Reclast infusion side effects?

Posted by ladybugnc @ladybugnc, May 26, 2025

I had the Reclast infusion 5 months ago in my left arm. I have started having pain in that arm now, with loss of strength. Has this happened to anyone else?

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Profile picture for kmketter @kmketter

@lollyb I always get the fluid bag first! No problem for me. I just had my second infusion last week,

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@kmketter If I may ask, what is your height & weight? I'm very small and thin. I've been prescribed Reclast but the more I learn the more hesitant I become, so I'm trying to get more information before starting. thank you.,Sarah

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Profile picture for shmbrd @shmbrd

@kmketter If I may ask, what is your height & weight? I'm very small and thin. I've been prescribed Reclast but the more I learn the more hesitant I become, so I'm trying to get more information before starting. thank you.,Sarah

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@shmbrd not sure if you were asking me or KMKetter; I’m a male, 5’2” around 119 weight. 21 months out and continue symptoms from my infusion. My endocrinologist says it is not from the infusion, I say it is….did not have these symptoms ( shoulders and left foot pain, fatigue, nausea and aches and burning in my lower backside). I have Ankolosing spondylitis (50 years) and have had bladder cancer 5 times over the past 16 years. Retirement two years ago and was feeling pretty good until infusion. My endocrinologist say I need additional infusion, Reclast did not cause these symptoms, sent me to rheumatologist, who sent me to neurologist; both had no explanation for my symptoms. I go to physical therapy bi-weekly, helps some….just try to stay positive and as active as I possibly can! Best of luck!

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Profile picture for dannyandebbie @dannyandebbie

@shmbrd not sure if you were asking me or KMKetter; I’m a male, 5’2” around 119 weight. 21 months out and continue symptoms from my infusion. My endocrinologist says it is not from the infusion, I say it is….did not have these symptoms ( shoulders and left foot pain, fatigue, nausea and aches and burning in my lower backside). I have Ankolosing spondylitis (50 years) and have had bladder cancer 5 times over the past 16 years. Retirement two years ago and was feeling pretty good until infusion. My endocrinologist say I need additional infusion, Reclast did not cause these symptoms, sent me to rheumatologist, who sent me to neurologist; both had no explanation for my symptoms. I go to physical therapy bi-weekly, helps some….just try to stay positive and as active as I possibly can! Best of luck!

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@dannyandebbie Thanks for taking time to reply. Take good care of yourself, I hope your symptoms will lighten soon.

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Profile picture for shmbrd @shmbrd

@dannyandebbie Thanks for taking time to reply. Take good care of yourself, I hope your symptoms will lighten soon.

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@shmbrd seems the more I use my arms or foot the next day I pay for it, hopefully time heals all wounds!

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Profile picture for daisy17 @daisy17

@dannyandebbie I read so many statements from women on this site who experience side effects from various bone medications, while their doctors insist their symptoms are not related to the drug. I don't understand how the doctors can be so uninformed. A quick google search shows many sites, such as Drugs . com that include a long list of side effects.

This is from AI Assist: "Common side effects of Reclast (zoledronic acid) include flu-like symptoms such as fever and chills, headache, and bone, muscle, or joint pain. Serious side effects can include severe allergic reactions, kidney problems, and unusual fractures, so it's important to monitor for any concerning symptoms and consult your doctor."

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@daisy17 I had my reclast last Friday. Its been 1 week today.My joint and bone pain has been unbearable. I went to the DR today she blamed the antibiotics I was taking. I came home and looked it up, there is no real interaction with the 2 drugs. I cried like a baby, I can't bend my fingers or close my hands. It also caused me to have an eye ulcer and that is why the antibiotics.
If they would read, it says severe bone pain and muscle pain.
I told my husband we all have to take care of ourself because they don't anymore.

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Profile picture for penny57 @penny57

@daisy17 I had my reclast last Friday. Its been 1 week today.My joint and bone pain has been unbearable. I went to the DR today she blamed the antibiotics I was taking. I came home and looked it up, there is no real interaction with the 2 drugs. I cried like a baby, I can't bend my fingers or close my hands. It also caused me to have an eye ulcer and that is why the antibiotics.
If they would read, it says severe bone pain and muscle pain.
I told my husband we all have to take care of ourself because they don't anymore.

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@penny57
I’m so sorry… this is so recurrent
We need to create a data base of these cases and report it to the FDA or the Drug Company.
I hope you feel better.

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Profile picture for tiza @tiza

Hello,
I’m new to this forum.
I had a Reclast Infusion in May 2025. After a year dealing with knee pain issues my Dexa Scan results were terrible.
My endocrinologist had already suggested I’d need it, after doing some research I refused it for about 5 years.
Since the infusion, I’ve had digestive problems and pain on my left ribs. Strangely, on the first 24 hours after the infusion this is the exact place where I had intense sharp pain. It’s mostly during the night and in the morning.
Anyone experiencing the same?
Thank you!

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penny57. I don't know if this is relevant to your situation. Reclast causes uveitis in some people because it excites inflammatory cytokines. Uveitis is often mistaken as an eye infection. Uveitis needs to be treated because it can cause permanent damage to vision. The treatment is ocular steroid. A five day oral steroid pack would relieve some of the pain you are experiencing in your joints.
You are so right about our need to take care of ourselves.
I hope you are feeling better soon.

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Profile picture for shmbrd @shmbrd

@kmketter If I may ask, what is your height & weight? I'm very small and thin. I've been prescribed Reclast but the more I learn the more hesitant I become, so I'm trying to get more information before starting. thank you.,Sarah

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@shmbrd Have you considered taking an oral form of a bisphosphonate instead of an infusion? At least then you would be getting a lower dose and could stop the drug if you have side effects.

I don't mean to provide medical advice but check into the "absolute risk" and benefit ratio of bisphosphonates. Several studies show they may improve DEXA scores but offer minimal benefits on fracture prevention. Doctors disagree but that's what I've read. https://www.ncbi.nlm.nih.gov/books/NBK598429/

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Profile picture for tiza @tiza

@penny57
I’m so sorry… this is so recurrent
We need to create a data base of these cases and report it to the FDA or the Drug Company.
I hope you feel better.

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@tiza I agree, patients must inform their doctors and report side effects. to the FDA. https://www.center4research.org/report-problems-medical-products-fda/

However, the FDA and Novartis, who sells Reclast, are aware of the side effects, as they are stated in the drug literature given when the meds are prescribed. In addition, Novartis has been sued regarding the side effects. https://lawgud.com/lawsuit/reclast-lawsuit/

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Profile picture for penny57 @penny57

@daisy17 I had my reclast last Friday. Its been 1 week today.My joint and bone pain has been unbearable. I went to the DR today she blamed the antibiotics I was taking. I came home and looked it up, there is no real interaction with the 2 drugs. I cried like a baby, I can't bend my fingers or close my hands. It also caused me to have an eye ulcer and that is why the antibiotics.
If they would read, it says severe bone pain and muscle pain.
I told my husband we all have to take care of ourself because they don't anymore.

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@penny57 I am so sorry to hear about those side effects, they sound horrible. Was that your first infusion?

I know Drs often minimize reports of side effects. Sometimes I wonder if that's so they don't have to deal with the problems from it, so they blame the side effects on another drug, illness or something else.

That's one reason that, so far, I've refused any of the bone meds. I can't take Forteo or Tymlos due to parathyroid issues, so that leaves Evenity and bisphosphonates as my only options. Evenity is so new, and bisphosphonates don't offer much fracture prevention. For now, I am just doing all I can to remain fracture free.

I hope your symptoms resolve soon. Keep us posted.

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