What does it do?

Pamidronate is used to treat bone pain caused by cancer, and reduce the amount of calcium in your body.

Before you start

• Tell your doctor if you have kidney, parathyroid, or dental problems.
• Pamidronate can cause kidney problems. Your doctor will check how your kidneys are working before your infusion.
• Pamidronate may cause problems in your jaw bone. You should be offered a dental check-up before you start to make sure your teeth and gums are healthy. Clean your teeth and visit your dentist regularly. Before you have any dental work, tell your dentist you have had a pamidronate infusion.
• Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

How is it given?

Pamidronate is given as an infusion into a vein over 2 to 4 hours.

Can you take other medicines?

Some medicines available without a prescription may react with pamidronate including:

• anti-inflammatories, such as diclofenac (e.g. Voltaren®), ibuprofen (e.g. Nurofen®), or aspirin (e.g. Disprin®, in doses used for pain relief). These can also be found in some cold and flu medicines (e.g. Nurofen Cold and Flu®).

Tell your pharmacist or doctor about all medicines or treatments that you may be taking, including vitamins, herbal products or recreational drugs.

What side effects might you notice?

Side Effects	Recommended action
Eye pain, changes in vision	Tell your doctor immediately
Symptoms of low calcium in your blood, including: tingling or numbness, muscle spasms, short of breath Joint, muscle or bone aches and pains Stomach upset Pain, tenderness or redness at injection site	Tell your doctor if troublesome
Flu-like symptoms (fever, chills, aches and pains)	This usually passes after a few days, take paracetamol if needed

If you notice any other effects, discuss them with your doctor or pharmacist.