NADF Wednesday Q+A. Q: I'm 80 years old, was diagnosed with Addison's in 2017, and since have developed osteoporosis. My doctor would like to give a Reclast Infusion of zoledronic acid to treat the osteo. I'm very nervous about the possible side effects and/or impact it may have on my life. Do you have any insight or perspective on this treatment for Osteo with AI? See next slide for answer. www.NADF.us
Wednesday Q+A. See previous slide for question. A: Zoledronic acid is a well established treatment for osteoporosis. It is a bisphosphonate, like alendronate and risedronate, but it is given by iv infusion once a year, so it has none of the GI side effects of the oral medications. The one important side effect, most often seen with the first infusion, can be a flu like syndrome that can last 24 to 48 hours. Despite that possibility, it is safe and definitely effective for people with adrenal insufficiency. If achiness or fever do occur, one can treat it with acetaminophen and a temporary mild stress dose of hydrocortisone. -Dr. Margulies, Medical Director of NADF. www.NADF.us
NADF's Wednesday Q+A: What effect, if any, does zoledronic acid treatment for osteoporosis have on #AdrenalInsufficiency patients? Dr. Margulies provides a reassuring answer.
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