Bisphosponate dosage

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Hi everybody.

I take a daily 50mg ibandronic acid tablet . I have been on these for 4 months now . The side effects are bearable but during a conversation with my doctor whilst having acupuncture to help with sleep problems I mentioned that I struggle with the daily tablet. I have other medications I need to take at various times of the day ( we’ve had to change the timings of these to fit in with the essential morning routine with the ibandronic acid tablet ). I find it seems to rule my life at the moment which I accept I have to do but occasionally I find it really difficult especially if I am going out for the day and have an early start . 
My doctor mentioned she could prescribe the weekly tablet . I told her I had requested this from the breast care nurse and would find it so much more acceptable . The breast care nurse just said I need to take the daily tablet but no explanation as to why. Before I go back to the breast care nurse with the request , has anybody else come across this please ? My doctor , whilst I know she is not the cancer specialist , does not understand the reasoning . 
It could be my age ( I’m 70 ) and this is the best option within my treatment  ( I have had tumour removed, ER and PR positive , HER negative, radiotherapy and I also take Letrozole ) or maybe down to cost ( I cannot see this being the reason but we never know ) . 
I have followed all advice given to me and done everything requested of me but I would like to go back with some info regarding the dosages and try again for the weekly tablet. As I say, there could be a really good reason I have to take the daily tablet . 

By the way, the acupuncture does seem to be helping . I feel extremely lucky to be offered these few sessions by my doctor . It also gives a few minutes to have a chat with her whilst the needles are doing their magic. 

take care and the very best wishes to everybody 

NannaJ 

  • Yes, please do 

    Take care

    Julie 

  • Hi Margaret,  hope you are  doing well in your journey. Your situation  seems very similar  to my mum's. Background  is, she was diagnosed with stage 1a grade 2 HER 2 positive  BC, she had successful lumpectomy wih clear margins and no lymph node involvement,  she then had 12 weekly chemo and 5 days of radiotherapy.  She has the leg injection on going every 3 week for a year for the HER 2.She will be starting the same infusions as you after her last day of radiotherapy tomorrow.  Can  I ask she has obviously  been having heart scans and blood throughout,  she had a  course of tablets  for calcium and vit d, I assume this was for the start of the bisphosphonates but she has receieved a letter to for abdoman  scan, this hasn't been mentioned  at any oncologist  meeting , she has no felt any new symptoms  or the team have not raised any concerns, is this this standar in treatment  did you find ? Thank you take care x

  • Hi  

    sorry can’t tag at the minute yes your mums diagnosis and treatment plan sound very similar ..I had MX within 8days so wasn’t diagnosed with Her2 pos til biopsy back after op .

    The heart scans are more about the Herceptin and the vitD and calcium are as far as I understand an added bonus for strong bones to help stop BC secondary .

    A abdomen scan was never prescribed for me so really have no info on this .

    It may be to check liver/ kidney function

    Perhaps it depends on chemo type I was on EC X 6

    or it may be  new add on to plans because of new research .

    Bearing in mind I started in 2019 and have only just finished last month things could have moved on and abdomen scan could now be standard

    My advice would be for mum to ring onco secretary asking for phone appointment or letter telling her why ….so she feels more comfortable .

    The team at her unit only want the best for mum so will always in my experience respond positively to any queries .

    hope this helps 

    One step at a time and ...Breathe !
    xoxox
    Margaret
  • Thank  you so much for your reply, I can't believe  mum only showed me the letter on Friday night or I would called straight  away , I've spent all weekend  worrying about  why they  would send her for this scan , especially   when  it doesn't seem to be standard for anyone else.  Surely  if they were  concerned  about something they should of informed her. I hope you are doing well ? It had been lovely to talk to you, are you from the North East?

  • Yes I live in NE in Billingham  north of the Tees .Which area are you in ?

    Has mum just had bloods done ? Letter may be in response to that .

    I would have  thought they would ring if they were very concerned about something .

    Which hospital is she under I’m with North tees and Hartlepool trust which I must admit have been very good throughout treatment . Even when covid arrive just as chemo finished and Herceptin started .

    Thank you for asking Im doing fine just curious as to how I’ll feel when all the drugs are out of system . Too be honest mum might find it difficult to get head around Her2 pos but all the added treatment particularly the Herceptin serves to reduce the risk of recurrence 

    One step at a time and ...Breathe !
    xoxox
    Margaret