Pamidronate Disodium Solution for injection

What is this medicine?

PAMIDRONATE (pa mi DROE nate) slows calcium loss from bones. It is used to treat high calcium blood levels from cancer or Paget's disease. It is also used to treat bone pain and prevent fractures from certain cancers that have spread to the bone.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• aspirin-sensitive asthma

• dental disease

• kidney disease

• an unusual or allergic reaction to pamidronate, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

This medicine is for infusion into a vein. It is given by a health care professional in a hospital or clinic setting.

Talk to your pediatrician regarding the use of this medicine in children. This medicine is not approved for use in children.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

This does not apply.

What may interact with this medicine?

• certain antibiotics given by injection

• medicines for inflammation or pain like ibuprofen, naproxen

• some diuretics like bumetanide, furosemide

• cyclosporine

• parathyroid hormone

• tacrolimus

• teriparatide

• thalidomide

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor for regular check ups. Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse. You will need important blood work while you are taking this medicine.

Some people who take this medicine have severe bone, joint, and/or muscle pain. Tell your doctor if you have pain that does not go away or that gets worse.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• black or tarry stools

• changes in vision

• eye inflammation, pain

• high blood pressure

• jaw pain, especially burning or cramping

• muscle weakness

• numb, tingling pain

• swelling of feet or hands

• trouble passing urine or change in the amount of urine

• unable to move easily

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• bone, joint, or muscle pain

• constipation

• dizzy, drowsy

• fever

• headache

• loss of appetite

• nausea, vomiting

• pain at site where injected

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

This drug is given in a hospital or clinic and will not be stored at home.