Anyone with autoimmune problems taking Prolia for osteoporosis?

Posted by bayhorse @bayhorse, Jun 27 1:17pm

I have severe osteoporosis and am being told I should start Prolia, as I've already taken my limit -- 2 years -- of anabolic bone builders (Tymlos) and must start a new medication next month. The choices for my particular case are Prolia or Evenity, which is contraindicated for me because I have heart disease. But I am concerned about infection & immune consequences from Prolia and would like to know if any of you have had experience with this drug.

Prolia is implicated in infections ranging from cellulitis to UTIs to sepsis to endocarditis (and more). They are not exactly common, but they do happen. I have lupus, celiac disease, and ulcerative colitis as well as unexplained skin problems, and I am already on Entyvio, which is a minor immunosuppressant (gut only) for the UC. My allergist calls my immune system hyperactive, as I've become hypersensitive to everything: odors, most every airborne allergen, the sun, detergents, etc., etc., etc. Sometimes just pressure on my skin will start rashes.

Prolia, like many other drugs, also can cause "hypersensitivity reactions" like rashes, hives, shortness of breath, and I am wary of those side effects as well. (One more itch and I may lose my mind!)

There is also the possibility of joint and muscle pain. My autoimmune problems do not cause this (so far), but I'd hate to add that problem to the pain I already suffer from lumbar stenosis.

Prolia has other potential bone-related risks, as do all the other osteoporosis drugs other than the 2 anabolics (Forteo & Tymlos). But I have injected my limit of anabolics and my osteoporosis is severe enough (T score -3.4 in total hip) that drug treatment is a must. My endocrinologist is leaving the new drug choice up to me, and I would dearly like to hear from anyone with autoimmune issues who has taken Prolia. It is injected once every 6 months, and if I have a reaction and must quit the drug, there can be fracture-related consequences.

Please let me hear from you if you have any experience with Prolia. Many thanks in advance...

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I have been on Prolea for a couple of years now and it’s improved my bones - no fractures, knock on wood. I have no reactions to it either so far. About to get another next week - hope my fortune continues. I have RA and patio, and adult muscular dystrophy (78). So far it’s ok and doing its job!

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Profile picture for willows @willows

I have autoimmune conditions such as asthma, lichen sclerosis, rosacea. I also have fairly severe tinnitus and hyperacusis. I have been told that I need to take one pill a week to I strengthen my bone density. I also take a maximum dose of Lyricia without any problems but react very badly to most antibiotics. I am afraid that the pill I take to prevent osteoporosis will not be adequate as I age, I am 77 now. My fear is that medications can cause or worsen tinnitus, thus I am under severe stress with any new medication. My question is whether anyone taking Prolia or a similar drug has tinnitus and whether Prolia or similar drug has experienced a worsening of their tinnitus.

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I take a lot of drugs too for auto immune diseases and I take prolia. I will tell you what I have found when I take my OXY 10 mg the tinnitus gets better when it wears off it just gets loud. It is hard to fall asleep with tinnitus, and it’s miserable to wake up with it but if you can ignore some of it, it is livable.

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Have been on it for years now. No side effects surprisingly. I am allergic to most drugs. Best of luck.

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Profile picture for catartist @catartist

I have been on Prolea for a couple of years now and it’s improved my bones - no fractures, knock on wood. I have no reactions to it either so far. About to get another next week - hope my fortune continues. I have RA and patio, and adult muscular dystrophy (78). So far it’s ok and doing its job!

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Thank you for letting me know, @catartist. I hope you continue to do well!

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Profile picture for cjozwiak @cjozwiak

Have been on it for years now. No side effects surprisingly. I am allergic to most drugs. Best of luck.

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Hi, @cjozwiak. When you say you are allergic to most drugs, are you speaking of specific drugs? I am wondering what your autoimmune issues are.

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Profile picture for slem @slem

I have been on Prolia for 3 years as I have severe Osteoporosis at 55.
I refused the Prolia for a few years and tried seeing if I could get my T-score to improve by using supplements and exercise, but no luck so I had to pick something.

Thankfully besides a sore arm, I have never had a bad reaction to the Prolia shot.
I tested positive for Lupus SLE last year, but my endocrinologist thinks I fit more with MCAS symptoms as I have had whole body hives for a year, despite having symptoms of both autoimmune conditions. I also have Hashimotos thyroid.

Good luck! I hope the Prolia helps you.

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@slem, your system sounds somewhat similar to mine given the lupus and the hives. It is heartening to hear that you haven't had a bad reaction to the Prolia. Thank you for weighing in!

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Profile picture for bayhorse @bayhorse

Hi, @cjozwiak. When you say you are allergic to most drugs, are you speaking of specific drugs? I am wondering what your autoimmune issues are.

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Bayhorse, I am allergic to all the drugs for Fibromyalgia, Cellcept, Plaquinil, pain meds and more. I have mixed connective tissue disease with overlap, Fibromyalgia and a list of a lot more.

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Profile picture for cjozwiak @cjozwiak

Bayhorse, I am allergic to all the drugs for Fibromyalgia, Cellcept, Plaquinil, pain meds and more. I have mixed connective tissue disease with overlap, Fibromyalgia and a list of a lot more.

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Thanks for letting me know. Your list of sensitivities sounds as bad as mine. So glad you're doing ok on Prolia.

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Hi, I don't have the complicating issues that you have but I've taken Prolia for a few years with no side effects. It has also stopped my bone loss. I have Sjogren's which contributes to my chronic dry eye. I hope that it works for you if you decide to give it a try.
Karen

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I don't have an autoimmune disorder that I'm aware of; however, after taking Evinity for a year, my doctor suggested I take Prolia for a year. Two injections every 6 months. I agreed since I didn't have any known reaction to Evinity. Shortly after my Prolia injection, I developed a terrible rash that has now spread to my head, arms, back, and some areas of my chest. It's very itchy and bumpy, and nothing seems to help. I'm taking antihistamines (I've tried several), plus I've tried everything topical and a month on Decadron. No relief. I'm thinking it may not clear up until the 6 months that the injection is in my system. Everyone is different. You may not experience this side effect, but I thought I'd share so you are aware.

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