Etidronate Other names: Disodium etidronate 1-hydroxyethane Etidronic acid 1,1-diphosphonic acid

Chemical formula: C₂H₈O₇P₂  Molecular mass: 206.028 g/mol  PubChem compound: 3305

Pharmacodynamic properties

Etidronate acts primarily on bone. It can inhibit the formation, growth, and dissolution of hydroxyapatite crystals and their amorphous precursors by chemisorption to calcium phosphate surfaces. Inhibition of crystal resorption occurs at lower doses than are required to inhibit crystal growth. Both effects increase as the dose increases.

Pharmacokinetic properties

Etidronate is not metabolized. The amount of drug absorbed after an oral dose is approximately 3%. In normal subjects, plasma half-life (t1/2) of etidronate, based on noncompartmental pharmacokinetics is 1 to 6 hours. Within 24 hours, approximately half the absorbed dose is excreted in urine; the remainder is distributed to bone compartments from which it is slowly eliminated. Animal studies have yielded bone clearance estimates up to 165 days. In humans, the residence time on bone may vary due to such factors as specific metabolic condition and bone type. Unabsorbed drug is excreted intact in the feces. Preclinical studies indicate etidronate disodium does not cross the blood-brain barrier.

Etidronate therapy does not adversely affect serum levels of parathyroid hormone or calcium.

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