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Side affects of Prolia

ohmyachingback profile image
21 Replies

Hello...i've been on Prolia for 3yrs then went on a drug holiday as advised by my doctor (2yrs). I then went back on Prolia for another 3yrs and after my last injection in Dec. 2019 (2weeks later) developed tinnitus in one of my ears.

Has anyone developed ear problems during or after Prolia?

Thanks

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ohmyachingback
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21 Replies
Arcadia10 profile image
Arcadia10

I have had annoying tinnitus since starting Prolia in March 2018. I stopped Prolia in March 2020 and am using a relay drug (Actonel) to get off Prolia without fracturing. Unfortunately the tinnitus hasn't abated. I see that it is a listed side effect of Actonel (risedronate) also, so maybe you'll be more fortunate in that regard.

Did you use a bisphosphonate in the 2 years you had a drug holiday from Prolia? If not, you are one of the fortunate people who appear to have not sustained vertebral fractures after discontinuing it. Looking at the date of your last Prolia injection the second time around (December 2019), it appears that you are having another drug holiday. Presumably your doctor made you aware of the possibility of multiple vertebral fractures unless you transition to a relay drug? This is a serious problem and has caused disabling injuries in countless people, some of whom have told their tragic stories on this site.

jimister profile image
jimister

Hi I have been on Proplia for 3 years and I have Tinnitus in both ears but I did have it before I started Prolia.

Misla profile image
Misla

I’ve had tinnitus for years. Well before I got prolia.

ohmyachingback profile image
ohmyachingback

My doc did not put me on a relay drug after the first drug holiday. He has since recommended a relay drug at my next drug holiday based on the next DEXA/bone scan.I did not have any problems with fractures and was not aware that a relay drug was needed to avoid that. But my doc did inform me of the latest recommendations once stopping Prolia.

But my tinnitus may have been coincidental.

Arcadia10 profile image
Arcadia10 in reply to ohmyachingback

Looking at the timing of when you started on Prolia (probably 2012), your doctor wouldn't have known 3 years later when you stopped that a relay drug was required. The problem of multiple vertebral fractures only became common knowledge in 2017 when it started appearing in the medical literature. The medical profession knows little about why some people sustain fractures and others don't and it appears to be independent of initial bone density pre- and post-Prolia, hence the use of a relay drug is mandatory. The incidence of fractures is about 10-15%, so there's a good chance that most people will be lucky (as you have been) and not sustain fractures, but it wouldn't be great to be one of the unlucky ones.

So you're not on a drug holiday at present as I understood from the date of your last injection being Dec 2019. You probably meant 2020.

Hope your tinnitus improves.

Makeshift profile image
Makeshift in reply to Arcadia10

Where exactly did you get the 10 to 15 % incidence of fractures from? I have read the Prolia literature and see no specific referral to any percent? Thanks so much.

Arcadia10 profile image
Arcadia10 in reply to Makeshift

You won't find the true stats in the literature put out by Amgen who manufacture Prolia. I have come across the stats several times in the published medical literature. They vary a bit depending on the author, incidence reported to a particular institution, etc. Here is one (first page, starting fourth line from end of page): researchgate.net/publicatio...

Here's another, reporting 5-7% in 2016 (fifth paragraph down). The uptake and cessation of Prolia would have increased substantially since then, presumably resulting in a higher incidence of multiple spontaneous vertebral fractures: mdedge.com/rheumatology/art...

I read your main post and would question why you were put on it in the first place when you were osteopenic. It is meant for post-menopausal osteoporotic women, to my understanding, and only as a second line treatment after bisphosphonates have been trialled.

Be very careful and do your research if you're thinking about stopping Prolia. Prof Lamy in Switzerland is the guru and has written some excellent papers: researchgate.net/publicatio...

Good luck!

felsentor profile image
felsentor in reply to Arcadia10

Im trying to start a class action against Amgen- Ihave lost all my teeth and had necrosis of the jaw- please pass the word and contact me. Felsentor Im going to start a prolia facebook page.

Arcadia10 profile image
Arcadia10 in reply to felsentor

I'm so sorry to read about what this drug has done to you. I can't even begin to imagine how devastated and betrayed you must be feeling. I have told everyone who will listen not to start on Prolia.

How long were you on it for?

ohmyachingback profile image
ohmyachingback in reply to Arcadia10

thanks for the info.....

Arcadia10 profile image
Arcadia10 in reply to ohmyachingback

I came across a website last night which lists ringing in the ears as a side effect of Prolia: webmd.com/drugs/2/drug-1542... I certainly experienced it - and still am (now on Actonel).

ohmyachingback profile image
ohmyachingback in reply to Arcadia10

so many side affects listed and too many symptoms listed that an average person may have not knowing if it is a Prolia side effect. My gut feeling is to discontinue Prolia injections and go on Fosamax, etc. Do you have any opinion on once a week meds for osteoporosis

Thanks

Arcadia10 profile image
Arcadia10 in reply to ohmyachingback

The first issue you have is to ensure that you get off Prolia safely, i.e. without sustaining multiple vertebral fractures. This requires taking a bisphosphonate for up to 2 years and testing frequently. Once you have done that, you should discuss weekly bone meds with your doctor if you wish to continue on them (I don't intend to).

I'm taking Actonel (risedronate) EC 35mg once per week as a relay drug to get off Prolia without fracturing. I've been on it for 12 months now and my bone turnover results of last week are within acceptable limits, so the rebound from Prolia is being suppressed, although increasing with each test. The EC (enteric coated) tablet is supposed to bypass the stomach and only be absorbed in the bowel, as far as I understand, so alleviates the issues that some people have with reflux/GERD which the uncoated tablets like Fosamax can cause. I'm in Australia, so not sure whether the EC Actonel is available in your country.

I'm having some irritating side effects from Actonel, but nothing like those I had from Prolia which almost flattened me. The long-term side effects, like the potential for ONJ and atypical femoral fractures, should be researched and weighed up before continuing on these drugs indefinitely.

foxysharon profile image
foxysharon in reply to Arcadia10

hi Arcadia,These are my ctx since last Prolia injection and now taking Fosamax

70mg once a week.

9-6-20......... 87

7-9-20......... 450

7-12-20......... 540

9-3-21.......... 650

Are yours similar?

Arcadia10 profile image
Arcadia10 in reply to foxysharon

Hi foxysharon

Yes, mine are quite similar to yours, although I'm on Actonel 35mg weekly:

Aug 2020 - 100

Nov 2020 - 440

Feb 2021 - 630

I've been on Actonel for 12 months now.

My DEXA scores done on 2 Mar show that my BMD hasn't quite returned to pre-Prolia levels or worse, so that's a huge relief :

2/03/2021 1/02/2018 (pre-Prolia)

AP Spine -2.2 -2.3

Femoral neck -3.2 -3.4

Total Hip -2.6 -3.1

I'm having a telehealth consult with an endo in Brisbane in 2 weeks' time who hopefully will take charge of all this and manage my weaning off the Actonel, I'm hoping by the end of this year.

What are your plans going forward?

foxysharon profile image
foxysharon in reply to Arcadia10

Well im hoping to get off Fosamax.I guess i will do the two years as recommended for rebound,I did have 16 unnecessary prolia injections so theres that. My dexa last October no osteoporosis in the spine anymore,you know that false Prolia reading.My hip is -1.2.

Arcadia10 profile image
Arcadia10 in reply to foxysharon

Best to do another DEXA once you've been off Prolia for a year to see what's happening. Apparently the BMD reverts to pre-Prolia levels after a year but nothing much happens in the first 3 months as reflected in CTx score. You're fortunate in that your BMD (I see from postings in my main thread) was actually really good to start with, so probably nothing to worry about but advisable to keep tabs on.

Do you have an endo managing this? I ask because I was trying to do it myself using Lamy's protocol, but realised I was getting out of my depth re when to start weaning off the relay drug, how much to reduce dosage, etc. That's the great unknown and, I felt, needed expert management. A contact from this site has got off Prolia successfully. I am speaking to the endo who guided her through the process on 23 March.

Vonster25 profile image
Vonster25

I did not get ringing in my ears but once I took my 1 and only injection back in April 2019 my ears were agitated 24 /7To this day the agitation comes and goes at least once a month. It also gave me brain fog and flarred up sinuses along with horrible pain in my upper cheek bones

I refused to take another injection

ohmyachingback profile image
ohmyachingback in reply to Vonster25

I've had post nasal drip and don't know if it is associated with Prolia?? It's very annoying and if I eat anything the dripping starts ... Do you have these symptoms?

Vonster25 profile image
Vonster25 in reply to ohmyachingback

I do not remember having that but had a lot of sinus pressure. The one other thing I just remembered is my head would just all of the sudden itch all over to the point of having to use both hands to scratch and scratch until it stopped. It was intense. I don't miss having that stuff running thru my veins

rpd0423 profile image
rpd0423

Hi, thank you for sharing your situation because i have the same issue happening to me. Since i started with the prolia treatment, I've been having tinnitus and it's quite annoying. What have you learned?

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