Introduction

Pamidronate (pam-i-DROE-nate)

Treats high blood calcium levels (hypercalcemia) in patients with cancer. Also treats bone damage caused by Paget's disease, multiple myeloma, or breast cancer that has spread to the bones. This medicine is a bisphosphonate.

Brand Name(s)

OTN Pamidronate Disodium, Novaplus Pamidronate Disodium, NovaPlus Pamidronate Disodium, Pamidronate Disodium Novaplus

When This Medicine Should Not Be Used

How to Use This Medicine

Injectable

• Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given through a needle placed in one of your veins.
• A nurse or other trained health professional will give you this medicine.
• Your doctor may also give you vitamins containing Vitamin D and calcium. Tell your doctor if you are unable to take these supplements.
• Drink extra fluids so you will pass more urine while you are using this medicine. This will keep your kidneys working well and help prevent kidney problems.However, it is very important to not drink too much liquid. Talk to your doctor about the right amount of liquids for you.

If a dose is missed:

• Call your doctor or pharmacist for instructions.

Drugs and Foods to Avoid

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Make sure your doctor knows if you are receiving cancer medicines or radiation treatments. Tell your doctor if you are using thalidomide (Thalomid®), medicine to treat an infection (such as amikacin, gentamicin, streptomycin, tobramycin, Garamycin®, TOBI®), or a steroid medicine (such as hydrocortisone, methylprednisolone, prednisolone, prednisone). Tell your doctor if you also use a pain or arthritis medicine or NSAID such as aspirin, diclofenac, ibuprofen, naproxen, Advil®, Aleve®, Celebrex®, Voltaren®.

Warnings While Using This Medicine

• Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using the medicine, tell your doctor right away.
• Make sure your doctor knows if you are breastfeeding, or if you have kidney disease, heart disease, parathyroid problems, or a history of thyroid surgery. Tell your doctor if you have anemia, cancer, dehydration, a mineral imbalance, or a history of problems with your mouth or teeth (such as gum disease or dentures). Make sure your doctor knows if you have been treated with a bisphosphonate medicine in the past.
• You may need a dental exam before you start to use this medicine. Tell your doctor if you develop pain, swelling, or numbness in your teeth or jaw.
• Make sure any doctor or dentist who treats you knows that you are using this medicine. Try to avoid major dental work, such as dental surgery, while you are being treated with this medicine.
• Tell your doctor if you develop severe bone, joint, or muscle pain.
• This medicine may increase your risk for fractures of the thigh bone. Check with your doctor right away if you have a dull or aching pain in the thighs, groin, or hips.
• Your doctor will need to check your blood or urine at regular visits while you are using this medicine. Be sure to keep all appointments.

Possible Side Effects While Using This Medicine

Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Blood in the urine, lower back pain, side pain, or sharp back pain just below the ribs
• Confusion, mental changes, unusual tiredness or weakness, muscle spasms or stiffness
• Decrease in how much or how often you urinate, burning or painful urination
• Dry mouth, increased thirst, muscle cramps, nausea, vomiting
• Fast, slow, pounding, or uneven heartbeat
• Pain or other problems with your teeth or jaw
• Seizures
• Severe bone, joint, or muscle pain
• Swelling in your hands, ankles, or feet
• Trouble breathing
• Unusual bleeding, bruising, or weakness

If you notice these less serious side effects, talk with your doctor:

• Fever, chills, cough, runny or stuffy nose, sore throat
• Mild nausea, vomiting, constipation, loss of appetite, stomach pain or upset
• Pain, redness, swelling, or a lump under your skin where the needle is placed

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088

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