Product image of Nordeloz (Zoledronic Acid) supplied by GNH India

Nordeloz

Active Ingredient:
Zoledronic Acid
Origin:
EU

Nordeloz (Zoledronic Acid)

Zoledronic Acid, the active ingredient in Nordeloz, is a bisphosphonate presented as an intravenous formulation for infusion use. It is employed to treat bone‑related disorders such as osteoporosis, Paget's disease, bone metastases and hypercalcemia of malignancy in adult patients.
GNH India supplies Nordeloz as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Rafarm Sa.

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Indications & Clinical Uses

Nordeloz is a bisphosphonate that acts on conditions characterized by excessive bone resorption.

  • Osteoporosis: reduces fracture risk by strengthening bone density.
  • Paget's disease of bone: normalises abnormal bone turnover and alleviates pain.
  • Bone metastases: limits skeletal complications and pain associated with cancer spread to bone.
  • Hypercalcemia of malignancy: lowers elevated calcium levels caused by malignant disease.

How It Works

  • Zoledronic Acid binds avidly to hydroxyapatite crystals on bone surfaces, where it is internalised by osteoclasts. Inside the cell it inhibits farnesyl pyrophosphate synthase, disrupting prenylation of small GTP‑binding proteins, leading to osteoclast apoptosis and a marked reduction in bone resorption.

Side Effects

Adverse reactions may occur with intravenous bisphosphonate therapy.

Common Side Effects

  • Acute phase reaction: fever, chills, myalgia.
  • Nausea or vomiting.
  • Headache.
  • Fatigue.
  • Transient elevation of serum creatinine.

Serious or Rare Side Effects

  • Renal toxicity or acute kidney injury.
  • Severe hypocalcaemia.
  • Osteonecrosis of the jaw.
  • Atrial fibrillation or other cardiac arrhythmias.
  • Anaphylactic or severe allergic reactions.

Precautions & Warnings

Prior to administration, clinicians should evaluate patient‑specific risk factors.

  • Renal function assessment: ensure adequate glomerular filtration before infusion.
  • Serum calcium monitoring: correct hypocalcaemia before treatment.
  • Concomitant nephrotoxic drugs: avoid or adjust dosing when possible.
  • Hydration status: maintain adequate fluid intake to reduce renal stress.
  • Dental health: perform oral examination and treat infections before therapy.
  • Store at ambient temperature: keep in original packaging, protect from moisture and light.

Avoid Interactions

Zoledronic Acid may interact with several medication classes.

Major Interactions (Avoid)

  • Concurrent use of other bisphosphonates or potent nephrotoxic agents (e.g., aminoglycosides).
  • High‑dose vitamin D or calcitriol that may precipitate hypercalcaemia.
  • Loop diuretics that increase renal calcium excretion.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs) that can affect renal function.
  • Corticosteroids, which may exacerbate bone loss.
  • Calcium supplements or antacids containing aluminium/magnesium that can interfere with absorption.

Frequently Asked Questions

Nordeloz, containing zoledronic acid, is indicated for adult patients with osteoporosis, Paget's disease of bone, bone metastases from solid tumours, and hypercalcemia of malignancy. In each case the drug works by reducing excessive bone resorption, helping to stabilise bone structure and manage calcium levels.

Zoledronic acid binds to bone mineral surfaces and is taken up by osteoclasts, the cells that break down bone. It blocks the enzyme farnesyl pyrophosphate synthase, which is essential for osteoclast function, leading to cell apoptosis and a marked decrease in bone resorption.

The dosing regimen for Nordeloz is determined by the prescribing clinician based on the specific indication, patient weight, renal function and other clinical factors. Healthcare professionals follow approved guidelines and adjust the infusion schedule as needed for each individual.

Safety data for zoledronic acid in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies the potential risk to the fetus or infant. Clinicians typically avoid prescribing it to pregnant or nursing women unless absolutely necessary.

To place an order, submit an enquiry on the Nordeloz product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any required import documentation.

Nordeloz (zoledronic acid) is a highly potent, once‑yearly or once‑every‑few‑months intravenous bisphosphonate, offering greater convenience compared with oral agents that require daily or weekly dosing. Its strong affinity for bone provides sustained inhibition of resorption, but it also carries a higher risk of acute infusion‑related reactions.

Nordeloz should be stored at ambient temperature, below 25 °C, in its original packaging. The container should be kept away from moisture and direct sunlight to preserve drug stability until the time of preparation for infusion.

Nordeloz is given as an intravenous infusion over a short period, typically 15 minutes, under the supervision of a qualified healthcare professional. The infusion is performed in a clinical setting where vital signs can be monitored and any acute reactions can be managed promptly.

The most serious adverse events include renal toxicity, severe hypocalcaemia, osteonecrosis of the jaw, and rare cases of anaphylaxis or cardiac arrhythmias such as atrial fibrillation. Patients should be screened for renal impairment and calcium levels before each dose, and dental health should be assessed prior to treatment.

Nordeloz is contraindicated in patients with known hypersensitivity to zoledronic acid or any component of the formulation, those with severe renal impairment (creatinine clearance <30 mL/min), and individuals with untreated hypocalcaemia. Caution is also advised for patients with active dental infections or recent oral surgery.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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