Doctor insights on:
Zoledronic Acid Medication
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
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
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?
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?
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
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
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
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 fasting necessary when reclast (zoledronic acid) is taken as a suplement for vitamin d use on the day administered? Any answer appreciated.
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
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
Took fosomax for 7 yrs with little benefit (slightly worse each yr), then no meds x2 yrs. Which has best risk/benefit ratio: reclast, (zoledronic acid) prolia, fosomax? Ctx test results >300 so md eliminated forteo.
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