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Sunday, November, 22, 2009
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Question of the Week on Side Effects

Pam Flores
Pam Flores
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Pam Flores is a wife, paralegal, friend, advocate, and caregiver
a wife, paralegal, friend, advocate, and caregiver

I graduated from the University of West L.A. School of Paralegal...

Pam Flores

Tuesday, July 21, 2009
View All of Pam Flores's Posts
          All medications and supplements come with their own side effects which can make taking them very difficult. Tell us which medication you've chosen to take for bone loss, and how you are doing on it? Have you had difficulty with any of them?  Do you...
  1. side effects nimuselide
    nathji
    Tuesday, July 21, 2009 at 09:49 AM

    Dear Pam,

     

    Thank for the wonderful post. I wish to add a pain killer that is still used in many countries of the world for relief of any kind of pain, and it works good with bones and muscles. It is NIMUSELIDE. It has a side effect that can badly damage the liver, and there have been fatalities. I believe it is marketed mostly in Europe and India. Would you happen to know anything about this?

     

    I took Actonel 35mg once a wekk for osteopenia-- and developed and ominous ache in one of my legs which refused to go away. But the pain went away when I stopped Actonel although remnants of the achea remain. Two of my sisters took Actonel and were none the worse for it-- so maybe the side effects hit out differently on different people! I believe you took Actonel and were OK..

     

    Thanks, hope you are well..

     

    Priya

    Reply
    re: side effects nimuselide
    Pam Flores
    Tuesday, July 21, 2009 at 04:37 PM

    Hi Priya, thans for posting!!  I've never heard of nimuselide, but it sounds similar to our pain meds that can cause liver damage.  Actually the biggest problem we have is the acetaminophen (tylenol) in these drugs that causes the liver problems.  There is a limit to the amount of tylenol you can take in a day and since most pain meds have it in it, some don't realize that if you mix it with an over-the-counter cold remedies or some NSAIDS you'll be getting to much acetaminophen.

     

    You are correct about my experience with Actonel, but it wasn't actually symptom free.  For the most part I didn't have any trouble with it, but I did develop an unusual pain around the 16 month of taking it.  The pain was like a severe cramp, but went away in a few minutes.  Since it didn't last long I didn't think much of it, and I was never entirely sure it was from the Actonel since I've had cramps like this off and on my whole life.

     

    I guess you never found a solution to your side effects from Actonel, since you stopped taking it, but I wonder if any one else has had a similar situation but found a solution to it?

     

    Some people will experience these side effects and some won't, the problem is trying to find out which one you are early on, since some of these problems have a delayed reaction.

     

    Thanks for you input...

     

     

    Reply
  2. Untitled Comment
    Pam Flores
    Tuesday, July 21, 2009 at 04:54 PM

    Some people believe that all side effects are in your head, what do you think?  Do you think the brain can manufacture some of these problems, after you've read the package insert for side effects, or are all these drugs loaded with various side effects? 

    Reply
  3. Untitled Comment
    phyllis
    Tuesday, July 21, 2009 at 08:01 PM

    Hello all..another good question from Pam to make all of us do some thinking.  I think that every drug, OTC medication. or supplement will have side effects that will affect someone.  Everyone has such different body chemistry that nothing is perfect for everyone.  I took Actenol for a couple of month and during that time i considered myself lucky,  the only side effects i had were very dry eyes and a feeling of a lump in my throat that woudn't go away.  When i decided it wasn't the right path for me they both disappeared within a week or so.  I've never had a side effect from any of the supplements i've taken to help build bone density or for any other reason. take care...phyllis

     

     

    Reply
    re: Untitled Comment
    Pam Flores
    Tuesday, July 21, 2009 at 09:09 PM

    Thanks Phyllis for sharing your story with Actonel.  Like so many, you had symptoms that couldn't be tolerated, so you did what only you could do and that is to re-think your treatment options and come up with a different plan.

     

    Like you said, we all react completely differently to these meds, and we just have to find this out by trial and error.

     

    I'm so glad you found something that is working and isn't causing you any side effects except for greatly improved t-scores.

     

    All things, food, water, sun, supplements and meds that are ingested, or appied to the skin or eyes will have an effect for most, so make sure you evaluate your choices early on in the hope that you'll find something else that will work.

     

    We have to remember not to let the negative stories we hear dissuade us from trying something, since you could easily be one who doesn't have any trouble.  Fear of side effects is not a good way to analyze how treatments will work, since it doesn't apply to all, and you can't possibly know the outcome if you've never tried it.  You shouldn't have to take a med more than once or twice to find out if you can't take it, so it's not like you are embarking on a life long treatment with something you can't take or stop.

     

    Also, you'll rarely hear the positive stories on these meds on the Internet since those doing well, don't feel the need to post and are busy getting on with their lives, so they don't think about it as much.  You only have to look at the total numbers of repeat re-fills on these meds world wide, to know that there is a large *silent* group who are doing very well with them, but not discussing it.  However, this doesn't mean that these drugs are side effect free because they are not, but a lot of the problems with them can be associated to existing medical problems that these drugs can make worse.  So please have your Dr. check for all the other disorders, like gi problems, GERD, celiac, etc., etc. to make sure that your medical history is fully understood and how it could exacerbate the symptoms of some meds.

     

     

    Reply
    re: re: Untitled Comment
    Revital
    Monday, July 27, 2009 at 09:13 PM

    I must beg to differ here, Pam.  One does not necessarily have to take a med only once or twice in order to find out if you're going to get side effects.  With some, side effects will only appear after a period of months - even years.  Just as you've all mentioned, our bodies react differently and over different time periods, too.

     

    Best Regards,

     

    Revital

    Reply
    re: re: re: Untitled Comment
    Pam Flores
    Tuesday, July 28, 2009 at 04:36 PM

    Hi Revital, thanks for you input!!  I totally agree with you; many side effects don't raise their ugly heads until months or years after starting a medication, which is horrible. 

     

    Most osteoporosis meds, not all, seem to cause problems for most very early on, if you look at the number of complaints we get about these types of drugs.  Luckily, the new recommendations on these meds is to take them for 5 years, and then re-evaluate to see if you've improved, by how much, and if not why; maybe we need to switch to another medication or take a break, if we are seeing gains in bone density and our risk of fracture is low.  Your Dr. would have to determine these variables to see what is best for you in treating your bone loss.

     

    But you're correct, not all of us react immediately to these meds, but very many do.

     

    Thanks again for your great insight!!

    Reply
    re: re: re: re: Untitled Comment
    Revital
    Tuesday, July 28, 2009 at 10:55 PM

    Hello, Pam

     

    Thanks for your comment.

     

    Unfortunately, certain of the bisphosphonate meds can remain in one's system even for a period of as long as 10 years (specifically Fosamax), even after coming off them.  But I'm sure you are aware of this fact.  I was prescribed Fosamax a few years back, but decided it was not for me.

     

    Thanks for the valuable info and I wish you the best of luck with your treatments.

     

    Revital

     

     

     

     

     

     

    Reply
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