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Pharmacologic active ingredient | Formulation | Route of administration | Indication and frequency |
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Alendronic acid (sodium salt) | Tab 70 mg Tab 10 mg | PO | Treatment of postmenopausal osteoporosis (70 mg/week) Treatment of osteoporosis in men (70 mg/week) Treatment and prevention of osteoporosis induced by glucocorticoids (70 mg/week) |
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Alendronic acid + cholecalciferol | Tab 70 mg/5600 UI | PO | Treatment of postmenopausal osteoporosis in patients with unsupplemented vitamin D deficit (70 mg/week) |
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Ibandronic acid (monosodium salt monohydrate) | Tab 50 mg Btl 6 mg/6 ml Tab 150 mg Btl 3 mg/3 ml | PO IV PO IV | Prevention of SREs in breast cancer patients with bone metastases (50 mg/day p.o. or 6 mg every 3–4 weeks iv.) Treatment of hypercalcemia of malignancy Treatment of postmenopausal osteoporosis in patients at high risk of fracture (150 mg/4 weeks p.o. or 3 mg every 3 months iv.) |
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Neridronate acid (sodium salt) | Btl 25 mg/2 ml Btl 100 mg/8 ml | IV/IM. IV | Osteogenesis imperfecta (2 mg/kg/3 months) Paget’s bone disease (different schedules) |
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Pamidronic acid (disodium salt) | Btl 15 mg/5 ml Btl 30 mg/10 ml Btl 60 mg/10 ml Btl 90 mg/10 ml | IV | Prevention of SREs in breast cancer patients with bone metastases or MM with bone lesions (60–90 mg every 3–4 weeks) Treatment of hypercalcemia of malignancy |
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Zoledronic acid (monohydrate) | Btl 4 mg/5 ml Btl 5 mg/100 ml | IV IV | Prevention of SREs in cancer patients with bone metastases or MM (4 mg every 3–4 weeks). Treatment of hypercalcemia of malignancy Treatment of osteoporosis in postmenopausal women, in men at increased risk of fracture, including those with a recent hip fracture from minor trauma (5 mg once per year) Treatment of bone Paget’s disease |
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Denosumab | Btl 120 mg Btl 60 mg | SC SC | Prevention of SREs in cancer patients with bone metastases (120 mg every 4 weeks) Treatment of hypercalcemia of malignancy. Osteoporosis (60 mg sc. every 6 months) |
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