Side Effects of Osteoporosis Medications Like Fosamax, Boniva, and Reclast

How rare are the bisphosphonate class of osteoporosis drugs’ devastating side effects, which ironically include bone fractures?

If the drugs work, might the benefits outweigh the risks? See How Well Do Medicines Like Fosamax Work to Treat Osteoporosis? (https://nutritionfacts.org/video/how-well-do-medicines-life-fosamax-work-to-treat-osteoporosis/).

This video was originally part of my webinar all about osteoporosis. You can watch that full recording (https://nutritionfacts.org/video/preventing-and-treating-osteoporosis-webinar-recording/), which includes a great Q&A.

These stand-alone videos are already live on our site: Fall Prevention Is the Most Important Thing for Preventing Osteoporosis Bone Fractures (https://nutritionfacts.org/video/fall-prevention-is-the-most-important-thing-for-preventing-osteoporosis-bone-fractures) and Acid Reflux Medicine May Cause Osteoporosis (https://nutritionfacts.org/video/acid-reflux-medicine-may-cause-osteoporosis).<br />
What about calcium supplements for bone health? See Are Calcium Supplements Safe? (https://nutritionfacts.org/video/are-calcium-supplements-safe/) and Are Calcium Supplements Effective? (https://nutritionfacts.org/video/are-calcium-supplements-effective/).

And milk? See Is Milk Good for Our Bones? (https://nutritionfacts.org/video/is-milk-good-for-our-bones/).

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15 Risposte a “Side Effects of Osteoporosis Medications Like Fosamax, Boniva, and Reclast”

  1. For low BMI people, simply adding body weight helps, and weight training to build muscle is a great way for everyone to strengthen bones.

    Bisphosphonates disrupt the body’s natural equilibrium of formation and resorption.

  2. A few years ago, pieces of my teeth started breaking off. Uh. So I added Vitamin K2 to my D3. Since then, no more broken teeth. Which brings me to the EFFECTS of the Bisphosphonates. Yes they increase BMD, or Bone Mineral Density. But the increased mineral density does NOT correlate with bone STRENGTH. The bones actually become more BRITTLE. So this whole thing is what I call a BONE SCAM.

  3. I've had osteoporosis for years and the doctors always pushed Osteo drugs, starting with Fosamax, then to other classes of drugs. I usually had a negative reaction to them almost immediately, except Forteo, but then that is a daily shot in the stomach, so I stopped that after 8 months. I now refuse any osteo meds, but had gone back on HRT (I'm low risk there and it is only estrogen since I don't have a uterus or ovaries). My osteoporosis has leveled off and not gotten better or worse for 7 years now, so I am OK with that. I have been a runner for 45 years and plant-based eater, who also supplements with Vit D3 and K2. If that's not enough, so be it.

  4. At 55 I already have osteoporosis in a couple of bones in my lumbar spine but I have normal trabecular bone score (TBS). I weight train 3x week and jump on my elliptical or at the gym on a daily basis whenever possible. I try to get enough calcium through diet and supplement when I fall very short (including magnesium, D3+K2) I was deathly afraid of these drugs hearing how opposed people are due to the horrible side effects of OCJ and atypical femoral fractures. I am also a breast cancer survivor on tam but soon to be switched to an AI which will DESTROY my bones. The plan is to have me on an AI for 2 years. After reading up about how these drugs work, I decided to take a bone sparing agent after getting my bone biomarkers done and seeing that my osteoclast activity is too high for my osteoblast to keep up. Two years on a bone sparing agent will help me. It will strengthen my cortical bone and remain there for years to come without becoming brittle or inflexible which is what happens when patients are on these drugs for too long. You go on them and get off them and run labs to see if your osteoclasts are trending upward and if so, you go back on them then get off them once stabilized then back off again. The problem is that many doctors who prescribe these powerful drugs were not aware that their patients need a drug holiday (all except prolia which works a bit differently and requires you chase it with a bisphosphonate to prevent AFF— it’s worse with Prolia! My mom broke her hip after her oncologist took her off Prolia because she completed her breast cancer treatment after 5 years of an AI and no one caught that she needed to be on a bisphosphonate) If your t-score is really low, taking these drugs will prevent a future fracture. They are good drugs if used properly. I plan on taking it because without while being on an AI will eat up my bones and I will surely fracture if i don’t do something pro-active to prevent it. Work with a physician who will run labs on you. THis is not an easy disease. But it is manageable with the right tools. These drugs have a place in medicine and I am relieved these are available. Nothing is worse than a fracture or microfractures. Once you get a fracture, you are not so easily pieced together.

  5. My stepmother took Boniva for only 11 months and a couple years later suffered an atypical femur fracture upon twisting her leg simply walking through her yard. The doctors at Duke all agreed it looked exactly like the type of atypical fracture seen with Boniva. It was the first fracture she ever had. I believe she would have been better off never taking the medication.

    I'll take my chances.

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