Jubonnti reactions after first dose

Posted by leslieb52 @leslieb52, Jan 6 5:10pm

My doctor is recommending I start Prolia. I have done the other osteo meds, but my score just put me in the OP category with a score of -2.6

I am more afraid of fractures and ending up in a nursing home or wheel chair.
I am 73 and my rebound drug will be reclast.

How long after the injection does it take for reactions to appear?
Any tips?
Also, how tight is the schedule for the following shots at 6-month increments? Is there wiggle room?

If I get to ask questions, what should I ask?

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Profile picture for dannyandebbie @dannyandebbie

Just for thoughts! I have received one infusion and No more!

Immune-mediated syndromes following intravenous bisphosphonate therapy
Reclast infusion
https://link.springer.com/article/10.1007/s10787-017-0365-9
Abstract
Objectives
Intravenous (IV) infusion of aminobisphosphonates (ABP) induces cytokine release by peripheral blood Vγ9δ2 T cells, resulting in an immediate short-term inflammatory response in up to 50% of patients. We evaluated possible long-term pro-inflammatory effects of IV ABP.
Methods
Retrospective case-series study from one rheumatology specialist’s clinic. 2261 electronic charts were reviewed for administration of ‘zoledronate’ or different brand names of zoledronic acid, and relevant clinical data was retrieved for patients who had received the infusion.
Results
Thirteen patients had recieved zoledronate. In six, new-onset or exacerbation of a previous inflammatory/autoimmune disorder was diagnosed within 3 months following infusion. Of these, one patient developed new-onset rheumatoid arthritis (RA), two polymyalgia rheumatica (PMR), two suffered a flare of Crohn’s disease-related and aromatase inhibitor-induced arthralgias, and one patient acquired autoimmune hemophilia. Pre-existing malignancy and immediate inflammatory response following zoledronate were more frequent in patients experiencing new or worsening immunologic manifestations (3/6 vs. 0/7, and 5/6 vs. 2/7, respectively).
Conclusions
Intravenous ABP may trigger induction of persistent autoimmune syndromes, especially when accompanied by an immediate adverse reaction or pre-existing malignancy.

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@dannyandebbie

I am sorry about the reactions you have experienced. It must e very disheartening. Have I asked before if you took any of the anabolics prior to the bisphosphonates?

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I have not been prescribed the anabolics.

REPLY
Profile picture for dannyandebbie @dannyandebbie

Just for thoughts! I have received one infusion and No more!

Immune-mediated syndromes following intravenous bisphosphonate therapy
Reclast infusion
https://link.springer.com/article/10.1007/s10787-017-0365-9
Abstract
Objectives
Intravenous (IV) infusion of aminobisphosphonates (ABP) induces cytokine release by peripheral blood Vγ9δ2 T cells, resulting in an immediate short-term inflammatory response in up to 50% of patients. We evaluated possible long-term pro-inflammatory effects of IV ABP.
Methods
Retrospective case-series study from one rheumatology specialist’s clinic. 2261 electronic charts were reviewed for administration of ‘zoledronate’ or different brand names of zoledronic acid, and relevant clinical data was retrieved for patients who had received the infusion.
Results
Thirteen patients had recieved zoledronate. In six, new-onset or exacerbation of a previous inflammatory/autoimmune disorder was diagnosed within 3 months following infusion. Of these, one patient developed new-onset rheumatoid arthritis (RA), two polymyalgia rheumatica (PMR), two suffered a flare of Crohn’s disease-related and aromatase inhibitor-induced arthralgias, and one patient acquired autoimmune hemophilia. Pre-existing malignancy and immediate inflammatory response following zoledronate were more frequent in patients experiencing new or worsening immunologic manifestations (3/6 vs. 0/7, and 5/6 vs. 2/7, respectively).
Conclusions
Intravenous ABP may trigger induction of persistent autoimmune syndromes, especially when accompanied by an immediate adverse reaction or pre-existing malignancy.

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@dannyandebbie:Thanks for sharing.

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Profile picture for leslieb52 @leslieb52

I have not been prescribed the anabolics.

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@leslieb52

I ask because I have read that some off the latest I formation in bone medication indicates that an anabolic that follows bisphosphonates can be less effective.

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Profile picture for dannyandebbie @dannyandebbie

Just for thoughts! I have received one infusion and No more!

Immune-mediated syndromes following intravenous bisphosphonate therapy
Reclast infusion
https://link.springer.com/article/10.1007/s10787-017-0365-9
Abstract
Objectives
Intravenous (IV) infusion of aminobisphosphonates (ABP) induces cytokine release by peripheral blood Vγ9δ2 T cells, resulting in an immediate short-term inflammatory response in up to 50% of patients. We evaluated possible long-term pro-inflammatory effects of IV ABP.
Methods
Retrospective case-series study from one rheumatology specialist’s clinic. 2261 electronic charts were reviewed for administration of ‘zoledronate’ or different brand names of zoledronic acid, and relevant clinical data was retrieved for patients who had received the infusion.
Results
Thirteen patients had recieved zoledronate. In six, new-onset or exacerbation of a previous inflammatory/autoimmune disorder was diagnosed within 3 months following infusion. Of these, one patient developed new-onset rheumatoid arthritis (RA), two polymyalgia rheumatica (PMR), two suffered a flare of Crohn’s disease-related and aromatase inhibitor-induced arthralgias, and one patient acquired autoimmune hemophilia. Pre-existing malignancy and immediate inflammatory response following zoledronate were more frequent in patients experiencing new or worsening immunologic manifestations (3/6 vs. 0/7, and 5/6 vs. 2/7, respectively).
Conclusions
Intravenous ABP may trigger induction of persistent autoimmune syndromes, especially when accompanied by an immediate adverse reaction or pre-existing malignancy.

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@dannyandebbie I had my last Reclast infusion in March '25 and just a few weeks ago had the return of an autoimmune reaction. Not sure why but I wonder if Reclast could be the culprit after 9 months...

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Dont both Prolia and Jubbonnti have denosumab and isnt it what has caused the numerous severe reactions? I am afraid of it!

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Profile picture for jimiwho @jimiwho

Dont both Prolia and Jubbonnti have denosumab and isnt it what has caused the numerous severe reactions? I am afraid of it!

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@jimiwho keep us posted. What kind of auto-immune reaction%?

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Profile picture for leslieb52 @leslieb52

@jimiwho keep us posted. What kind of auto-immune reaction%?

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@leslieb52 dozens. Look up Amgen severe reactions to Prolia. Also
Look up Drugs.com. I used to get info from NIH and United Kingdom. My drs have told me they dont know what autoimmune problems I have but are more than one rare enough they dont know the names. Now I react badly to steroids, antibiotics, pain meds, etc. they have told me they dont know what to do. I think it is time to give up. Im an oldy moldy. The pains and exhaustion n not much fight left. I wish for better and encourage everyone and keep learning! Take care!

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What symptoms did you have? How did you know itvwas an auto-immune response. What were your T score nu,bers

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