What should i request of my doctor for a Reclast infusion

I would suggest asking for a lower dosage. There are studies showing even 1 mg is effective. Half dosage is also an option. Why put more of a drug into your system than is needed!

I do a low dose but I have kidney disease, atrial fibrillation, lupus and react to everything. You can certainly ask for a half dose. I was told that is not uncommon. Lower doses are often taken more frequently.

In general, a one hour infusion is a good thing to get into the order. The infusion center needs it from the doctor, as you realize, so they can schedule the hour. Hydration can be oral: I was told IV hydration is equivalent to two big cups of water. Hydrate day before, day of, day after. The infusion nurse will probably offer tylenol. I took it as needed.

The first infusion can cause an "acute phase reaction." I had a fever, fluish, achy for about 8 days. It didn't happen the second time. Good luck!

I have always taken the prescribed dosage, @serious; my last infusion was July, 2024. I do hydrate before, during, and after the treatment and I also eat a little salty snack - pretzels. Be sure to ask your doc if you want to go with the lower-dose infusion as the nurses in the infusion centers cannot change the script.

I had discussed a longer infusion time with my doc prior to the infusion appointment. During "hook up", I asked the nurse how much time was scheduled for the infusion. The answer was 15 minutes - yikes! I told her I knew my doc had requested a one hour infusion . . . after checking, she noted the doc's request on the order. I am under the impression that the saline flush is just that, to flush any remaining medication from the infusion lines.

If it helps, I am a small person, have had at least 6 and perhaps more Reclast infusions, always at full dose, and never with a reaction. Further, I don't advocate, in any way, subjecting one's body to more meds than necessary. You need to make an informed decision by talking with your doc about the options and procedures for the infusion.

Cheers!

Thank you for your comments. I have a question for you since you are very experienced. What exactly do you do the day before, the day of, and the day after. When with respect to the actual infusion time do you take Tylenol or whatever and what else do you take.

Long my road with Reclast. As I understood you need a prescription from your endo,, then a doctor
in the center where it will be done wrote an order to the nurse and this nurse will do infusion only by the order of the physian of the center, I speak about dose of Reclast second infusion.