@susanfalcon52 heart issues with osteoporosis medications seems to be a crack that we fall through. When deciding between Tymlos and Evenity I saw three cardiologists (long story) and the only info they had was on Google. On the other hand endos and rheums don't know much about the heart.

Heart arrythmias are on the side effect list for Reclast. Bradycardia is an arrythmia I guess but I know my doc was more concerned with my afib, which happens dramatically once a year so far. In fact he did not prescribe the usual Reclast with my cancer treatment for this reason. He has since been satisfied it is safe in that regard.

Still I think it is kind of a case of where there is smoke there is fire and I don't think any doctor or NP can confidently tell you that Reclast is now slowing your heart rate. They simply cannot know.

The main thing is to assess and treat it and consider other causes. If it is really low that needs to be addressed regardless of cause!

I have had two infusions of 1 mg so far and no afib so far. Kidneys are stable. But I have had other things happen: increased tinnitus, pins and needles, GI. I cannot ascertain for sure if these are from Reclast either. My endo will no doubt express that he hasn't heard these (listed) effects from anyone else!