Tips for Reclast Injection

Posted by aspirecreative @aspirecreative, Feb 25 6:28pm

I will have my 12th Evenity injections next month. I had a DEXA and my spine improved significantly, but no other changes. I plan to start Reclast one month after my last Evenity shots. Does anyone have tips for making the infusion go well? I found with Evenity that taking Claritan the day of, and a day after helped with considerably with site swelling. I am wondering what tips others have for heading off Reclast side effects. Thank you.

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Begin hydrating well 2-3 days before the infusion, as well as beginning Tylenol and a daily antihistamine. Continue this on the day of and for a few days after the infusion. These will help with any acute phase reaction you might have. Be sure the infusion is at least 30 minutes long (preferably for some of us 45) with a saline flush before and after. Good luck!

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I had 3 Reclast infusions without problems in my late 60's. I hydrated well the day before and the day of the infusion and the day after. I even drank juice during the infusion. I took 2 Tylenol with a glass of liquid before driving to the hospital.

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I see that many people suggest a slower infusion , but the hospital where I will get my infusion says they do 15 minutes. The endo says that is the norm and she can't change it. Welcome any suggestions for providing evidence to slow it down.

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Profile picture for aspirecreative @aspirecreative

I see that many people suggest a slower infusion , but the hospital where I will get my infusion says they do 15 minutes. The endo says that is the norm and she can't change it. Welcome any suggestions for providing evidence to slow it down.

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@aspirecreative 15 minutes is the absolute minimum for a Reclast infusion. My doctor ordered a 30 minute infusion, but we had discussed 45 minutes because I am so small. When I got to the infusion center at the hospital, the nurse said she was putting in 30 minutes, and I shared with her my discussion with the endo regarding 45 minutes. She replied, "No problem, let me change it real quick." I truly believe that 15 minutes is part of the issue with people having so many bad reactions to the infusion. That and not prepping correctly. I passed on 3 different infusion centers because they wanted to do 15 minute infusions and pass patients through like cattle. So thankful the hospital I went to used common sense. Good luck to you!

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My hospital is in Seattle and they say they just do 15 minutes unless the doc asks otherwise. My doc says 15 minutes is the protocol. Where is your hospital ? I think if I had some evidence I could make a case for the slower infusion and the saline. I am also very small, well under 100 pounds.

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Profile picture for aspirecreative @aspirecreative

My hospital is in Seattle and they say they just do 15 minutes unless the doc asks otherwise. My doc says 15 minutes is the protocol. Where is your hospital ? I think if I had some evidence I could make a case for the slower infusion and the saline. I am also very small, well under 100 pounds.

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@aspirecreative I did find this post from someone who had a 15 minute infusion and then a 45 minute infusion. This is exactly what I'm talking about.

"I am a 77 year old with osteoporosis. A little over a year ago I had six fractures in my spine (all I did was roll over on bed!). I took my first reclast infusion and wound up in the hospital for pain management. The pain was so intense it caused me to experience a mild heart attack. A year rolls around and the Dr insist I must have a a second infusion. This time I was uton pain meds BEFORE the infusion and instead of the normal 15 mins to do the infusion they administered it over 45 mins time frame. Not problems at all after the infusion! Wishing you all the best!!!"

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Profile picture for aspirecreative @aspirecreative

My hospital is in Seattle and they say they just do 15 minutes unless the doc asks otherwise. My doc says 15 minutes is the protocol. Where is your hospital ? I think if I had some evidence I could make a case for the slower infusion and the saline. I am also very small, well under 100 pounds.

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@aspirecreative Here's another post...this time a 30 minute infusion

@ldawn "I had my first Reclast infusion a week ago. I followed the advice offered on this thread. I drank tons of water for several days prior, took an antihistamine and Tylenol the day before, the day of the infusion, and for a few days following. At about 24 hours following the infusion I did experience a slight headache and fatigue. I continued hydrating and Tylenol. By the 3rd day I was back to my normal, I also had the infusion administered over 30 minutes."

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Profile picture for harborside24 @harborside24

@aspirecreative I did find this post from someone who had a 15 minute infusion and then a 45 minute infusion. This is exactly what I'm talking about.

"I am a 77 year old with osteoporosis. A little over a year ago I had six fractures in my spine (all I did was roll over on bed!). I took my first reclast infusion and wound up in the hospital for pain management. The pain was so intense it caused me to experience a mild heart attack. A year rolls around and the Dr insist I must have a a second infusion. This time I was uton pain meds BEFORE the infusion and instead of the normal 15 mins to do the infusion they administered it over 45 mins time frame. Not problems at all after the infusion! Wishing you all the best!!!"

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@harborside24
Yes, this is the problem-- my endo wouldn't likely accept an example like this but if I had an article or peer-reviewed article, or anything like that, I think I could take it to her. I wish I could find evidence she would accept.

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Profile picture for harborside24 @harborside24

@aspirecreative Here's another post...this time a 30 minute infusion

@ldawn "I had my first Reclast infusion a week ago. I followed the advice offered on this thread. I drank tons of water for several days prior, took an antihistamine and Tylenol the day before, the day of the infusion, and for a few days following. At about 24 hours following the infusion I did experience a slight headache and fatigue. I continued hydrating and Tylenol. By the 3rd day I was back to my normal, I also had the infusion administered over 30 minutes."

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@harborside24 @ldawn how did you get the hospital to do a 30 minute infusion? Thank you. Mine says they will only do if the doc orders it. Thanks again.

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Profile picture for aspirecreative @aspirecreative

@harborside24 @ldawn how did you get the hospital to do a 30 minute infusion? Thank you. Mine says they will only do if the doc orders it. Thanks again.

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@aspirecreative I told them my doctor and I had discussed a longer infusion because I am so small. The nurse may have very well sent a message to the doc prior to changing it. If she did, I was not aware. All I know is that she changed it.

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