Tiludronic acid

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Tiludronic acid
Systematic (IUPAC) name
{[(4-Chlorophenyl)thio]methylene}bis(phosphonic acid)
Clinical data
Trade names Skelid
AHFS/Drugs.com International Drug Names
Legal status ?
Identifiers
CAS number 89987-06-4 YesY
ATC code M05BA05
PubChem CID 60937
DrugBank DB01133
UNII 6PNS59HP4Y N
KEGG D08599 N
ChEMBL CHEMBL1350 N
Chemical data
Formula C7H9ClO6P2S 
Mol. mass 318.609 g/mol
 N (what is this?)  (verify)

Tiludronic acid (INN; also known as tiludronate) is a bisphosphonate used for treatment of Paget's disease of bone (osteitis deformans) in human medicine. It has the tradename Skelid. In veterinary medicine, tiludronic acid is used to treat navicular disease and bone spavin in horses. Its tradenames are Tildren and Equidronate.

Administration

In human medicine, tiludronic acid is administered orally. The recommended dose is a single 400 mg daily oral dose, taken with 6 to 8 ounces of plain water only, should be administered for a period of 3 months. Beverages other than plain water (including mineral water), food, and some medications are likely to reduce absorption.

In horses, tiludronic acid is administered by IV infusion as absorption by oral route is very poor. The recommended dose is 1 mg/kg mixed with saline. The infusion should last at least 30 mn to avoid side effects.

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