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Sodium clodronate
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About sodium clodronate
| Type of medicine | Bisphosphonate |
| Used for | Hypercalcaemia (too much calcium in the blood) Some types of bone pain |
| Also called | Bonefos®; Clasteon®; Loron 520® |
| Available as | Tablets, capsules, injection |
Sodium clodronate works by binding to bone and reducing the rate at which bone is broken down.
When bone is broken down, calcium is lost from the bone and seeps into the blood. In cancer, there is excessive breakdown of bone which leads to high levels of calcium in the blood. As sodium clodronate prevents bone from being broken down as quickly, it reduces these high levels of calcium in the blood that are a result of cancer.
Before taking sodium clodronate
Before taking sodium clodronate make sure your doctor or pharmacist knows:
- If you are pregnant, trying for a baby or breast-feeding.
- If you suffer from kidney problems.
- If you have an upset stomach or bowel.
- If you are due to have any dental treatment. Your doctor will advise that your dental treatment is completed before starting this medicine.
- If you are taking other medicines, including those available to buy without a prescription, herbal or complementary medicines.
- If you have ever had an allergic reaction to this or any other medicine.
How to take sodium clodronate
- Before beginning treatment, read the manufacturer's printed information leaflet.
- Take your medication exactly as directed by your doctor.
- Try to take sodium clodronate at the same times each day to avoid missing any doses.
- If you do forget to take a dose, don't worry, just take the next dose when it is due.
Getting the most from your treatment
- Avoid food for at least one hour before and one hour after each dose of sodium clodronate. You should also avoid milk, any drinks containing milk, iron supplements, mineral supplements and indigestion remedies during this two hour period as these prevent the sodium clodronate from working as it should.
- Drink plenty of water while you are taking sodium clodronate.
- If you are having any dental treatment, tell your dentist that you are taking a bisphosphonate as some dental treatments are not recommended while you are taking sodium clodronate.
- Keep your regular doctor's appointment so your progress can be monitored. Your doctor will want to check your calcium levels and do other tests from time to time.
- If you buy any medicines, check with a pharmacist that they are safe to take with sodium clodronate as some are not, for example, non-steroidal anti-inflammatory drugs (NSAIDs).
Can sodium clodronate cause problems?
Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side effects continue or become troublesome.
| Common side-effects - these affect less than 1 in 10 people who take this medicine | What can I do if I experience this |
| Feeling or being sick | Stick to simple foods and try taking half of your dose in the morning and the remaining half in the evening |
| Diarrhoea | Drink plenty of water to replace any lost fluids and try taking half of your dose in the morning and the remaining half in the evening |
| Skin rash, redness or itching, difficulty breathing | If troublesome, speak with your doctor |
If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist.
How to store sodium clodronate
- Keep all medicines out of the reach of children.
- Store in a cool, dry place, away from direct heat and light.
Important information about all medicines
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References
- Manufacturer's PIL, Bonefos®, Bayer plc, electronic Medicines Compendium. Revised June 2007, accessed 22 may 2008.
- Manufacturer's PIL, Loron®, Roche Products Ltd, electronic Medicines Compendium. Revised October 2006, accessed 22 May 2008.
- Manufacturer's PIL, Clasteon®, Beacon Pharmaceuticals, electronic Medicines Compendium. Revised may 2007, accessed 22 may 2008.
- British National Formulary; 55th Edition (March 2008) British Medical Association and Royal Pharmaceutical Society of Great Britain, London.
The authors and editors of this article are employed to create accurate and up to date content reflecting reliable research evidence, guidance and best clinical practice. They are free from any commercial conflicts of interest. Find out more about updating.
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