Daily Column

DEAR DR. GOTT:
I’m writing regarding your past column concerning the side effects of Actonel. I’ve taken Fosamax and Boniva for osteoporosis and had a terrible reaction to both. The first one put me in the hospital for five days because I was having the same symptoms as a heart attack. The Boniva that I was switched to gave me the same reaction, just not as bad. Still, it was enough to scare me. My doctor said we would never try those medications again.

DEAR READER:
As I originally reported, Actonel is ordinarily a beneficial drug. However, some people suffer side effects. Most are mild and do not justify discontinuing the drug, yet some are extremely serious. Chest and back pain, esophageal stricture, joint pain, nausea, diarrhea, back and abdominal pain, hypertension, urinary tract infections and more have been reported. As I’ve said in the past, all biphosphonates can cause osteonecrosis of the jaw, destruction and death of bone tissue. Therefore, any decision to begin a trial of a drug should be discussed in depth with your physician.

You appear to be extremely sensitive to this class of drug. Your physician has correctly stated enough is enough. Try taking 1200 mg of calcium combined with 600 IU of vitamin D daily as an alternative. You should also eat more healthful meals, including foods that are high in calcium. Exercise to the extent of your capabilities to maintain strong, healthy bones.

About Dr. Gott