Addressing non-traumatic bone fractures

DEAR DR. GOTT: I have been taking Boniva for almost five years. Could I or should I stop now? I’ve heard there is some discussion about this. I’m 74. Your opinion, please.

DEAR READER: Boniva is prescribed to slow bone loss, increase bone mass, and treat or prevent osteoporosis in women, a condition in which bones become thin, weaken, and are subject to easy fracture.

The Food and Drug Administration issued a warning to physicians and their patients on Oct. 14, 2010, regarding an increased risk of bone fractures of the thigh with bone-strengthening bisphosphonates such as Boniva, Fosamax and Actonel. The report went on to indicate it remains unclear whether drugs in the category trigger thigh fractures, but because of the potential connection, labeling now warns of the possibility. [Read more...]

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, [Read more...]

Daily Column

DEAR DR. GOTT:
I read your column every day and can relate to the side effects of Actonel which one of your readers had.

A couple of years ago my then primary doctor prescribed Actonel for me due to some bone loss.

The day after my first dose, I experienced tightening across my chest and low back pain. The back pain was so severe that I needed help to arise from the couch and bed. I could barely walk and had to use the walls or whatever was near that I could grasp. When I went to the doctor, I had to be driven and needed to use both hands to lift my right leg into and out of the car.

My doctor found my symptoms hard to believe and gave me medication for my discomfort. The kicker was that I should take this pill AGAIN next week to see if I had the same reaction. Needless to say I didn’t take it again and told her those pills were awful.

DEAR READER:
Experiences like yours are one reason I that I try to keep my readers informed in my column. In my opinion, a knowledgeable and interested patient is a good patient.

Actonel, in general, is a beneficial drug. However, it can have serious side effects for some people. You are, unfortunately, one of those few. I recommend that you increase your calcium and vitamin D intake. Over-the-counter calcium plus D supplements are available in most pharmacies, department and grocery stores. They are relatively inexpensive and often make a substantial difference.

To date, I have received only a handful of letters like yours about Actonel. Your experience was startling and deserves to be published. Perhaps your experience will help another person. Thank you for writing.

To give you related information, I am sending you a copy of my Health Report “Osteoporosis”. Other readers who would like a copy should send a self-addressed, stamped number 10 envelope and $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.

Medication side effects uncommon

DEAR DR. GOTT: I am a 71-year-old female. I have been taking Actonel for four years but am worried about it. My doctor and dentist say I should continue to take it because the only problem I could have was if I needed a tooth pulled and even then it’s probable that nothing bad would happen anyway.

I would greatly appreciate your input on this matter.

DEAR READER: Actonel (and similar medications) are commonly prescribed for patient with osteoporosis. Unfortunately, these drugs (and others like them) may have unpleasant side effects, including (very rarely) destruction of the jaw bone.
[Read more...]