All medications

Bone health

Zoledronic Acid

Brand names: Reclast

A yearly bisphosphonate infusion for osteoporosis.

Video lesson

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Zoledronic Acid
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Animated explainer

Osteoclasts remove boneOsteoblasts build bone
Step 1 of 4
How it works · Bone health
Bone is being lost

In osteoporosis, osteoclasts break down bone faster than osteoblasts can rebuild it.

What it’s used for

Osteoporosis, especially when pills cause stomach problems or are hard to take correctly.

How it works

A potent bisphosphonate that binds bone and slows osteoclasts for a full year.

How it’s taken

A 15-minute IV infusion once a year.

Side effects

Flu-like aches and fever for 1 to 3 days after the first dose, low calcium, and rare jaw or thigh bone problems.

Monitoring

Kidney function and calcium before each infusion. Vitamin D should be normal.

Good to know

Drinking plenty of water and taking acetaminophen around the infusion reduces aches.

At a glance

Class

Bone health

Brand names

Reclast

Reviewed by Farhan Tahir, MD, FACR

Questions about your own care?

Book an in-person or telehealth consultation with Dr. Tahir.

For education only. Don’t start, stop or change a medicine without talking to your care team.

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