19 . October , 2018 - Friday
Check todays hot topics or new products

Find a Drug: Advanced

Please Sign in or Register

All about: Etidronate

Big Image

Some commonly used brand names are:

In the U.S.—

  • Didronel

In Canada—

  • Didronel

Another commonly used name is EHDP .

Category

  • Antihypercalcemic
  • Bone resorption inhibitor

Description

Etidronate (eh-tih-DROE-nate) is used to treat Paget's disease of bone. It may also be used to treat or prevent a certain type of bone problem that may occur after hip replacement surgery or spinal injury.

Etidronate is also used to treat hypercalcemia (too much calcium in the blood) that may occur with some types of cancer.

This medicine is available only with your doctor's prescription, in the following dosage forms:

  • Oral
  • Tablets (U.S. and Canada)
  • Parenteral
  • Injection (U.S.)

Before Using This Medicine

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For etidronate, the following should be considered:

Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to etidronate. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy—Studies have not been done in humans. However, studies in rats injected with large doses of etidronate have shown that etidronate causes deformed bones in the fetus.

Breast-feeding—It is not known if etidronate passes into breast milk. However, this medicine has not been reported to cause problems in nursing babies.

Children—Some changes in bone growth may occur in children, but will usually go away when the medicine is stopped.

Older adults—When etidronate is given by injection along with a large amount of fluids, older people tend to retain (keep) the excess fluid.

Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking etidronate, it is especially important that your health care professional know if you are taking any of the following:

  • Antacids containing calcium, magnesium, or aluminum or
  • Mineral supplements or other medicines containing calcium, iron, magnesium, or aluminum—These medicines may decrease the effects of etidronate, and should be taken at least 2 hours before or after taking etidronate

Other medical problems—The presence of other medical problems may affect the use of etidronate. Make sure you tell your doctor if you have any other medical problems, especially:

  • Bone fracture, especially of arm or leg—Etidronate may increase the risk of bone fractures
  • Intestinal or bowel disease—Etidronate may increase the risk of diarrhea
  • Kidney disease—High blood levels of etidronate may result causing serious side effects

Proper Use of This Medicine

Make certain your health care professional knows if your diet includes large amounts of calcium, such as milk or other dairy products, or if you are on any special diet, such as a low-sodium or low-sugar diet. Calcium in the diet may prevent the absorption of oral etidronate.

Take etidronate with water on an empty stomach at least 2 hours before or after food (midmorning is best) or at bedtime. Food may decrease the amount of etidronate absorbed by your body.

Take etidronate only as directed . Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects.

In some patients, etidronate takes up to 3 months to work. If you feel that the medicine is not working, do not stop taking it on your own. Instead, check with your doctor.

It is important that you eat a well-balanced diet with an adequate amount of calcium and vitamin D (found in milk or other dairy products). Too much or too little of either may increase the chance of side effects while you are taking etidronate. Your doctor can help you choose the meal plan that is best for you. However, do not take any food, especially milk, milk formulas, or other dairy products, or antacids, mineral supplements, or other medicines that are high in calcium or iron (high amounts of these minerals may also be in some vitamin preparations), magnesium, or aluminum within 2 hours of taking etidronate. To do so may keep this medicine from working properly.

Dosing—The dose of etidronate will be different for different patients. Follow your doctor's order or the directions on the label . The following information includes only the average doses of etidronate. If your dose is different, do not change it unless your doctor tells you to do so.

  • For oral dosage form (tablets):
    • For treating Paget's disease of bone:
      • Adults—Dose is based on body weight and must be determined by your doctor. The dose to start is 5 milligrams (mg) per kilogram (kg) (2.3 mg per pound) of body weight a day, usually as a single dose, for not more than six months. Some people may need 6 to 10 mg per kg (2.7 to 4.6 mg per pound) of body weight a day for not more than six months. Others may need 11 to 20 mg per kg (5 to 9.1 mg per pound) of body weight a day for not more than three months. Your doctor may change your dose depending on your response to treatment.
      • Children—Dose must be determined by your doctor.
    • For treating or preventing a certain type of bone problem that may occur after hip replacement:
      • Adults—Dose is based on body weight and must be determined by your doctor. The usual dose is 20 mg per kg (9.1 mg per pound) of body weight a day for one month before surgery, and for three months after surgery.
      • Children—Dose must be determined by your doctor.
    • For treating or preventing a certain type of bone problem that may occur after spinal injury:
      • Adults—Dose is based on body weight and must be determined by your doctor. The usual dose is 20 mg per kg (9.1 mg per pound) of body weight a day for two weeks, beginning as soon as possible after your injury. Your doctor may then decrease your dose to 10 mg per kg (4.5 mg per pound) of body weight for an additional ten weeks.
      • Children—Dose must be determined by your doctor.
    • For treating hypercalcemia (too much calcium in the blood):
      • Adults—Dose is based on body weight and must be determined by your doctor. The usual dose is 20 mg per kg (9.1 mg per pound) of body weight a day for thirty days. Treatment usually does not continue beyond ninety days.
      • Children—Dose must be determined by your doctor.
  • For injection dosage form:
    • For treating hypercalcemia (too much calcium in the blood):
      • Adults—Dose is based on body weight and must be determined by your doctor. The usual dose is 7.5 mg per kg (3.4 mg per pound) of body weight, injected slowly into your vein over 2 hours. This dose is repeated for two more days. Your doctor may repeat the treatment after at least seven days.
      • Children—Dose must be determined by your doctor.

Missed dose—If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage—To store this medicine:

  • Keep out of the reach of children.
  • Store away from heat and direct light.
  • Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down.
  • Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

Precautions While Using This Medicine

It is important that your doctor check your progress at regular visits even if you are between treatments and are not taking this medicine. If your condition has improved and your doctor has told you to stop taking etidronate, your progress must still be checked. The results of laboratory tests or the occurrence of certain symptoms will tell your doctor if more medicine must be taken. Your doctor may want you to begin another course of treatment after you have been off the medicine for at least 3 months.

If this medicine causes you to have nausea or diarrhea and it continues, check with your doctor. The dose may need to be changed.

If bone pain occurs or worsens during treatment, check with your doctor.

Side Effects of This Medicine

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

More common

Bone pain or tenderness (increased, continuing, or returning—in patients with Paget's disease)

Less common

Bone fractures, especially of the thigh bone

Rare

Hives; skin rash or itching; swelling of the arms, legs, face, lips, tongue, and/or throat

Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:

More common—at higher doses

Diarrhea; nausea

Less common—with injection

Loss of taste or metallic or altered taste

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Revised: 08/05/1997

The information contained in the Thomson Healthcare (Micromedex) products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Healthcare does not assume any responsibility or risk for your use of the Thomson Healthcare products.

Recent Drug Updates at DrugIndexOnline:





Busulfex Busulfex
Some commonly used brand names are: In the U.S.— Myleran Busulfex In Canada— Myleran Category Antineoplastic Description Busulfan (byoo-SUL-fan) belongs to the group of medicines known as alkylating agents. It is used to treat some kinds of cancer of the blood. It may als more...

Citracal Caplets Plus Citracal Caplets Plus
Generic Name: calcium and vitamin D combination (KAL see um and VYE ta min D) Brand Names: Calcarb with D, Calcet, Caltrate 600 with D, Caltro with Vitamin D, Citracal Caplets Plus, Dical Captabs, Dical-D, Dicalphos plus D, O-Cal-D, Os-Cal 250 with D, Os-Cal with D, Oysco D, Oysco D with more...

Dallergy Jr Dallergy Jr
Some commonly used brand names are: In the U.S.— Allerest Maximum Strength 7 Allerphed 14 Atrohist Pediatric 7 Atrohist Pediatric Suspension Dye Free 8 Benadryl Allergy Decongestant Liquid Medication 10 Brofed Liquid 3 Bromadrine TR 3 Bromfed 3 Bromfed-PD 3 Bromfenex 3 Bromfenex PD 3 Chlo more...

Erythromycin ophthalmic ointment Erythromycin ophthalmic ointment
Dosage Form: Ophthalmic ointment Rx only Erythromycin Description Erythromycin Ophthalmic Ointment belongs to the macrolide group of antibiotics. It is basic and readily forms a salt when combined with an acid. The base, as crystals or powder, is slightly soluble in water, moderately soluble in more...

Fosamax Fosamax
Generic Name: Alendronate 40 mg Tablets (a-LEN-droe-nate) Brand Name: FosamaxFosamax is used for:Treating Paget disease. It may also be used for other conditions as determined by your doctor. Fosamax is a bisphosphonate. It works by slowing bone loss. Do NOT use Fosamax if: you are allergic t more...

Gen-Glybe Gen-Glybe
Some commonly used brand names are: In the U.S.— Amaryl 4 DiaBeta 6 Diabinese 2 Dymelor 1 Glucotrol 5 Glucotrol XL 5 Glynase PresTab 6 Micronase 6 Orinase 8 Tolinase 7 In Canada— Albert Glyburide 6 Apo-Chlorpropamide 2 Apo-Glyburide 6 Apo-Tolbutamide 8 DiaBeta 6 Diabinese 2 Diamic more...

Lescol Lescol
Some commonly used brand names are: In the U.S.— Altoprev 4 Lescol 3 Lipitor 1 Mevacor 4 Pravachol 5 Zocor 6 Note: Baycol was removed from the U.S. market by Bayer in August 2001. In Canada— Lescol 3 Mevacor 4 Pravachol 5 Zocor 6 Other commonly used names are: Epistati more...

Nalfon Nalfon
Generic Name: fenoprofen (fen oh PROE fen) Brand Names: Nalfon, Nalfon 200 What is Nalfon (fenoprofen)? Fenoprofen is in a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Fenoprofen works by reducing hormones that cause inflammation and pain in the body. Fenoprofen more...