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Nausea with oral fosamax/actonal will reclast cause same?

Posted by sandybay @sandybay, Jan 16 1:07pm

Has anyone had nausea and / or dizziness with fosamax or actonal and gone on and done reclast without the same issue?

Doc seems to think it's "digestion" related, but I'm not convinced. Takes about 6+ weeks of the weekly pill to bring on the nausea/dizziness.

Now he is pushing reclast- saying it'll be different. I'm afraid of long term feeling awful.

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debhammel | @debhammel | Jan 17 7:33am

It's possible you won't experience the nausea with Reclast since it's administered through IV and doesn't go through your digestive system. Hard to say whether you will still have dizziness or not. It's worth a try. I was on Reclast for 3 years before switching to Actonel just this past year. So far, no problems. Good luck!!

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sandybay | @sandybay | Jan 17 12:48pm

Thank you. I am glad you've been able to tolerate both meds.

I just worry that if it takes 6+ weeks to feel awful on the oral meds, it's not a digestive issue.

These choices are all so difficult!

I appreciate your support.

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jackielb | @jackielb | Jan 17 6:47pm

I had trouble with the oral drug because of GERD and Hypomotility esophageal dysphagia. I've had 2 Reclast infusions with no issue

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sandybay | @sandybay | Jan 17 10:04pm

jackielb, did you have GERD right away after taking the oral drug? Or did it take a few doses to show up?

Thank you for your thoughts!

I've tried both Fosamax and Actonal and they both make me dizzy and nauseous about the 6 week mark.. and I feel awful So the thought of an iv infusion of the med is daunting to me!

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jackielb | @jackielb | Jan 18 1:50pm

I already had GERD - started in my 40s. Diagnosed with Hypomotility esophageal dysphagia approximately 2 years ago. Started oral osteoporosis med about 2 1/2 years and caused Esophagitis. Took 1 month to heal. I've had 2 Reclast infusions with no problems. Try to drink about 16 ounces of water before infusion. I also take Tylenol before. I am now 63 years old.

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lylii | @lylii | Jan 18 11:26pm
In reply to @debhammel "It's possible you won't experience the nausea with Reclast since it's administered through IV and doesn't..." + (show)
@debhammel

It's possible you won't experience the nausea with Reclast since it's administered through IV and doesn't go through your digestive system. Hard to say whether you will still have dizziness or not. It's worth a try. I was on Reclast for 3 years before switching to Actonel just this past year. So far, no problems. Good luck!!

Jump to this post

I don't think the fact that it is given IV makes a difference. Most chemo meds are given by iv, and definitely cause nausea. Another example - I can't take nsaids like Motrin because I have esophagitis. My doctor says it doesn't matter if I take the pills, or use the ointments containing nsaids - the side effect will be the same for me. Just a though.

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debhammel | @debhammel | Jan 19 3:27pm
In reply to @lylii "I don't think the fact that it is given IV makes a difference. Most chemo meds..." + (show)
@lylii

I don't think the fact that it is given IV makes a difference. Most chemo meds are given by iv, and definitely cause nausea. Another example - I can't take nsaids like Motrin because I have esophagitis. My doctor says it doesn't matter if I take the pills, or use the ointments containing nsaids - the side effect will be the same for me. Just a though.

Jump to this post

It depends on the medication. For example, I know that oral iron supplementation can cause a variety of digestive issues so is often administered intravenously to avoid these side effects. It's worth asking your doctor about Reclast's side effects especially since you've had nausea from other osteoporosis meds.

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sandybay | @sandybay | Jan 19 8:24pm

I've seen 2 endo docs in the same practice and one said it probably would cause nausea, and one said it shouldn't. So I have conflicting information there! And I'm very confused.

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