandrone — ibandronate — alternative bisphosphonate
  • Idrofos — ibandronate 150 mg monthly oral
  • Osteofos — alendronate weekly — for osteoporosis
  • Calcirol — vitamin D3 60,000 IU sachet — for adequacy
Medisinsk ansvarsfraskrivelse: Cancer therapy is highly individualised. Specific drug, dose, schedule, monitoring, and supportive care must be determined by a qualified oncologist or haematologist based on tumour biology, staging, comorbidities, and goals of care. This information is educational; it does not substitute for professional medical advice.

More options in Anti Cancer Medication

Rangert etter nylig bestillingsvolum på MedsBase — hva andre kunder i denne kategorien velger.

Styrke

4 mg

Antall

1 Injection/s, 3 Injection/s, 6 Injection/s

Farmasøytisk form

Injection/s

Produsent

Cipla Inc

Behandling

Osteoporosis

Generisk merke

Zoledronic Acid

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