Repatha side effects not believed

Posted by dinardoefd @dinardoefd, Jul 26 10:29am

Repatha for 16 months and results are amazing however, leg pain, calf pain, started 3-4 ago.
Sore, stiffness in thighs and calves.
I won't mind so much but my doctor insists it is NOT related to medication.
I have statin intolerance, my blood work with geno test shows this.
Why does my doctor not believe me when I say I'm having leg pain suddenly after no other apparent reason?
Am I crazy, am I wrong? 60yr old male with CAD, CAC score over 2k but no blockage all less then 70%, no chest pain.
We believe my 1 of 4 parathyroids, remove in 2001, caused calcium to enter blood was having very high serum calcium levels before being removed. Still have 3 parathyroids with not ill effects but damage has been done.
Can these side effect appear months later as mine have or I can it be something else?

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No, you are not crazy or wrong. There is a clear problem with certain doctors who can’t or won’t listen, can’t or won’t research what patients say in large numbers. And for many of us it is difficult to sort out what causes what.

I was taking two Amgen monoclonal antibodies (Repatha and Prolia), so I got double doses and was able to figure out the awful side effects. It is sad that both products seemed to work extremely well for their intended purposes, reducing LDL and improving dexa scans of bone density,

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Profile picture for dinardoefd @dinardoefd

He is my cardiologist and shakes his head when I mention side effects, he says there are no such reports of these side effects.
Perhaps my primary doctor could help?
I guess if it's going to save my life I need to just take it live with side effects.
Getting old sux!

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Have you seen the bumper sticker that reads “I (heart) aging and dying”. I laughed til I cried at that one.

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Profile picture for gently @gently

dnardoefd, your doctor doesn't know https://pmc.ncbi.nlm.nih.gov/articles/PMC10201936/#fn-group1. Late onset and previous statin intolerance are thought to be hallmarks by these authors.
Our doctors have too many patients, too many diseases and on top of that too many medications. Despite really good intentions, they don't believe the < 5%.
I'm trying to decide about Repatha. I think that side effects are more than inconvenient. They represent, in this case, a mechanism that is not understood. I wonder what else the drug is doing to you and your small group of cohorts (probably me, too) that remains unrecognized.

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Thanks for the study and yr excellent questioning of what these side effects really are and how damaging they are. I am considering the idea that they might be nerve damage. You say?

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Profile picture for gently @gently

Sue, sounds like you are in a good system. Mayo?
I haven't taken Repatha, and appreciate your review. I hesitate for fear of muscle loss and relax in the pretense of waiting for Crispr. https://ir.crisprtx.com/news-releases/news-release-details/crispr-therapeutics-reports-positive-additional-phase-1-data
I have cardiac genetic testing at Stanford in a few months. But I aced the cardiac treadmill stress test impressing only the techs.
I don't care about bedside manner and usually like the md with the bad reviews. I remind myself that these doctors are studying (thank goodness) while the rest of us are developing social skills.
Because the mechanisms of our side effects are often unarticulated or unknown, I'm not sure that tolerating them is healthful. But I do know that I'm a wimp.

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Not Mayo, but I'm in a good multi-specialty clinical system, and also have insurance that allows referrals out when warranted. The cardiology group is outside, because I had a "statins or go away" doc in the system and refused to see him again. My PCP knew about this cardiologist and referred me.

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Profile picture for Sue, Volunteer Mentor @sueinmn

Not Mayo, but I'm in a good multi-specialty clinical system, and also have insurance that allows referrals out when warranted. The cardiology group is outside, because I had a "statins or go away" doc in the system and refused to see him again. My PCP knew about this cardiologist and referred me.

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Thanks, nice knowing I'm not alone. Going to my Primary this week and will discuss.

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Profile picture for dinardoefd @dinardoefd

If I send that report to my doctor I believe he will fire me has his patient.

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Absolutely, I relate to your experience. I used to encourage people here to learn all they could about their condition and to advocate for themselves at medical appointments because I thought being an informed, proactive patient was a good thing. When I was passive and didn’t ask questions, I simply trusted everything my doctors said—until I realized that approach wasn’t working for me.

Now that I’m more engaged and ask informed questions about my treatment, I’ve noticed a real shift. Many doctors don’t seem to appreciate it. For example, my new endocrinologist told me, “You’re trying to be the doctor,” when I asked a question about my care. I tried seeing someone else, but that endocrinologist refused to answer my questions or clarify her statements, telling me, “If you don’t like the way I practice medicine, then leave and find someone else!”

The problem is, finding a new doctor can take months, especially with a specialist. It’s not as simple as just leaving and finding someone better. It feels like my only options are to stop advocating for myself and stay silent, or have my health suffer while waiting for an elusive appointment elsewhere.

You’re definitely not alone in feeling this way.

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Kisu, windyshores had doctors who wanted to learn from their patients. I lay low in the consultations when I realize that I'll need a different physician. They have too many patients to notice if you don't return. But I really have discovered that they each have something-- a bit of knowledge or an unusual perspective to offer.

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Profile picture for kisu @kisu

Absolutely, I relate to your experience. I used to encourage people here to learn all they could about their condition and to advocate for themselves at medical appointments because I thought being an informed, proactive patient was a good thing. When I was passive and didn’t ask questions, I simply trusted everything my doctors said—until I realized that approach wasn’t working for me.

Now that I’m more engaged and ask informed questions about my treatment, I’ve noticed a real shift. Many doctors don’t seem to appreciate it. For example, my new endocrinologist told me, “You’re trying to be the doctor,” when I asked a question about my care. I tried seeing someone else, but that endocrinologist refused to answer my questions or clarify her statements, telling me, “If you don’t like the way I practice medicine, then leave and find someone else!”

The problem is, finding a new doctor can take months, especially with a specialist. It’s not as simple as just leaving and finding someone better. It feels like my only options are to stop advocating for myself and stay silent, or have my health suffer while waiting for an elusive appointment elsewhere.

You’re definitely not alone in feeling this way.

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A doctor who won't amswer questions or explain things is a bad doctor. Imagine the nerve of saying something like that to you. Too many doctors with God complexes, unfortunately.

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Profile picture for tatiana987 @tatiana987

Thanks for the study and yr excellent questioning of what these side effects really are and how damaging they are. I am considering the idea that they might be nerve damage. You say?

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titiania987, because of peripheral neuropathy experienced by some patients with statin use, there is awareness of nerve damage from the drugs. Fortunately, reversal of damage is usual with discontinuation. Mitochondrial dysfunction is thought to be the cause of myopathy with statins.
With Repatha https://www.neurores.org/index.php/neurores/article/view/552/508#:~:text=Since%20PCSK9%20inhibitors%20promote%20an,PCSK9%20inhibitors%20and%20demyelinating%20polyneuropathy.

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Profile picture for gently @gently

titiania987, because of peripheral neuropathy experienced by some patients with statin use, there is awareness of nerve damage from the drugs. Fortunately, reversal of damage is usual with discontinuation. Mitochondrial dysfunction is thought to be the cause of myopathy with statins.
With Repatha https://www.neurores.org/index.php/neurores/article/view/552/508#:~:text=Since%20PCSK9%20inhibitors%20promote%20an,PCSK9%20inhibitors%20and%20demyelinating%20polyneuropathy.

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Thanks for the article. I read it, but I lack the medical education to understand well. I think I understand the logic of the process at least.

Is it reasonable to conclude, given the rarity of demyelinating nerve fibers as a Repatha side effect, that people who already have a disease that involves demyelination like MS should not try Repatha except as a last resort? Might it cause a flare up of MS?

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