Abstract
Zoledronate is a Nitrogen containing bisphosphonate (NBP) used in many conditions like osteoporosis, Paget’s disease and hypercalcemia of malignancy. Unlike oral bisphosphonates, Zoledronate is not seen to be associated with gastroesophageal side effects but the drug is not free of certain rare but life threatening adverse effects like hypocalcemia and renal deterioration. Majority of cases of hypocalcemia with Zoledronate are seen in patients with underlying malignancy and are asymptomatic. Here we present a case of severe symptomatic hypocalcemia along with hypophosphatemia following zoledronate administration in an elderly male with a history of osteoporotic fracture.
Keywords: Zoledronate, hypocalcemia, hypophosphatemia, osteoporosis, geriatric population, pharmacovigilance.
Current Drug Safety
Title:Zoledronate Induced Hypocalcemia and Hypophosphatemia in Osteoporosis: A Cause of Concern
Volume: 11 Issue: 3
Author(s): Upinder Kaur, Sankha Shubhra Chakrabarti and Indrajeet Singh Gambhir
Affiliation:
Keywords: Zoledronate, hypocalcemia, hypophosphatemia, osteoporosis, geriatric population, pharmacovigilance.
Abstract: Zoledronate is a Nitrogen containing bisphosphonate (NBP) used in many conditions like osteoporosis, Paget’s disease and hypercalcemia of malignancy. Unlike oral bisphosphonates, Zoledronate is not seen to be associated with gastroesophageal side effects but the drug is not free of certain rare but life threatening adverse effects like hypocalcemia and renal deterioration. Majority of cases of hypocalcemia with Zoledronate are seen in patients with underlying malignancy and are asymptomatic. Here we present a case of severe symptomatic hypocalcemia along with hypophosphatemia following zoledronate administration in an elderly male with a history of osteoporotic fracture.
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Cite this article as:
Kaur Upinder, Chakrabarti Shubhra Sankha and Gambhir Singh Indrajeet, Zoledronate Induced Hypocalcemia and Hypophosphatemia in Osteoporosis: A Cause of Concern, Current Drug Safety 2016; 11 (3) . https://dx.doi.org/10.2174/1574886311666160426141647
DOI https://dx.doi.org/10.2174/1574886311666160426141647 |
Print ISSN 1574-8863 |
Publisher Name Bentham Science Publisher |
Online ISSN 2212-3911 |
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