Reclast for Osteoporosis: What to Know About the Once-a-Year Infusion

A single yearly infusion can be an alternative to weekly or monthly osteoporosis pills. Here's how Reclast works and how to prepare.

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Osteoporosis weakens bones so they break more easily, often without any warning signs until a fracture happens. Many people manage it with weekly or monthly pills, but those can be hard to take correctly or hard on the stomach. Reclast offers another option: one IV infusion, usually once a year.

What is Reclast?

Reclast (zoledronic acid) belongs to a group of medicines called bisphosphonates. It slows the cells that break down bone, which may help maintain bone density and lower the risk of fractures. Generic zoledronic acid is also available.

Who is it for?

Your doctor may consider Reclast for osteoporosis in women after menopause and in men, for osteoporosis caused by long-term steroid use, and for Paget's disease of bone. It may be a good fit if you've had trouble with osteoporosis pills or would rather not take them.

Who should not receive it?

Reclast isn't right for everyone. It's generally not used in people with significantly reduced kidney function or low calcium that hasn't been corrected, and it shouldn't be given to someone already receiving Zometa, which contains the same medicine. Your doctor will check your kidney function and calcium beforehand.

How to prepare

  • Have the lab work your doctor orders, usually kidney function and calcium.
  • Get a dental check-up if your doctor recommends one, especially if you have dental work planned.
  • Take calcium and vitamin D as your doctor advises.
  • Drink plenty of fluids before your appointment, unless your doctor has told you to limit them.
  • Eat normally beforehand.

The infusion itself

Reclast is given through an IV over at least 15 minutes. With check-in, vital signs and a short check afterward, the visit is usually brief.

How you might feel afterward

Some people have flu-like symptoms, such as fever, muscle or joint aches and headache, in the first few days after their first infusion. This is less common with later doses. Ask your doctor whether it's okay to take acetaminophen to ease these symptoms. Rare but serious side effects include jaw bone problems and unusual thigh bone fractures, so report jaw pain or new thigh or groin pain to your doctor.

How long will I need it?

Your doctor will decide how long to continue based on your fracture risk and bone density over time. Some people stay on treatment for several years; others take a planned break.

Reclast infusions in Toms River, NJ

Infuse Care gives prescribed Reclast and zoledronic acid infusions in private suites, and we keep your doctor updated after each visit. Doctors can find our Reclast order form on the referral page. Learn more about osteoporosis and our endocrinology services, or call 732-444-8808.

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This article is general information, not medical advice. Your doctor can help you decide what's right for your situation.

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