Pamidronate disodique
Révision par Sid DajaniDernière mise à jour par Michael Stewart, MRPharmSDernière mise à jour le 19 juillet 2023
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Pamidronate disodium is given by intravenous infusion in a hospital clinic.
You may feel tired or dizzy for up to 24 hours after having the infusion. You should not drive yourself home after your treatment. Do not drive and do not use tools or machines if you are affected
Your doctor may recommend that you see your dentist before you have this treatment
Take care to avoid becoming dehydrated during treatment - ask your doctor how much you should drink.
Dans cet article :
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About pamidronate disodium
Type de médicament | Bisphosphonate |
Utilisé pour | To prevent bone pain in people with cancer that has spread to the bone; to reduce high levels of calcium in the blood caused by cancer; Paget's disease of bone |
Disponible en | Injection |
Pamidronate disodium, a bisphosphonate, is prescribed for a number of different problems which affect bones. It can be prescribed to ease bone pain or to reduce hypercalcaemia associated with some cancers. It is also prescribed for people with Paget's disease of bone to prevent bone damage.
In some cancers there can be an excessive breakdown of bone. As this happens, calcium is lost from the bone and seeps into the blood, leading to higher than normal levels of calcium in the blood. This is called hypercalcaemia. Pamidronate disodium binds to bone and reduces the rate at which it is broken down. This helps strengthen bones by preventing the loss of calcium and this reduces the high levels of calcium in the blood.
In Paget's disease of bone, pamidronate disodium works on bones to make them stronger and help prevent bone thickening. This helps ease symptoms such as pain, bone damage and fracture.
Before having pamidronate disodium
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start treatment it is important that your doctor knows:
Si vous êtes enceinte ou si vous allaitez.
If you are due to have any dental treatment in the near future, or if you have not recently had a dental check-up.
Si vous souffrez d'une maladie cardiaque.
Si vous avez des problèmes avec le fonctionnement de vos reins ou de votre foie.
If you have ever had any surgery on your thyroid gland.
If you have been told you have low amounts of calcium in your blood.
Si vous prenez d'autres médicaments. Cela inclut tous les médicaments que vous prenez et qui sont disponibles sans ordonnance, ainsi que les médicaments à base de plantes et les médicaments complémentaires.
Si vous avez déjà eu une réaction allergique à un médicament.
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How you will be given pamidronate disodium
Before you start the treatment, ask to read the manufacturer's printed information leaflet from inside the pack. It will give you more information about pamidronate disodium and will provide you with a full list of the side-effects which you may experience from having it.
Pamidronate disodium will be given to you in a hospital clinic. It will be made up by the hospital staff and administered by intravenous infusion - this means that it is added into an injection fluid and injected slowly (over an hour or so) into one of your veins.
The number of doses you require will depend upon the reason why it has been prescribed for you. Some people require only a single dose, others require a short course of treatment.
Tirer le meilleur parti de votre traitement
It is important that you do not become dehydrated during treatment with pamidronate disodium. Your doctor will probably advise you drink a couple of glassfuls of water before and after your treatment.
You may feel tired or dizzy for up to 24 hours after having the infusion. You should not drive yourself home after your treatment. Do not drive and do not use tools or machines if you are affected.
It may be necessary for you to take tablets of calcium and vitamin D as a supplement alongside this treatment. If so, your doctor will prescribe this for you.
Good dental hygiene is important during treatment with this medicine - this means that you must brush your teeth regularly and have regular dental check-ups. Tell your dentist that you are having treatment with pamidronate disodium, as some dental treatments may not be recommended for you.
Remember to follow any lifestyle advice your doctor has given you. Eating a well-balanced diet, stopping smoking and taking regular exercise can help bones stay strong.
Keep your regular appointments with your doctor so your progress can be monitored. You will need to have regular blood tests during this treatment.
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Can pamidronate disodium cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with pamidronate disodium. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Common pamidronate disodium side-effects (these affect fewer than 1 in 10 people) | Que puis-je faire si je suis confronté à cette situation ? |
Feeling sleepy or tired | Do not drive and do not use tools or machines straight after receiving treatment |
Fever and flu-like symptoms, headache, other aches and pains | Ask your doctor or pharmacist to recommend a suitable painkiller, and take plenty of rest and fluids |
Stomach upset (such as feeling sick (nausea), abdominal discomfort, diarrhoea or constipation) | Stick to simple foods and drink plenty of water to replace any lost fluids |
Sleeping problems, rash, eye problems (such as conjunctivitis), tingling feelings, feeling flushed | Si l'une d'entre elles devient gênante, parlez-en à votre médecin. |
Changes in heart rhythm and changes to some blood test results | Votre médecin surveillera les éléments suivants |
Less common, but possibly serious side-effects | What should I do if I experience this? |
Pain in your thigh, hip, or groin | Speak with your doctor - these can be signs of a thighbone fracture |
A loose tooth, or jaw pain with swelling or numbness | Speak with your doctor - these can be signs of a problem called osteonecrosis of the jaw |
Ear pain, discharge from an ear, ear infection | These could be signs of a problem called osteonecrosis of the ear. Speak with your doctor straightaway |
Si vous ressentez d'autres symptômes qui pourraient être dus au médicament, demandez conseil à votre médecin ou à votre pharmacien.
Informations importantes sur tous les médicaments
Informations importantes sur tous les médicaments
Si vous achetez des médicaments, vérifiez auprès d'un pharmacien qu'ils peuvent être pris en même temps que vos autres médicaments.
Si vous devez subir une opération ou un traitement dentaire, indiquez à la personne chargée du traitement les médicaments que vous prenez.
Always read the printed information leaflet that comes with your medicine.
Si vous avez des questions sur ce médicament, demandez à votre pharmacien.
Signaler les effets secondaires d'un médicament ou d'un vaccin
Si vous ressentez des effets secondaires, vous pouvez les signaler en ligne sur le site web de la carte jaune.
Autres lectures et références
- Manufacturer's PIL, Pamidronate Disodium 3 mg/ml, 6 mg/ml and 9 mg/ml Sterile Concentrate; Hospira UK Ltd, The electronic Medicines Compendium. Dated February 2023.
- Médicaments Complet BNF 89ème éditionBritish Medical Association et Royal Pharmaceutical Society of Great Britain, Londres.
Historique de l'article
Les informations contenues dans cette page sont rédigées et évaluées par des cliniciens qualifiés.
Prochaine révision prévue : 18 Jul 2026
19 Jul 2023 | Dernière version

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