Table 2

Bisphosphonate dosing according to renal function

CrCl rate (mL/min)CLO recommended dosage (1600 mg)ZOL recommended dosage (mg)Recommended infusion time for PAM (90 mg/500 mL NS IV)
>80 100%   
50-80 75%   
12-50 50-75%   
<12 50% or discontinue   
>60  4.0  
50-60  3.5  
40-49  3.3  
30-39  3.0 
<30  Not recommended Not recommended 
>30   2-4 h 
CrCl rate (mL/min)CLO recommended dosage (1600 mg)ZOL recommended dosage (mg)Recommended infusion time for PAM (90 mg/500 mL NS IV)
>80 100%   
50-80 75%   
12-50 50-75%   
<12 50% or discontinue   
>60  4.0  
50-60  3.5  
40-49  3.3  
30-39  3.0 
<30  Not recommended Not recommended 
>30   2-4 h 

CLO, clodronate; IV, intravenous; NS, ; PAM, pamidronate; ZOL, zoledronic acid; NS, normal saline.

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