HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Is Prolia Shot Safe For A Heart Patient Suffering From Intense Fibromyalgia?

default
Posted on Mon, 7 Mar 2016
Question: Hi, my doctor suggested I take an injection of prolia. I have heard some very bad reports from patients who have had the injections. I have heart problems and have to watch my potassium also suffering from intense fibromyalgia. I would like a doctors opinion of prolia
doctor
Answered by Dr. Swarnava Dattagupta (3 hours later)
Brief Answer:
Very effective; however alternatives are there

Detailed Answer:
Hi,
Thank you for posting your query in Healthcaremagic.com.
This is Dr. Swarnava Dattagupta answering your query.

I understand your concern.
Prolia contains denosumab, which is a monoclonal antibody used mainly in the treatment of postmenopausal or age-related osteoporosis. It is one of the newer drugs in such condition and is given as subcutaneous injection once every 6 month. The efficacy is quite good, however there are some risk factors. Those who are suffering from long standing kidney or heart diseases, hypothyroidism and weak immune system are generally advised to avoid such injections. In such cases though rare, problems have occurred in the past.
Fosamax or alendronate is an oral medicine used for the same purpose and it is also said to give good results, however the frequency of dosage makes it difficult to continue.
Another alternative in such cases is zoledronic acid, which is given as intravenous injection once a year. The feedback is also quite good.
All these medications have a recommendation of calcium and vitamin D supplements alongwith.

So my suggestion will be to consult your treating doctor about the above options and then proceed with your treatment.

Hope I have answered your question.
If you have any further questions I will be happy to help.
Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Swarnava Dattagupta (14 hours later)
The review says long-standing heart disease and kidney problem--------I have a dysfunctional heart and a pacemaker along with watching potassium because certain pills I take.So I am thinking I should go back to Fosamax and leave prolia alone. The jury is out on how long one should be on Fosamax. So what is the answer about the length of time to take Fosamax.
doctor
Answered by Dr. Swarnava Dattagupta (10 hours later)
Brief Answer:
Follow as advised

Detailed Answer:
Hello.

You can go back to fosamax.
Fosamax contains alendronate and it is quite effective in osteoporosis.
You can take daily dosage but once weekly dosage is more convenient and equally effective.
It can be taken for a period of 3-5 years but you should followup every 6 months and seek your treating doctor's advice for further continuation.

Hope this helps.
Regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Swarnava Dattagupta

General & Family Physician

Practicing since :2013

Answered : 906 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Is Prolia Shot Safe For A Heart Patient Suffering From Intense Fibromyalgia?

Brief Answer: Very effective; however alternatives are there Detailed Answer: Hi, Thank you for posting your query in Healthcaremagic.com. This is Dr. Swarnava Dattagupta answering your query. I understand your concern. Prolia contains denosumab, which is a monoclonal antibody used mainly in the treatment of postmenopausal or age-related osteoporosis. It is one of the newer drugs in such condition and is given as subcutaneous injection once every 6 month. The efficacy is quite good, however there are some risk factors. Those who are suffering from long standing kidney or heart diseases, hypothyroidism and weak immune system are generally advised to avoid such injections. In such cases though rare, problems have occurred in the past. Fosamax or alendronate is an oral medicine used for the same purpose and it is also said to give good results, however the frequency of dosage makes it difficult to continue. Another alternative in such cases is zoledronic acid, which is given as intravenous injection once a year. The feedback is also quite good. All these medications have a recommendation of calcium and vitamin D supplements alongwith. So my suggestion will be to consult your treating doctor about the above options and then proceed with your treatment. Hope I have answered your question. If you have any further questions I will be happy to help. Regards.