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)
Gingivitis11.01.04.013; 07.09.03.0030.459260%
Glomerular filtration rate decreased13.13.01.0090.085291%Not Available
Gout15.01.06.001; 14.09.01.0010.026243%Not Available
Groin pain15.03.02.0040.052487%Not Available
Haematemesis07.12.02.002; 24.07.02.011--Not Available
Haematocrit decreased13.01.05.0010.059048%Not Available
Haematoma24.07.01.001--
Haematuria24.07.01.047; 20.02.01.006--
Blood urine present13.13.02.002--Not Available
Haemoglobin decreased13.01.05.003--Not Available
Haemoptysis22.02.03.004; 24.07.01.006; 02.01.02.006--Not Available
Haemorrhage subcutaneous23.06.07.002; 24.07.06.0100.013122%Not Available
Hallucination19.10.02.002--
Hand fracture15.08.03.014; 12.04.01.0140.052487%Not Available
Head discomfort17.02.05.0270.032804%Not Available
Headache17.14.01.0011.003811%
Heart rate decreased13.14.04.001--Not Available
Heart rate increased13.14.04.002--Not Available
Heart rate irregular13.14.04.0030.072169%Not Available
Hemiparesis17.01.04.0010.013692%
Hemiplegia17.01.04.002--Not Available
Hepatic failure09.01.03.002--
Hepatic function abnormal09.01.02.001--Not Available
Hepatitis09.01.07.004--Not Available
Hepatotoxicity12.03.01.008; 09.01.07.009--Not Available
Hernia08.01.04.0010.019683%Not Available
Herpes zoster11.05.02.003; 23.09.03.002--
Hip fracture15.08.03.001; 12.04.01.0010.091852%
Humerus fracture15.08.03.008; 12.04.01.0090.019683%Not Available
Hydronephrosis20.01.05.001--Not Available
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