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Doctor insights on: Reclast Zoledronic Acid

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How long is fasting required before reclast (zoledronic acid) is taken?

How long is fasting required before reclast (zoledronic acid) is taken?

Good news for you!: Hi. You DO NOT HAVE TO FAST before, during, or after Reclast (zoledronic acid) being given! Reclast (zoledronic acid) is given intravenously, bypassing the GI tract entirely (unlike the oral bisphosphonates, which require fasting). Bon appetite! ...Read more

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Which is best? Prolia or reclast (zoledronic acid)

Which is best? Prolia or reclast (zoledronic acid)

Talk to your doctor: Those drugs work differently. Both have side effects. Your doctor can assess the potential benefits and risks for you, taking into account your health, including other conditions. If uncertain, consider second opinion from an osteoporosis specialist. ...Read more

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What medication has less side effects prolia or reclast (zoledronic acid)?

What medication has less side effects prolia or reclast (zoledronic acid)?

Prolia: Both medications are anti-resorptive, meaning they prevent breakdown of your bone. Reclast (zoledronic acid) has been used for longer so has more side-effects that are known. It also can not be used if you have kidney problems. Prolia is an injection every 6 months (vs. 12 months with reclast). Both medications tend to be very well tolerated. ...Read more

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My wife needs to go in for a Reclast (zoledronic acid) Infusion for Osteoporosis! What are the symptoms and what is the percentages of people that have symptoms?

My wife needs to go in for a Reclast (zoledronic acid) Infusion for Osteoporosis! What are the symptoms and what is the percentages of people that have symptoms?

Reclast (zoledronic acid): There are many patients in whom the bone density study reports low bone density but this does not always cause any symptoms. Reclast (zoledronic acid) will stop further bone loss and may increase bone density.
Tell your wife that she need not worry about this treatment if she does not have any indication of bone fractures.
If she had those issues her doctor should/would have told her. ...Read more

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Is it complicated to have a tooth extracted if you've had a reclast (zoledronic acid) infusion? Last infusion was 2011.

Is it complicated to have a tooth extracted if you've had a reclast (zoledronic acid) infusion? Last infusion was 2011.

Two issues: It may or may not be complicated based upon the condition of the tooth and supporting structures. There should be no problem in regards to the medication taken years ago at this point in time. ...Read more

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Myasthenia Gravis HAVE to be on osteoporosis med. I'm severe! Interactions with Reclast (zoledronic acid) IV & MG? Scared once in system what if it flares my MG?

Myasthenia Gravis HAVE to be on osteoporosis med. I'm severe! Interactions with Reclast (zoledronic acid) IV & MG? Scared once in system what if it flares my MG?

Osteoporosis meds: One issue with some medications used in rheumatoid arthritis, is presence of anti-tumor necrosis factor action, which can make MS worse, but this mechanism does not seem salient in osteoporosis drugs, and these would be very unlikely to adversely affect Myasthenia, as Reclast (zoledronic acid) does not affect acetylcholine in any profound way. Discuss further with your doctor, but I do NOT see a problem. ...Read more

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Which drug would you choose for osteoporosis of hip prolia or reclast (zoledronic acid) what is better tolerated less side effects?

Which drug would you choose for osteoporosis of hip prolia or reclast (zoledronic acid) what is better tolerated less side effects?

Depends: Both drugs are effective in the treatment of osteoporosis involving the hip. Prolia is likely to work better than reclast, (zoledronic acid) though there are no head to head studies comparing the two. Prolia is typically used in people who have had a previous fracture (spine, wrist), or have very severe osteoporosis. Both are well tolerated with few side effects. Prolia is given twice yearly, Reclast (zoledronic acid) once yearly. ...Read more

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Is fasting necessary when reclast (zoledronic acid) is taken as a suplement for vitamin d use on the day administered? Any answer appreciated.

Is fasting necessary when reclast (zoledronic acid) is taken as a suplement for vitamin d use on the day administered? Any answer appreciated.

Doesn't matter: Hi. It doesn't matter if you're fasting or fed when you're given Reclast (zoledronic acid) (zoledronate administered IV). Vitamin D is better absorbed if taken with food. ...Read more

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My doctor recommended reclast (zoledronic acid) for" convenience." I'm only concerned about the risks/benefits of a drug. Should I choose prolia or fosomax instead?

My doctor recommended reclast (zoledronic acid) for" convenience." I'm only concerned about the risks/benefits of a drug. Should I choose prolia or fosomax instead?

Alendronate is good.: Oral bisphosphonates are generally first line agents becuase of efficacy, price and long term safety record. Alendronate once a week or risedronate are good choices. The other meds are second line. ...Read more

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Have myasthenia gravis, severe osteoporosis. Scared of "another med" to treat osteo and it NOT flare/worsen MG!! Reclast, (zoledronic acid) Proliva, Forteo? Try shot 1st?

Have myasthenia gravis, severe osteoporosis. Scared of "another med" to treat osteo and it NOT flare/worsen MG!! Reclast, (zoledronic acid) Proliva, Forteo? Try shot 1st?

Osteoporosis: unfortunately there's no easy answer. We are lucky to have many options for osteoporosis and each drug comes with risks and benefits. Your medial history, labs, x-Rays & DEXA have to be factored in before individualizing your treatments. Please discuss with your doctors. Best wishes. ...Read more

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I have had one IV infusion of reclast (zoledronic acid) and need dental extractions. And woul like two implants is this safe?

I have had one IV infusion of reclast (zoledronic acid) and need dental extractions. And woul like two implants is this safe?

Statistically, Yes: If you take research seriously, and most of us in the profession definitely do, then there is little chance of osteonecrosis of bone from a single IV dose of reclast (zoledronic acid). That said, your chances are higher than someone who does not take reclast (zoledronic acid), and the IV form (versus the oral pill) is also a more elevated risk, statistically. Overall, talk with your dmd and get his/her take, but you should be fine. ...Read more

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I took a reclast (zoledronic acid) infusion feb. 27 and I now need a tooth removed due to a cavity. Is it safe to have it removed?

I took a reclast (zoledronic acid) infusion feb. 27 and I now need a tooth removed due to a cavity. Is it safe to have it removed?

It depends...: On whether you have taken any other osteoporosis medication before this last Reclast (zoledronic acid) injection, including another dose of Reclast (zoledronic acid) previously. After reviewing your history with these medications, your oral surgeon can discuss the potential risks you may face and when the extraction might be safest. If delay is suggested, a root canal could buy you time. ...Read more

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Does reclast (zoledronic acid) interfere with knee replacement surgery?

Does reclast (zoledronic acid) interfere with knee replacement surgery?

I don't think so: Medicines like Reclast (zoledronic acid) are just about standard of care following repair of hip fractures (along with vitamin d and calcium). I am not aware studies in elective knee replacement though. Certainly check with your orthopedic surgeon. ...Read more

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My grandma is in the hospital she has flu like symptoms and is severely confused not irinating much she had the IV reclast (zoledronic acid) yesterday. What's going on?

Delerium: Your grandmother is experiencing a common problem in elderly patients when hospitalized- the medical term for her confusion is "delerium" ; she has several risk factors: age, acute illness, dehydration, fever, unfamiliar environment (hospital) ; probably medications. It is unlikely the Reclast (zoledronic acid) is causing her confusion.
Dementia also increases her risk- hopefully, she will improve on discharge. ...Read more

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May 7 I had a Reclast (zoledronic acid) I.V. for bone density and since I have been in severe bone and muscle pain. Is there a way I can detox/flush it from my body?

May 7 I had a Reclast (zoledronic acid) I.V. for bone density and since I have been in severe bone and muscle pain. Is there a way I can detox/flush it from my body?

Reclast (zoledronic acid): Regrettably Reclast (zoledronic acid) can cause pain, albeit infrequently. Reclast (zoledronic acid) is given once a year and over time the pain wears off. I would check with your doctor regarding the most effective pain relief therapy. ...Read more

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What should my concerns be if I have RA and have been given a reclast (zoledronic acid) injection? Dexa scan -2.6 take zocor, plavix currently RA not active-not taking meds for it, have had methtrexate or embril in past, due to heart attack have lost w

What should my concerns be if I have RA and have been given a reclast (zoledronic acid) injection? Dexa scan -2.6 take zocor, plavix currently RA not active-not taking meds for it, have had methtrexate or embril in past, due to heart attack have lost w

Weel: Weel for what I can understand you hade rheumatoid arthrtis that was treated with embrel and Methotrexate, and at this time you are in remission.
Congratulations on your acomplishment on the weight loss and the excersice program. Taht a winner
you don t have to be wrried or concern about the Reclast (zoledronic acid), pt wit RA have a higher risk of developing osteoporosis, and are the ones that need to be treated.
As far as the side effects, is like with every medication, or any activity in life. And the risks are undersurveillance and known, and accepted by the authorities in the department of health as adecuate for use. So you received Reclast (zoledronic acid), because there was an indication that justifies its use, and the likelihood of an adverse effect is low. There is no interaction between the Reclast (zoledronic acid) and the rheumatoid artjhrtis. ...Read more

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Diagnosed with severe osteoporosis of hip and spine. Md is ordering reclast (zoledronic acid) injection. Is there a homeopathic treatment for osteoporosis? Looking for, homeopathic md in my area glastonbury, ct.

Diagnosed with severe osteoporosis of hip and spine. Md is ordering reclast (zoledronic acid) injection. Is there a homeopathic treatment for osteoporosis? Looking for, homeopathic md in my area glastonbury, ct.

Absolutely not: Osteoporosis needs to be treated with medications such as Reclast (zoledronic acid) that will hopefully improve bone density and reduce fracture risk. Every month you wait you lose more bone mass. Your smoking is a major cause of your osteoporosis and you should stop this habit now. ...Read more

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I have hepatitis C genotype 1 osteoporosis thyroid high iron fatty liver can I take reclast (zoledronic acid) infusion?

You can: To my knowledge, there is no reports of injury to liver with this medication. Chronic liver disease, especially cirrhosis can cause osteoporosis, so it should be treated. I would also recommend to see specialist to treat your hepatitis c, since there are new medications, hopefully get approved end of this year. These are highly effective (>90% cure rate). ...Read more

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My brother has spinal stenosis can he get zoledronic acid reclast injection?

My brother has spinal stenosis can he get zoledronic acid reclast injection?

Spinal stenosis: Zolendronic acid is a drug used for osteoporosis or thinning of the bones. It will not work for spinal stenosis. I recommend seeing a spine specialist. ...Read more

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Can intravenous infusion zoledronic acid replace oral bisphosphonates?

Yes: Depending on the indication, zoledronic acid can be given as a single intravenous infusion once a year to replace your intake of oral bisphosphonates for osteoporosis. ...Read more

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How do I treat severe muscle pain after taking zoledronic acid?

How do I treat severe muscle pain after taking zoledronic acid?

Tylenol (acetaminophen): Approximately 20% get this. It lasts for several days and can be associated with a low grade fever. It can be very unpleasant; feels like you have the flu. In general this is treated with Acetaminophen but no more than 1000 mg 3 times daily. If symptoms persist I would see your provider. ...Read more

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What are the effects of having zoledronic acid infusion with severe vitamin d deficiency?

What are the effects of having zoledronic acid infusion with severe vitamin d deficiency?

Vitamin D deficiency: Why are you getting zolendronic acid at such a young age?
What is the vitamin D level that is so low, and, if so, why is it so low?
Please let me hear from you. ...Read more

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70 years male with stomach cancer metastasized to liver and bone, is this a good chemo drug combination (capecitabine+oxaliplatin+zoledronic acid)?

70 years male with stomach cancer metastasized to liver and bone, is this a good chemo drug combination (capecitabine+oxaliplatin+zoledronic acid)?

Chemo: If you can tolerate capecitabine, the regiment will be good for the type of cancer. Also, consider to check her2-neu receptor status of the cancer - as if her2-neu receptor is positive, Herceptin (trastuzumab) which is an inhibitor to the her2-neu receptor should be considered as one of treatment options. ...Read more

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