Risedronate: Difference between revisions
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{{DrugProjectFormSinglePage | |||
|authorTag={{SS}} | |||
|genericName=Risedronate sodium | |||
|aOrAn=a | |||
|drugClass=Bisphosphonate | |||
|indication=[[Postmenopausal Osteoporosis]], [[Osteoporosis]] in Men, [[Glucocorticoid-Induced Osteoporosis]], [[Paget’s Disease]] | |||
|adverseReactions=Rash,Abdominal pain, Constipation,Diarrhea,Indigestion,Nausea,Backache,Urinary tract infectious disease,Influenza-like illness | |||
|blackBoxWarningTitle=<b><span style="color:#FF0000;">TITLE</span></b> | |||
|blackBoxWarningBody=<i><span style="color:#FF0000;">Condition Name:</span></i> (Content) | |||
|fdaLIADAdult=<H4>[[Postmenopausal Osteoporosis]]</H4> | |||
* Recommended regimen is: | |||
:* '''5 mg PO qd''' | |||
:* '''35 mg PO once-a-week''' | |||
:* '''75 mg PO''' taken on two consecutive days for a total of two tablets each month | |||
:* '''150 mg''' PO taken once-a-month | |||
<H4>Prevention of [[Postmenopausal Osteoporosis]]</H4> | |||
* Recommended regimen is: | |||
:* '''5 mg PO qd''' | |||
:* '''35 mg PO taken once-a-week''' | |||
:* alternatively, '''75 mg PO''' taken on two consecutive days for a total of two tablets each month may be considered | |||
:* alternatively, ‘’‘150 mg PO’‘’, taken once-a-month may be considered | |||
<h4>Treatment to Increase Bone Mass in Men with [[Osteoporosis]]</h4> | |||
* Recommended regimen is: | |||
:* '''35 mg PO once-a-week''' | |||
<h4>Treatment and Prevention of [[Glucocorticoid-Induced Osteoporosis]]</h4> | |||
* Recommended regimen is: | |||
:* '''5 mg PO qd''' | |||
<h4>Treatment of [[Paget’s Disease]]</h4> | |||
* Recommended treatment regimen: '''30 mg PO qd''' for 2 months. | |||
::* Retreatment may be considered (following post-treatment observation of at least 2 months) if relapse occurs, or if treatment fails to normalize serum alkaline phosphatase. For retreatment, the dose and duration of therapy are the same as for initial treatment. No data are available on more than 1 course of retreatment. | |||
|offLabelAdultGuideSupport=There is limited information regarding <i>Off-Label Guideline-Supported Use</i> of Risedronate in adult patients. | |||
|offLabelAdultNoGuideSupport=There is limited information regarding <i>Off-Label Non–Guideline-Supported Use</i> of Risedronate in adult patients. | |||
|offLabelPedGuideSupport=There is limited information regarding <i>Off-Label Guideline-Supported Use</i> of Risedronate in pediatric patients. | |||
|offLabelPedNoGuideSupport=There is limited information regarding <i>Off-Label Non–Guideline-Supported Use</i> of Risedronate in pediatric patients. | |||
|drugBox={{drugbox2 | |||
| IUPAC_name = (1-hydroxy-1-phosphono-2-pyridin-3-yl-ethyl)phosphonic acid | |||
| image = Risedronate.svg | |||
| width = 161px | |||
| CAS_number = 105462-24-6 | |||
| ATC_prefix = M05 | |||
| ATC_suffix = BA07 | |||
| PubChem = 5245 | |||
| DrugBank = APRD00410 | |||
| C = 7 |H = 11 |N = 1 |O = 7 |P = 2 | |||
| molecular_weight = 283.112 [[Gram|g]]/[[Mole (unit)|mol]] | |||
| smiles = OC(Cc1cccnc1)(P(=O)(O)O)P(=O)(O)O | |||
| bioavailability = 0.63% | |||
| protein_bound = ~24% | |||
| metabolism = None | |||
| elimination_half-life = 1.5 hours | |||
| excretion = [[Kidney|Renal]] and fecal | |||
| pregnancy_AU = B3 | |||
| pregnancy_US = C | |||
| legal_UK = POM | |||
| legal_US = Rx-only | |||
| routes_of_administration = Oral | |||
}} | |||
|alcohol=Alcohol-Risedronate interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication. | |||
}} |
Revision as of 15:39, 27 August 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sheng Shi, M.D. [2]
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Overview
Risedronate is a Bisphosphonate that is FDA approved for the {{{indicationType}}} of Postmenopausal Osteoporosis, Osteoporosis in Men, Glucocorticoid-Induced Osteoporosis, Paget’s Disease. Common adverse reactions include Rash,Abdominal pain, Constipation,Diarrhea,Indigestion,Nausea,Backache,Urinary tract infectious disease,Influenza-like illness.
Adult Indications and Dosage
FDA-Labeled Indications and Dosage (Adult)
Postmenopausal Osteoporosis
- Recommended regimen is:
- 5 mg PO qd
- 35 mg PO once-a-week
- 75 mg PO taken on two consecutive days for a total of two tablets each month
- 150 mg PO taken once-a-month
Prevention of Postmenopausal Osteoporosis
- Recommended regimen is:
- 5 mg PO qd
- 35 mg PO taken once-a-week
- alternatively, 75 mg PO taken on two consecutive days for a total of two tablets each month may be considered
- alternatively, ‘’‘150 mg PO’‘’, taken once-a-month may be considered
Treatment to Increase Bone Mass in Men with Osteoporosis
- Recommended regimen is:
- 35 mg PO once-a-week
Treatment and Prevention of Glucocorticoid-Induced Osteoporosis
- Recommended regimen is:
- 5 mg PO qd
Treatment of Paget’s Disease
- Recommended treatment regimen: 30 mg PO qd for 2 months.
- Retreatment may be considered (following post-treatment observation of at least 2 months) if relapse occurs, or if treatment fails to normalize serum alkaline phosphatase. For retreatment, the dose and duration of therapy are the same as for initial treatment. No data are available on more than 1 course of retreatment.
Off-Label Use and Dosage (Adult)
Guideline-Supported Use
There is limited information regarding Off-Label Guideline-Supported Use of Risedronate in adult patients.
Non–Guideline-Supported Use
There is limited information regarding Off-Label Non–Guideline-Supported Use of Risedronate in adult patients.
Pediatric Indications and Dosage
FDA-Labeled Indications and Dosage (Pediatric)
There is limited information regarding Risedronate FDA-Labeled Indications and Dosage (Pediatric) in the drug label.
Off-Label Use and Dosage (Pediatric)
Guideline-Supported Use
There is limited information regarding Off-Label Guideline-Supported Use of Risedronate in pediatric patients.
Non–Guideline-Supported Use
There is limited information regarding Off-Label Non–Guideline-Supported Use of Risedronate in pediatric patients.
Contraindications
There is limited information regarding Risedronate Contraindications in the drug label.
Warnings
There is limited information regarding Risedronate Warnings' in the drug label.
Adverse Reactions
Clinical Trials Experience
There is limited information regarding Risedronate Clinical Trials Experience in the drug label.
Postmarketing Experience
There is limited information regarding Risedronate Postmarketing Experience in the drug label.
Drug Interactions
There is limited information regarding Risedronate Drug Interactions in the drug label.
Use in Specific Populations
Pregnancy
Pregnancy Category (FDA):
There is no FDA guidance on usage of Risedronate in women who are pregnant.
Pregnancy Category (AUS):
There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Risedronate in women who are pregnant.
Labor and Delivery
There is no FDA guidance on use of Risedronate during labor and delivery.
Nursing Mothers
There is no FDA guidance on the use of Risedronate in women who are nursing.
Pediatric Use
There is no FDA guidance on the use of Risedronate in pediatric settings.
Geriatic Use
There is no FDA guidance on the use of Risedronate in geriatric settings.
Gender
There is no FDA guidance on the use of Risedronate with respect to specific gender populations.
Race
There is no FDA guidance on the use of Risedronate with respect to specific racial populations.
Renal Impairment
There is no FDA guidance on the use of Risedronate in patients with renal impairment.
Hepatic Impairment
There is no FDA guidance on the use of Risedronate in patients with hepatic impairment.
Females of Reproductive Potential and Males
There is no FDA guidance on the use of Risedronate in women of reproductive potentials and males.
Immunocompromised Patients
There is no FDA guidance one the use of Risedronate in patients who are immunocompromised.
Administration and Monitoring
Administration
There is limited information regarding Risedronate Administration in the drug label.
Monitoring
There is limited information regarding Risedronate Monitoring in the drug label.
IV Compatibility
There is limited information regarding the compatibility of Risedronate and IV administrations.
Overdosage
There is limited information regarding Risedronate overdosage. If you suspect drug poisoning or overdose, please contact the National Poison Help hotline (1-800-222-1222) immediately.
Pharmacology
Risedronate
| |
Systematic (IUPAC) name | |
(1-hydroxy-1-phosphono-2-pyridin-3-yl-ethyl)phosphonic acid | |
Identifiers | |
CAS number | |
ATC code | M05 |
PubChem | |
DrugBank | |
Chemical data | |
Formula | Template:OrganicBox atomTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox |
Mol. mass | 283.112 g/mol |
SMILES | & |
Pharmacokinetic data | |
Bioavailability | 0.63% |
Protein binding | ~24% |
Metabolism | None |
Half life | 1.5 hours |
Excretion | Renal and fecal |
Therapeutic considerations | |
Pregnancy cat. | |
Legal status |
POM(UK) [[Prescription drug|Template:Unicode-only]](US) |
Routes | Oral |
Mechanism of Action
There is limited information regarding Risedronate Mechanism of Action in the drug label.
Structure
There is limited information regarding Risedronate Structure in the drug label.
Pharmacodynamics
There is limited information regarding Risedronate Pharmacodynamics in the drug label.
Pharmacokinetics
There is limited information regarding Risedronate Pharmacokinetics in the drug label.
Nonclinical Toxicology
There is limited information regarding Risedronate Nonclinical Toxicology in the drug label.
Clinical Studies
There is limited information regarding Risedronate Clinical Studies in the drug label.
How Supplied
There is limited information regarding Risedronate How Supplied in the drug label.
Storage
There is limited information regarding Risedronate Storage in the drug label.
Images
Drug Images
{{#ask: Page Name::Risedronate |?Pill Name |?Drug Name |?Pill Ingred |?Pill Imprint |?Pill Dosage |?Pill Color |?Pill Shape |?Pill Size (mm) |?Pill Scoring |?NDC |?Drug Author |format=template |template=DrugPageImages |mainlabel=- |sort=Pill Name }}
Package and Label Display Panel
{{#ask: Label Page::Risedronate |?Label Name |format=template |template=DrugLabelImages |mainlabel=- |sort=Label Page }}
Patient Counseling Information
There is limited information regarding Risedronate Patient Counseling Information in the drug label.
Precautions with Alcohol
Alcohol-Risedronate interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.
Brand Names
There is limited information regarding Risedronate Brand Names in the drug label.
Look-Alike Drug Names
There is limited information regarding Risedronate Look-Alike Drug Names in the drug label.
Drug Shortage Status
Price
References
The contents of this FDA label are provided by the National Library of Medicine.