Doctor insights on:
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 moreSee 1 more doctor answer
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
Took fosomax for 7 years with little benefit; then no meds for 2 years. Which has best risk/benefit ratio: reclast, (zoledronic acid) prolia, fortero, foxomax?
Possibly Forteo: The drugs which prevent bone breakdown, reclast, (zoledronic acid) Prolia and Fosamax are generally safe. A tiny percentage of patients may develop a jaw problem or atypical fractures of the thigh bone. Forteo builds bone and is not associated with the above rare problems. ...Read moreSee 1 more doctor answer
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
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
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