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)
Communication disorder19.19.01.0080.019683%Not Available
Escherichia infection11.02.10.0040.013122%Not Available
Foot deformity15.10.03.0050.026243%Not Available
Proteus infection11.02.30.0010.013122%Not Available
Deformity08.01.03.022--Not Available
Purulence11.01.08.0600.164021%Not Available
Corneal endotheliitis06.04.02.0110.045926%Not Available
Low turnover osteopathy20.01.01.010; 15.02.03.016; 14.04.04.015--Not Available
Tryptase increased13.06.03.0130.019683%Not Available
Spondylolisthesis15.10.04.0040.013122%Not Available
Bone fragmentation15.08.02.011; 12.04.02.0130.019683%Not Available
Tooth socket haemorrhage24.07.02.059; 07.09.05.0170.013122%Not Available
Oroantral fistula22.04.06.005; 07.11.05.0150.118095%Not Available
Dental fistula11.01.04.017; 07.11.05.0080.091852%Not Available
Mucosal hyperaemia08.01.06.0220.019683%Not Available
Oral cavity fistula07.11.05.0140.249312%
Tooth avulsion12.01.09.021; 07.09.09.0020.032804%Not Available
Stress cardiomyopathy24.04.04.026; 02.04.01.0120.039365%Not Available
Weight bearing difficulty15.03.01.0270.032804%Not Available
Velopharyngeal incompetence22.04.05.020; 07.05.01.0200.003423%Not Available
Fistula discharge08.01.03.069; 15.03.02.0150.085291%Not Available
Left atrial dilatation02.04.02.0250.013122%Not Available
Oral mucosal erythema07.05.05.0230.078730%Not Available
Quality of life decreased13.18.01.0130.045926%Not Available
Bone abscess15.02.05.005; 11.01.01.0060.026243%Not Available
Bone density abnormal13.16.01.0050.013122%Not Available
Pancreatic neuroendocrine tumour metastatic16.24.02.006; 05.08.01.015; 07.21.09.0100.003423%Not Available
Bone atrophy15.02.03.014; 14.04.04.0130.026243%Not Available
Actinomyces test positive13.08.01.0050.013122%Not Available
Pubis fracture15.08.06.004; 12.04.06.0040.013122%Not Available
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