Drug reference
pamidronate
Bisphosphonate · Antiresorptive agent
BisphosphonateAntiresorptive agent
CDSCO approved
EXCRETION
—
not curated
INTERACTIONS
—
none in our sources
PREGNANCY
—
not curated
Mechanism
Not yet extracted
Indications
Paget diseasehypercalcemia of malignancyprevention of bone loss in breast cancer and multiple myelomaPaget’s diseaseHypercalcaemia of malignancyBony metastasisHumoral Hypercalcemia of MalignancyHypercalcemia in multiple myelomaPrevent bone-related complications in multiple myeloma
Dosing
- Adult
- For hypercalcemia, an intravenous infusion of 60 to 90 mg over 4 to 24 h. For prevention of bone loss in breast cancer and multiple myeloma, an intravenous infusion of 60 to 90 mg over 2 to 24 h.
Contraindications
- Gastroesophageal reflux
- Peptic ulcer
- Renal impairment (general BPN contraindications)
Side effects
Common
skin flushingflu-like symptomsmuscle and joint aches and painsnausea and vomitingabdominal discomfortdiarrheaconstipationThrombophlebitis of injected veinBone painFeverLeukopeniaFlu-like reaction (initially due to cytokine release)
Serious
- nephrotoxicity
- osteonecrosis of the jaw
- fractures of the femoral shaft
- Renal dysfunction
Related guidelines
Other Bisphosphonate drugs
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Sources: KD Tripathi 7e, Goodman & Gilman 14e, Harrison 22e·Verified: 2026-05-10 · House clinical team