Intravenous Etidronate in the Management of Malignant Hypercalcemia

Elisabeth Ryzen, Raymond R. Martodam*, Mark Troxell, Al Benson, Alexander Paterson, Kirk Shepard, Richard Hicks

*Corresponding author for this work

Research output: Contribution to journalArticle

63 Scopus citations

Abstract

• The treatment of hypercalcemia remains a common problem in the management of many patients with cancer. We have used intravenously administered etidronate disodium as a therapy for hypercalcemia in 26 patients with malignant disease. Patients with persistent hypercalcemia despite adequate hydration and a serum creatinine level less than or equal to 1.5 mg/dL were allowed on study. Treatment consisted of intravenously administered etidronate disodium at 7.5 mg/kg/day in 250 mL of saline infused over two hours on 1, 2,3, or 4 consecutive days. The serum calcium level in 19 (73%) of 26 patients returned to the normal range with a mean response time of 3±2 days. Similar response rates were seen in patients with a variety of tumors, including breast cancer, non—small-cell lung cancer, and multiple myeloma. Intravenously administered etidronate appears to be safe and effective therapy for hypercalcemia in patients with malignant disease.

Original languageEnglish (US)
Pages (from-to)449-452
Number of pages4
JournalArchives of Internal Medicine
Volume145
Issue number3
DOIs
StatePublished - Mar 1985

ASJC Scopus subject areas

  • Internal Medicine

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    Ryzen, E., Martodam, R. R., Troxell, M., Benson, A., Paterson, A., Shepard, K., & Hicks, R. (1985). Intravenous Etidronate in the Management of Malignant Hypercalcemia. Archives of Internal Medicine, 145(3), 449-452. https://doi.org/10.1001/archinte.1985.00360030089018