Who shouldn take bisphosphonates?
Not everyone is a good candidate for taking bisphosphonates. Your doctor may decide not to give you bisphosphonates if you have any of the following conditions: • Esophageal strictures • Kidney disease • Severe gastroesophageal reflux • Vitamin D deficiency Some people develop side effects that are intolerable, such as stomach irritation, or muscle and joint pain. Sometimes switching from one bisphosphonate to another may help. Among the newer bisphosphonatelike drugs, there is no clear advantage of one medication versus another in preventing fractures. Taking bisphosphonates with adequate amounts of calcium and vitamin D is critical. You need 1,500 mg of calcium daily and 400 to 800 International Units (IU) of vitamin D daily. Check with your doctor to find out the right amount for you. Remember that over-the-counter medications, including herbs and homeopathic remedies, are still drugs. Inform your doctor of all medications you take so she can monitor them.
