Alendronic Tablets

Posted , 11 users are following.

Hi All! This coming Monday I'll be tapering from 15mg Pred to 12.5mg, I've picked up my prescription only to find an addition of Alendronic Acid Tablets 70mg in my bag from the pharmacy! I didn't actually ask for them!,,, so should I take them without querying it with my GP?? Has anyone else been given them in this way??

 

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  • Posted

    No--I wouldn't take them without further instructions and/or information.

    Are you sure you want to be tapering this much? --From 15 mg. to 12.5. Maybe I'm too careful, but I would be leery of any taper of more than 1 mg.

    Barbara

  • Posted

    Hi, Yes I was given them without asking for them, but they are to prevent bone thinning which can occur when taking pred. I have been taking them once a week for nearly two years now, since starting on pred and so far have had no ill effects ---- that I know of!!!
  • Posted

    Hello andrea, I would query it with Dr.before taking it.perhaps ask for a Dexa scan as well. hopefully Eilleen or one of the girls will post full info on IT.for you. All the best. Dave
  • Posted

    Hi andrea

    I was advised by my doctor to take A.A after about 2 months of being on pred and have so far had no side effects but A.A does not suit everyone.

    Good luck with your PMR journey.

  • Posted

    Hi Andrea, a week after diagnosis by my rheumatologist I visited my GP, I saw a locum and he prescribed them for me saying that I required them for bone protection, nothing more. I was 52. I stupidly took these tablets for 11 months without any side effects. However, following a discussion on this forum I asked my rheumatologist if I could stop taking them. He agreed and said that he only ever prescribes them for patients aged 75 and over. I no longer take them.

    i would suggest you request a dexa scan first and following the results of them make an informed choice, if your bone density is fine stick to daily supplicants of calcium, magnesium, and vit d, all RDA levels. But if you have bone problems then discuss AA and any other alternative medication with your GP  that would be of help. All the best, christina 

  • Posted

    I and several other ladies on the forums have never taken alendronic acid - and our bone density is fine. The company that makes the stuff did a brilliant marketing campaign about 15 years ago and convinced large numbers of doctors that if you gave this to your patients over about 55 you would remove any chance of them ever having a hip fracture with the resulting disability and suffering it can cause. They believed them. It is now emerging that long term use can lead to some unpleasant side effects (including spontaeous fractures of the femur) so use should be restricted to a maximum of 5 years without a break. Any one with a history of gastric problems - hiatus hernia, GORD or a gastric bleed - should NOT take them. 

    You should be given calcium and vit D supplements immediately but then sent for a dexascan to assess the state of your bones. Then, and only then, would I accept being told I needed AA on the basis of a dexascan showing existing loss of bone density. Only about half of patients on pred suffer from it - and if you do not need a medication I (ad a lot of other people) strongly believe it shouldn't be handed out ike sweeties. I had been on pred, mostly at above 10mg, for 4 years with no change. I'd been given AA - I  took 4 tablets, did my research, discussed it with a different GP and he agreed with me: take them if it is shown you need it.

  • Posted

    Hi Andrea, my one and only appt. with rheumy was March this year.  He prescribed Alendronic for me.  I asked about Dexa Scan and he said further down the line.  I had appt with my gp the following day.  I gave her the letter from the rheumy and told her I would not be taking AAcid until a Dexa Scan was carried out.  Not a problem.  I, for the most part and information from the good people on this forum am managing my pmr.  I am winging it as far as drs. and rheumys are concerned.  I have learned more from this site than I ever would from medical professionals.  Make an informed choice and all the best.  Regards Pat
  • Posted

    Evenig pat.You have put my thoughts on this stange journy in a nut shell, I have rightly or wrongly taken ALL my info from the likes of the young lady on the post above yours & from the other 2 forums with super results.Drs used for bloods, meds etc.I dont want mention names but i call them The T.Shirt Girls.cant thank them enough.I hope things are well with you, All the best.Dave
  • Posted

    Thank you! Thank you! Thank you All!!!

    I didn't ask for A A, I have an appointment with my rheumatologist in 3 weeks time so I will wait and discuss it with him. When I saw him in April he said that Id need a Dexa scan to see my bone density then IF I need medication he'd sort it out if necessary!! I'm only 50 years old with a good diet, non smoker, semi-regular periods and fat!!!,,, so hopeful not a candidate for oesteoporosis!

    Thanks again Boys and Girls!!

    Andrea 😄😄

    • Posted

      Andrea, stick with that rheumy and his sensible advice.  DEXA scan first and only take AA or the like if there is evidence of any bone thinning.  I was never prescribed either AA or calcium plus Vit D (the latter due to a misunderstanding between the rheumy and the GP apparently), and my bone density hardly changed in 5+ years on steroids, starting at 40mgs.  Anyone taking AA is advised to have a break from it after 5 years to avoid the risk of necrosis of the jaw/hip bone, so definitely best avoided until really needed.
    • Posted

      Thank you MrsO!! Yes those are my sentiments exactly!! I've only been on pred since March and I'd doubt very much if my bone density has deteriorated due to the steroid in such a short time to warrant A A so soon! Another 3 weeks until I see the rheumatologist next so he can put me straight. Thank you again for great advice. Andrea xx
    • Posted

      Some experts are of the opinion that the greatest loss of bone density occurs in the firs 3 months of taking pred - but equally, that is at the higher doses that are needed for GCA or severe lung infections/asthma. So they believe the time to have your base-line dexascan is after a few months. I had mine about 2 months in while on 15mg and it showed just into the osteopenia range. You can only compare sequential scans if they were done on the same machine - but the next one I had done nearly 4 years later showed pretty much the same range of readings. Neither would have triggered a need for AA.

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