I'm so sorry that this happened to you. I had horrible side effects from neck stiffness and jaw pain that occurred three days after the infusion. Months later swollen and painful joints that required steriods. I also took tylenol and drank a lot of water, 64 ounces, before and after. They also flushed and delivered the infusion at a slower rate. I told my doctor and she said she would put me on Prolio. I replied with a "hard no!" That drug is worse. It had a black boxed warning. Plus having breast cancer, cancer cells love to go to the bone and Prolio encourages that. That was my endocrinologist. The newest doctor I went to, specializes in osteoporosiss. We both agreed that I would do life style changes with weight bearing excercises. She really listened but she still said that if my DEXA scan came back with more bone loss, we would do Reclast as it does help with reoccurance and doesn't encourage cancer cells to latch on to the bone. Finally, all the doctors I've been too, even the specialist, told me she didn't believe it was the Reclast and she offered other ways to help with the side effects with steriod before and after. ARGH! I wish every doctor was required to read some of the these comments from actual patients. Why after 65 years would I suddendly have issues and the only link is the Reclast infusion? I can't take Prolio and oral medicine as I have severe GERD. I'm sure many people don't have reactions but I'm on a FB support group that actual confirms my belief that there are a lot of us out there and pharmaceutical companies and professionals are ignoring. When I shared this with my doctors, they all had a unified reply that I'm only reading about complaints and Reclast is very safe and it's very rare to have side effects. I replied that there were thousands of complaints on one FB group even on this forum. Something is very wrong here! To answer your questions, yes to manage your side effects you need to take more medicine and see your doctor. Don't be surprised to have them say that they don't believe it was the Reclast but the Reclast caused some underlying conidtion to manifest. So basically, yes it was the Reclast.