Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Zoledronic acid
Drug ID BADD_D02392
Description Zoledronic acid, or CGP 42'446,[A203120] is a third generation, nitrogen containing bisphosphonate similar to [ibandronic acid], [minodronic acid], and [risedronic acid].[A203111] Zoledronic acid is used to treat and prevent multiple forms of osteoporosis, hypercalcemia of malignancy, multiple myeloma, bone metastases from solid tumors, and Paget’s disease of bone.[L13712,L13715,L13721] Zoledronic acid was first described in the literature in 1994.[A203120] Zoledronic acid was granted FDA approval on 20 August 2001.[L13712]
Indications and Usage For the treatment of hypercalcemia of malignancy. Also for the treatment of patients with multiple myeloma and patients with documented bone metastases from solid tumors, in conjunction with standard antineoplastic therapy. In May of 2007, the drug was approved for treatment of Paget’s Disease.
Marketing Status Prescription; Discontinued
ATC Code M05BA08
DrugBank ID DB00399
KEGG ID D01968
MeSH ID D000077211
PubChem ID 68740
TTD Drug ID D0VM2L
NDC Product Code 70860-802; 43598-255; 42533-102; 67457-794; 65797-0006; 65129-1144; 55111-688; 0078-0435; 67457-920; 50742-416; 55150-266; 54288-100; 55111-685; 0409-4215; 60505-6110; 16714-815; 68001-437; 55150-283; 25021-830; 65372-1117; 25021-826; 14593-836; 16729-242; 0143-9642; 57741-2600; 51991-065; 68001-366; 68083-142; 53104-7622; 25021-801; 43598-331; 17478-324; 70860-210; 63323-966; 68554-0037; 43598-330; 63126-906; 63759-0012; 62147-0125; 67457-619; 68083-116; 63850-7104; 68083-256; 17478-327; 68083-135; 63323-961; 67457-390
Synonyms Zoledronic Acid | 2-(Imidazol-1-yl)-1-hydroxyethylidene-1,1-bisphosphonic acid | CGP 42446A | CGP-42446 | CGP 42446 | CGP42446 | CGP-42'446 | CGP42'446 | CGP 42'446 | Zometa | Zoledronic Acid Anhydrous | Zoledronate
Chemical Information
Molecular Formula C5H10N2O7P2
CAS Registry Number 118072-93-8
SMILES C1=CN(C=N1)CC(O)(P(=O)(O)O)P(=O)(O)O
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Blood creatine phosphokinase increased13.04.01.001--
Blood creatinine abnormal13.13.01.0020.026243%Not Available
Blood creatinine decreased13.13.01.003--Not Available
Blood creatinine increased13.13.01.0040.242752%
Blood glucose increased13.02.02.002--Not Available
Blood lactate dehydrogenase increased13.04.02.002--
Blood lactic acid increased13.02.01.0150.013122%Not Available
Blood potassium decreased13.11.01.010--Not Available
Blood pressure abnormal13.14.03.0010.019683%Not Available
Blood pressure decreased13.14.03.0020.104974%Not Available
Blood pressure diastolic decreased13.14.03.0030.032804%Not Available
Blood pressure increased13.14.03.0050.268995%Not Available
Blood pressure systolic increased13.14.03.0060.124656%Not Available
Blood sodium decreased13.11.01.0120.052487%Not Available
Blood sodium increased13.11.01.0130.019683%Not Available
Blood urea increased13.13.01.0060.052487%Not Available
Body temperature decreased13.15.01.0100.045926%Not Available
Body temperature increased13.15.01.0010.098413%Not Available
Bone disorder15.02.04.0040.354286%Not Available
Bone neoplasm15.09.02.001; 16.29.01.0010.013122%Not Available
Bone pain15.02.01.0011.010371%
Bradycardia02.03.02.002--Not Available
Brain abscess17.06.07.001; 11.01.03.0030.006846%Not Available
Breast cancer21.05.01.003; 16.10.01.0010.068461%Not Available
Breast pain21.05.05.0030.059048%
Breath odour07.01.06.0020.177143%Not Available
Bronchiectasis22.03.02.0050.026243%Not Available
Bronchitis22.07.01.001; 11.01.09.001--
Bronchospasm22.03.01.004; 10.01.03.012--
Burning sensation17.02.06.001; 08.01.09.029--Not Available
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