Long-term safety concerns of antiresorptive thero... - PMRGCAuk
Long-term safety concerns of antiresorptive theropy, eg AA and risedronate
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This is actually a relatively old publication - from 2011. Many of the concerns will have been addressed since then.
Right, sorry I had not clocked the publication date.
In what way have the concerns been addressed since then?
The recommendations are for a drug holiday after 3 to 5 years which reduces the risks of these long term adverse effects, There is also more resistance to using it automatically and emphasis on need. There should always be a balance of risk and benefit and sometimes the risk of fractures is greater than that of the adverse effects. Np, I know it is still not perfect - but people are more aware. Back then, many doctors had been convinced it was the best thing since sliced bread
I stopped taking risedronate after 3 years having read on here the effects. When I was diagnosed with PMR over 4 years ago I was put on Pred and AA and I didn’t question as I was relieved to get rid of the pain. The junior rheumatologist did not mention any side effects at the time of prescribing and I find that annoying. Strangely, I had a DEXA scan in August last year and although my scores were all positive, the report recommended to keep taking risedronate. I find that really inappropriate and rather annoying to be honest.
T scores (I think they were T and not Z) we’re all positive, ie had the + symbol in front of the values.
I have positive T and Z scores. However it did not stop my GP harping on about taking AA every time I talked to him. I assume he had read somewhere about PMR and one should take AA.