1. < Osteoporosis & Bone Health

Zoledronic Acid (Reclast) can I have just one infusion?

Posted by andreamayo @andreamayo, Feb 4 10:12pm

I had a Zoledronic Acid infusion 2 weeks (feeling fine). My spine average is -3.7 with my L3 at -4.2. I am a 56 yr old, otherwise fit and healthy, post menopausal woman. Wondering, if my scores improve by next year with weight training, can I stop getting infusions or will I get worse if I stop the drug?
Would I get worse because I took Zoledronic Acid and stopped, or just get worse as if I hadn't taken it all?
I'm wondering if I've taken a "no looking back" drug.
I hope my question makes sense.
Thank you,
Andrea

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andreamayo | @andreamayo | Mar 9 7:54pm
In reply to @friend123 "I have not had my first infusion yet. I did go to my dentist first. She..." + (show)
@friend123

I have not had my first infusion yet. I did go to my dentist first. She told me I have a hairline fracture in one tooth so it might be best to do a root canal prior to the infusion. Next, I called my dr and his PA called back and said it was ok to do with the infusion. But the PA is having my endocrinologist call me back to discuss it.

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Yikes, I’m surprised they said it’s OK. I was told to have my teeth checked before the infusion and get any dental work done before hand. Jaw necrosis is a terrible thing!!!
Dentist said the same thing.

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andreamayo | @andreamayo | Mar 9 7:55pm
In reply to @triciaot "Did the dentist mention anything about the hairline fracture may cause the tooth to break during..." + (show)
@triciaot

Did the dentist mention anything about the hairline fracture may cause the tooth to break during a root canal? That was my issue - the concern is if the tooth cracks they may need to pull it and that’s messing with the bone. I believe the biggest problem with dental work is when the jaw bone is involved. It is when the bone needs to repair itself that some of the infusions will block the ability for repair.

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Agreed

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friend123 | @friend123 | Mar 10 7:27am

No, the dentist never mentioned that the tooth might crack during the root canal I’m waiting to hear from my endocrinologist before I decide to proceed with the infusion.

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sbcher | @sbcher | Mar 10 7:52am

I hope so you're doing everything right!

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sue417 | @sue417 | Mar 10 10:23am
In reply to @lmhuzy "I had a Reclast infusion in November 2023. Now, my endodontist says I need a root..." + (show)
@lmhuzy

I had a Reclast infusion in November 2023. Now, my endodontist says I need a root canal. Is it safe to have this dental procedure and what might be some ramifications?

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Hi
When my spine fractured in 2022 January 22nd three of my teeth fractured within 2 weeks then I found out it had osteopenia I have done three infusions I have had many Dental appointments with no issues

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kristie2 | @kristie2 | Mar 10 4:19pm
In reply to @friend123 "No, I don’t think the fracture is that bad. My dentist just thought it might be..." + (show)
@friend123

No, I don’t think the fracture is that bad. My dentist just thought it might be best to take care of now. She’s been watching this for a while.

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My brother had the same thing and after the root canal the fracture was bigger and had to have it pulled.

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friend123 | @friend123 | Mar 13 3:35pm

My endocrinologist did get back to me and told me to follow my dentist’s advice and to get in touch with him two months after my root canal.
Thanks to everyone who responded about their experiences.

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andreamayo | @andreamayo | May 28 9:39am
In reply to @susanjane77 "Hi Kay, I also have had several Reclast infusions with no side effects. If you want..." + (show)
@susanjane77

Hi Kay,
I also have had several Reclast infusions with no side effects. If you want to call fatigued for a day as a side effect, I experienced that.

I am curious as to the dosage of calcium and magnesium citrate you take. I have hypothyroidism and was told not to worry about calcium supplements but I did not get a straight answer from my endocrinologist. Next visit, I will ask again.

Feel good!

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Replying again, I've been tracking my calcium in the Cronometer app (highly recommend) and have found I'm getting enough through food which was my goal. My ND wants me between 1000 - 12000 mg calcium a day. If you love yogurt it's not hard tot do. 🙂 I will supplement at the end of the day if needed to boost it up.

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jo2184 | @jo2184 | May 28 12:53pm

I’ve taken alendronate sodium tables for 3 years but recent DEXA scan shows loss of bone density in the hip. My Endocrinologist recommends switching to Zoledronic Acid (Reclast) injection. I’m 82 years old and am hesitant due to possible side effects. Would appreciate knowing the experience of those who have taken Reclast.

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2 replies
andreamayo | @andreamayo | May 28 3:57pm

I took Reclast in January for the first time - no side effects.

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