Pamidronate Disodium

• Pamidronate Disodium Novaplus

• Actonel
• Alendronate Sodium
• Atelvia
• Binosto
• Boniva
• Calcitonin (Salmon)
• Didronel
• Etidronate Disodium
• Evenity
• Forteo
• Fortical
• Fosamax
• Fosamax Plus D
• Ganite
• Ibandronate Sodium
• Miacalcin
• Natpara
• Pamidronate Disodium
• Prolia
• Reclast
• Risedronate Sodium
• Skelid
• Teriparatide
• Teriparatide (Recombinant)
• Tymlos
• Xgeva
• Zoledronic Acid
• Zometa

• Injectable

• By injection

Drink extra fluids so you will urinate more often 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.

Your doctor may also give you vitamins containing Vitamin D and calcium. Tell your doctor if you are unable to take these supplements.

Injection routeA nurse or other health provider will give you this medicine.

Injection routeYour doctor will prescribe your dose and schedule. This medicine is given through a needle placed in a vein.

You should not receive this medicine if you have had an allergic reaction to pamidronate or to similar medicines such as alendronate, etidronate, risedronate, tiludronate, Actonel®, Didronel®, Fosamax®, or Skelid®. You should not receive this medicine if you are pregnant.

Swelling in your hands, ankles, or feet

Seizures

Severe bone, joint, or muscle pain

Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

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.

Unusual bleeding, bruising, or weakness

Trouble breathing

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.

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.

It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.

Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

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.

Tell your doctor if you develop severe bone, joint, or muscle pain.

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.

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 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.

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®.

• Unusual bleeding, bruising, or weakness
• Dry mouth, increased thirst, muscle cramps, nausea, vomiting
• Fast, slow, pounding, or uneven heartbeat
• Severe bone, joint, or muscle pain
• Swelling in your hands, ankles, or feet
• Pain or other problems with your teeth or jaw
• Decrease in how much or how often you urinate, burning or painful urination
• Confusion, mental changes, unusual tiredness or weakness, muscle spasms or stiffness
• Blood in the urine, lower back pain, side pain, or sharp back pain just below the ribs
• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Seizures
• Trouble breathing
• Pain, redness, swelling, or a lump under your skin where the needle is placed
• Fever, chills, cough, runny or stuffy nose, sore throat
• Mild nausea, vomiting, constipation, loss of appetite, stomach pain or upset