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)
Feeling cold08.01.09.0080.072169%Not Available
Feeling hot08.01.09.009--Not Available
Femoral neck fracture15.08.03.002; 12.04.01.0020.032804%Not Available
Femur fracture15.08.03.003; 12.04.01.0030.544551%Not Available
Fibrin D dimer increased13.01.02.0360.013122%Not Available
Fistula15.03.02.0010.597038%Not Available
Flank pain15.03.04.003; 08.01.08.007; 20.02.03.0060.045926%
Flatulence07.01.04.002--
Flushing24.03.01.002; 23.06.05.003; 08.01.03.025--
Foot fracture15.08.03.012; 12.04.01.0120.104974%Not Available
Fracture12.04.02.001; 15.08.02.0010.275556%
Fungal infection11.03.05.001--Not Available
Fungal skin infection23.09.02.001; 11.03.05.0020.019683%Not Available
Gait disturbance08.01.02.002; 17.02.05.0160.393651%
Gamma-glutamyltransferase increased13.03.01.011--
Gangrene11.02.01.003; 24.04.05.003; 23.06.06.0010.013122%Not Available
Gastric cancer16.13.03.001; 07.21.02.0010.006846%Not Available
Gastritis07.08.02.001--
Gastrooesophageal reflux disease07.02.02.003--
Gastroenteritis07.19.03.001; 11.01.07.004--Not Available
Gastrointestinal disorder07.11.01.001--Not Available
Gastrointestinal haemorrhage24.07.02.009; 07.12.02.001--Not Available
Gastrointestinal pain07.01.05.005--
Generalised tonic-clonic seizure17.12.01.0020.052487%Not Available
Gingival bleeding24.07.02.010; 07.09.07.0010.026243%Not Available
Gingival disorder07.09.03.0010.032804%Not Available
Gingival hypertrophy07.09.03.0060.059048%Not Available
Gingival pain07.09.04.0010.144339%
Gingival recession07.09.03.0070.019683%Not Available
Gingival swelling07.05.04.0030.380529%Not Available
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