Dermatitis as a Prolia Side ecfect

Posted by jmora0691 @jmora0691, Jul 31, 2022

Is anyone out there suffering from from dermatitis/eczema after Prolia injection? What kind of interventions work for you?

Interested in more discussions like this? Go to the Skin Health Support Group.

Profile picture for Amanda Roe @amandajro

Hello @jmora0691 and welcome to Mayo Clinic Connect. Thank you for coming in to share what you are going through in order to seek support.

In another discussion on Evenity, another osteoporosis drug, members @artscaping and @windyshores had discussed something similar and may be able to provide you with some information that could be helpful.

How long after your Prolia injection did you experience dermatitis?

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I got my first injection at the end of February 2023, and another one I believe at the end of August I had no reaction after the first shot and began to get red rash on my cheeks and forehead after the second shot it has diminished now and I am going to see a dermatologist who specializes in skin allergies I don’t get my neck shot until the first week of March so I’ll have the results before that

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Profile picture for dianeflorida @dianeflorida

I got my first injection at the end of February 2023, and another one I believe at the end of August I had no reaction after the first shot and began to get red rash on my cheeks and forehead after the second shot it has diminished now and I am going to see a dermatologist who specializes in skin allergies I don’t get my neck shot until the first week of March so I’ll have the results before that

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The rash appeared within the first week after receiving the injection.

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I started my Prolia injection in May 2025. In December 2025 i noticed circular red dry patches that were itchy. After some process of elimination I realized the only new medication I tried was the Prolia. Has anyone experienced this type of rashy patch?

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Just reading this now but want to share my experience with three medications used to treat osteoporisis. At the osteopenia stage my doctor prescribed Fosamax. I had severe diarrhea and had to stop taking it. My doctor then prescribed Prolia. After a couple injections I began getting itchy bumps, mostly on my inner thighs. Neither my regular doctor nor my dermatologist said there was any connection to Prolia. I got an Rx for Clobetasol to treat the bumps/rashes. After another injection and more bumps/rashes, I raised the possibility of a connection with both doctors and again, both said my skin issues were due to some other cause. (Why do doctors so often suggest stress as a cause?!) I expressed concern to my main doctor about getting another injection but she insisted I was at severe risk of a fracture, so I got it and boy do I regret doing that. Not only did I get more itchy bumps but my eyes itched and I had a dry cough. I relayed this to my doctor and she said, 'OK let's take you off Prolia.' Next step was to see an endocrinologist and get the green flag for Reclast.

Here I want to mention that another, and in my mind a much more serious, side effect of Prolia is that when you stop taking it, you can be at higher risk for 'rebound fractures.' And for me this happened. One day, doing something I've done hundreds of times, resulted in a compression fracture at T5/T6. I am so regretful of agreeing to take Prolia without asking more questions. I am also quite disappointed in my doctors for failing to do the work to identify the connection between Prolia and the skin problems, and for not warning me about the increased risk of fracture after stopping the medication.

Now I am on the Reclast therapy. Have had one injection. The skin issue has not gone away and in fact has worsened. I haven't found any information connecting Reclast to skin rashes. Nonetheless, after years of itching, next time I visit my doctor I will ask a lot of questions about the side effects versus lifestyle changes aimed at prevention, namely regular exercise and resistance training (which I already do) and simply being very careful. Thanks for reading and sharing any advice.

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Profile picture for jmora0691 @jmora0691

Two days after my Prolia shot, I noticed 6 red bumps on my upper chest and lower neck. They looked like skin tags, but they’re bigger, and they’re itchy. Then I started to get red bumps that looked like mosquito bites on my legs and thighs, and they were itchy. The bumps became bigger and darker red. I saw the nurse practitioner at my PCPs office and she agreed it might be a reaction to the shot. I was put on prednisone 2 tabs daily for 5 days plus 1 Pepcid daily. It reduced the itchiness but did not stop the rashes and hives. I got more rashes every day pretty much all over my body except my face and neck. Three weeks later, the rashes are looking more like eczema. I have an appointment to see a dermatologist in 3 days and I’m praying there will be a safe and effective intervention besides Prednisone. I’m terrified, as I don’t know how much worse it can get and how long it will last. And the Prolia is in my system for up to 6 months.

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@jmora0691
I also noticied the same thing after about 4 to 5 months. Retrurned to Dr and had many other side effects including severe fatigue. She said to stop Prolia and increase Vit D and calcium and see her in 6 month. I am also very sensitive to med. Am seeing derm next month. I only had 1 prolia shot so there will be no rebound effect.
You are not alone on this. I have seasonal allergy so take antihismane which may have helped this from starting earlier, this drug also made my sinus worse.

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