Does anyone have a solution to help manage Reclast side effects?

Posted by dingus @dingus, Aug 15, 2024

Does anyone have a solution to combat Reclast side effects. I had the infusion a year and a half ago and the side effects started shortly after I had the infusion. I still have weak legs, swelling in feet, pain in bones, dizziness (serious dizziness), cold sweats, tired all the time and nervous twitching in bones. Any suggestions?

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I am 82 and have very advanced osteoporosis . I weigh 112-114 lbs and am now just 5'3" tall.
I am treated at HSS in NYC and have my Dexa scans there annually . I have been told, BTW, to always have the bone scans on the same machine .
After being on Forteo for two year over 10 years ago , I was prescribed Reclast to hold the bone that I acquired through the Forteo. I was treated with Reclast for a few years . I never had any side effects whatsoever .

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Profile picture for jaynedanco @jaynedanco

@horserider79 I would definitely question it before going on it especially since you have other problems. I have been on a number of osteoporosis drugs over the last 10 or so years and I had three class for the first time a few months ago and had a lot of problems. Very sick, pain and I know I'm not going to get it again. I don't know if that's of any help but that was my experience. Jaynedanco

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@jaynedanco hi yes I'm supposed to get reclast in 4 mos. I'm terrified. I have had COPD FOR 20 YEARS ON INHALERS ETC FOR LUNGS, I never smoked was 3 mo premature weighed 2 lbs born had lung problems whole life. 69 year female high blood pressure worried it will give me atrial fibrillation permanently or respiratory failure. I had to have a l4l5 fusion. May 1 2025. Scared I will get muscle spasms and severe pain in my hips two knee replacements pain there to scared and don't want spasms in my back with the fusion not knowing if its healed yet and screws and rods afraid they will break. Don't want to be sick. I'm thi king of doing prolia instead.

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Profile picture for heartfelt70 @heartfelt70

I had the same side effects. Several times I thought I was going to die. I hurt all over as well, but never got dizzy. I am functional,but I know I would be better had I not had Reclast!
I ordered chlorophyll. It is mint flavored. Mix with water and drink. It cleans cells and works on whole body. I use a heating pad often. I had my infusion about three years ago. It was a poison to my body and I will never take it again.

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@heartfelt70 hi I'm so sorry u had those horrible reclast side effects. I'm supposed to get it 4 mos. Had to have l4l5 fusion don't know if it will not
Be healed yet then. On evenity 12 months. Have screws and rods terrified of vomiting and cough and have COPD SCARED OF A RESP FAILURE NOT BEING ABLE TO BREATH AND MUSCLE SPASMS OR SEVERE BACK PAIN OR HIPS OR MY TWO KNEES BEEN REPLACED. I HAVE NO PAIN NOW IN MY BACK FROM FUSION. DONT WANT ANY EITHER. IM THINKING OF PROLIA. WHICH IS THE ONE I ABSOLUTELY DID NOT WANT TO DO. THIS RECLAST IF U GET THEM HORRIBLE ONES MAY NOT GO AWAY. DID YOU HAVE A MAYO CLINICBENDOCRINOLOGIST? CAN U LET ME KNOW ON MESSENGER IF U DID. DIANA NIGHSWONGER POCAHONTAS IA.

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Profile picture for sessioja @sessioja

my reply disappeared before I finished but won’t repeat will just say— couldn’t sleep night after Reclast infusion, heart beat at 137,,sweating, miserable, Next afternoon went to ED — heart still in tachycardia , now in AFib
also It was terrifying. Got hydration AV and they did all kinds of tests. Sent me home after afib calmed. PA in endo office says never heard of Reclast causing that

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@sessioja hi sorry u had that happen. I'm terrified to have this. I just had a l4l5 back fusion 6 months ago. Not sure if its healing i won't know that till may or June have to go to Chicago now Dr moved. So suppose to get reclast feb 2026. 4 mo. I'm terrified of bone, joint2 total knee replacements, scared of muscle spasms in my surgery fusion with rods and screws in osteopenia back. Scared no back pain now or pain anywhere.. Just helped my left knee pain by 3 months of red light therapy. I don't want to be in pain or throwing up or etc. Or worse have symptoms be long term . I'm thinking do prolia that was one I didn't want to do at all. Reclast might be scarier. U don't know if u get long term shit then it stays in your bones 10 years. DID U HAVE ENDOCRINOLOGIST FROM MAYO CLINIC? ROCHESTER MN. MINE FROM THERE. DAVID HURLEY. SEEMS THEY DONT BELIECE SYMPTOMS SEVERE AND LONG TERM THEY DENY AS RECLAST NO FIX FOR IT EITHER. YOU JUST SUFFER.

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Profile picture for windyshores @windyshores

@heartfelt70 can you cite your statement that bones after bisphosphonates are "like chalk" and "crumble"? It is commonly known that bisphosphonates should not be taken for more than 3-5 years, because bone density is increased by lowering bone turnover, so there is less or no new bone. But the incidence of femur fracture or jaw necrosis in that time frame is rare.

This mechanism for bone growth IS a reason to do an anabolic first!

I am curious how doctors make money when they give us meds. Sincere question. I am sure you are right but I would like to know the mechanism.

I am sorry you had an awful reaction. I have also had awful reactions to many meds. But some do fine with bisphosphonates and benefit. Those people tend not to post here because they have no reason to.

I am cautious and am doing low doses and apart from fever have done okay with it.

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@windyshores hi so if bisphos only for 1 tob3 years? What heck are we supposed to be doing after that? Let my l4l5 fusion screws and rods in spine. How do I keep it strong. Can't lift heavy enough weights. Have 10 bulging discs. Don't want to have another spondylolisthesis which is slipped disc reason I had to have this fusion. I feel like I'm doomed. Can't stomp for fear screws come out or rods from the jarring. I don't know what to do did evenity feb 2026 last one. Then want me do reclast. I'm terrified I will get breathing respiratory failure have COPD 20BYEARS. DONT WANT BACK PAIN OR SOASMS IN BACK OR SEVERE PAIN IN BACK LEGS, HIPS, AND BACK WITH MY FUSION NOT EVEN HEALED YET IN FEBRUARY. YEAR SIBCE FUSION IS MAY. INS WONT PAY FOR BONE DENSITY TILL APRIL 30 2026. DONT WANT PROLIA EITHER. DONT THINK THEY WILL GIVE ME ANOTHER ANABOLIC BUT THATS WHAT I WANT TO BUILD MORE BONE. I HAD ALENDRONATE 5 YEARS BEFORE EVENITY SO UT WOLL BE LESS BONE BMD CUZ THAT. ANY SUGGESTIONS?
HAVE 2 KNEE REPLACEMENTS ONE IS NOT STABLE TO DO LOTS FORCEFUL EXERCISE.

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Profile picture for susanjane77 @susanjane77

I was informed that once I start Prolia, I will be on it forever. 2 shots a year. No going back on Reclast as I reached the amount of infusions recommended.
I could take a drug holiday for one year but I rather not. Since I can only get DEXA test every 2 years, I don’t know if a drug holiday would make matters worse.

I won’t consider Evenity as it is a shot every month and my doctor saw better results with Prolia.

There is so much to consider and it is overwhelming to me. Fortunately, I have not experienced any fractures and I hope to keep it that way.

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@susanjane77 hi i too was terrified of evenity and really all of the meds. I am 7 mo Evenity i wish I could take another 12 months of it. Side effects mild slight cough annoying is all some time few, and insomnia. Cuz had in may 6 months ago l4l5 fusion with rods and screws. I had min invasive robotic at mayo Rochester mn. No pain now and very little pain after first 3 weeks. Only Tylenol after 2 weeks. I don't want the pain and sickness that comes with reclast. Terrified of it. I have had COPD BAD LUNGS FOR 30 YEARS. NEVER SMOKED BUT PARENTS DID AROUND US. I WAS BORN PREMATURE 3 MO WEIGHED 2 LBS BORN. SCARED OF THE RESPIRATORY SIDE EFFECTS. I ALSO HAVE SEVERE ALLERGIES. DONT KNOW WHAT TO DO. WHAT WOULD U DO. I GOT 2 BAD KNEES REPLACED 14 TEARS AGO . CANT LIFT HEAVY WEIGHTS OR STOMP. FUSION NOT HEALED YET WONT BE IN FEB EITHER WHEN THEY WANT ME TO BE ON RECLAST. ANYONE ELSE HAVE AN ENDO FROM MAYO ROCHESTER MN?

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Profile picture for lkhender @lkhender

@dingus You are not alone! What they're afraid of, imo, is that we understand that they merely prescribe drugs according to what the sales rep and the literature from the pharmaceutical company (Big Pharma) tells them. They don't consider the side effects because they are told that they are "minimal." I would also venture to guess that they get financial support for prescribing the drug. I'm a retired RN, injured by Reclast and this is my opinion.

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@lkhender yup hit nail on head. Did you have endo dr from mayo in ro yesterday mn? Trying to find out if anyone did.

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Profile picture for beanieone @beanieone

Agree with your comments re docs/remuneration and Big Pharma @lkhender - I have been prescribed oral meds, Reclast, Tymlos, and Evenity.

I had horrible (NOT minimal) problems with Tymlos, but none with Evenity or Reclast and I’ve had at least seven lifetime infusions of Reclast. I did not want to begin Prolia and appealed to my doc to have one more Reclast infusion instead. It’s important to know that it’s not a one-size-fits-all issue.

Even with my constant messages to the doc to complain about the debilitating issues I was having with Tymlos, he recommended PT, pain management, an endoscopy . . . I suppose because the adverse reactions I was having were not listed on the Radius website, they couldn’t be related to the med 🙂‍↔️. After finally telling the doc I was pretty much finished with Tymlos, I stopped the injections, my symptoms cleared up within days and I found a new doc!

I guess that’s part of the beauty of Tymlos: the med doesn’t stay in one’s system long term and once there is cessation, the reactions clear up quickly . . . so there is that! Reclast and Evenity last longer - to the point where there is much information dedicated to how long Reclast remains in the body. Btw, after contacting Radius, some of my odd symptoms were added to the published list; not sure why.

Stay sunny everyone! Listen to your gut and do what’s best for you. 🌞

Cheers!

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@beanieone hi i had l4l5 fusion 6 mo ago. Had to go on evenity. 7 mo now. 4 to go. I want to be on it another 12 and I can't. Want me to do reclast. Terrified of getting longterm bone joint and back pain, hips, knees and in my fusion scared to death. Have COPD LUNG PROBLEMS ALL MY LIFE. BORN 3 MO EARLY WEIGED 2 LBS. DO NOT HAVE ANY PAIN NOW. MON INV FUSION WAS PRETTY GOOD RECOVERY. I DONT WANT THE SHIT THAT CAN CONE FROM RECLAST AND OF COURSE ENDO GUY FROM MAYO ROCHESTER SAYS OH U DO FINE ON RECLADT. I HAVE SEVERE ALLERGIES WHICMEANS IM IMMUNE COMPROMISED IMMUNE SYSTEM ALL MESSED UP. HIGH BLOID P. SO SCARED OF ATRIAL FIB ETC. DONT KNOW WHAT TO DO. 2 BAD KNEES REPLACED 14 YEARS AGO WHAT DO DO. ?

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Profile picture for dingus @dingus

About a month ago (how time flies) I had posted that I went to yet another Endocrinologist. We spoke briefly on the phone after the appointment, and I then read her comments on My Chart. On My Chart she mentioned that she recommended that I continue Reclast, but that I didn't want to because it made me dizzy. Ha!! What a joke!!! Dizziness was only one of thirteen side effects I am experiencing on Reclast. While at the appointment I tried to show her a list of all my side effects. She avoided taking the paper that I had so neatly prepared for her, and said we could talk about it again at my next appointment in DECEMBER!!! I was hoping to have some relief from these side effects well before December.
During our conversation I asked her if my bone density had gotten any better after I had the Reclast infusion. I had a bone density test on 1-17-23, Reclast on 2-21-23, and another bone density on 5-20-24. She said "no". It was one of those quick little "no" answers. It indicated to me that she hadn't really looked into it, or she didn't want to spend any more time with me. I have so many more thoughts, but I guess it's just time to find another doctor. All I know for sure is that I will never take Reclast again.

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@dingus wow was your endo at mayo Rochester trying to find some one who did.?

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Profile picture for dingus @dingus

Windyshores, Trying to get this out to you and I just lost a couple of paragraphs. Trying again. I want to say first of all that I hadn't read anything regarding Reclast side effects when I started experiencing these pains etc. I had the infusion in February of 2023. The day after, I woke up with major pain in my shoulders. I've never had shoulder pain. It got better over the next couple of weeks. Then I started having excruciating pain in my right foot when I went from a sitting to a standing position. I called my PCP and told her I needed an x-ray because I thought my foot was broken. The x-ray showed nothing. Since then, the shoulder pain has subsided but the foot pain has come back about three times. It lasts about a week each time. Other side effects that I've had since the Reclast infusion are weak legs, swelling in feet, pain in legs, and toes (toe pain so bad I sometimes cannot sleep) numbness in my right leg, dizziness (serious dizziness) cold sweats, unable to regulate my body temperature, headaches. These all come and go. Thank goodness they don't all come at the same time. I've talked to several doctors of different persuasions, but no one can give me a good answer as to why I'm having these side effects (Of course, I'm convinced it's the Reclast due to the sequence of events), or, more importantly, how to fix the problems. It stays in your body for five years. Is this what I have to look forward to for the next three and a half years?? WindyShores or anyone, let me know if you have any questions.

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@dingus I read stays in Body 10 years. Stupid then why the 5 mg dose every year it will never leave your body that rate.

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