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Question
Posted by: Jan | 2007/02/17

Actonel / ckd stage 2/3

I've been prescribed Actonel for approximately 2 years. My bone density scan at that time showed:
L1-L4 lumbar spine bmd.

Spine : 0.9561g/cm2 Value is -0.30 z score -0.90 t score
Hip
femoral neck bmd 0.7504 g/cm2 value is -035 z score -2.02 t score
History of osteoporosis on both maternal/paternal side of family...mother had suffered at 4 spinal collapses...I also have a slight case of scoliosis also evident on mother's side of family.

Other hip sites bmd is borderline low at the trochanter is mildy reduced at Wards triangle
I was recently diagnosed with Chronic Kidney Disease fluctuating between Stage 2 and 3.
I have read that Actonel is not good for people with ckd. How do I know whether this is a risk taking.

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Our expert says:
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Dear Jan,

Thank you for your message. As with any form of medication, there is a risk of developing potential complications and side effects. Clearly these adverse reactions can be of a greater consequence when viewed as part of an overall picture like yours, where underlying chronic disease is occurring concurrently.

I would do a couple of things before making any decisions. Firstly, I would arrange a repeat bone density scan to obtain your current values. Once you have this information, I would make an appointment to see your gynae and your renal specialist to discuss your concerns and to explore the possibility of additonal ways to tackle your osteoporosis. I am sure that your renal specialist will want to monitor your kidney function closely, especially if you choose to continue with your current medication or opt for a change.

I hope that this helps.

Best wishes, Dr. Gary Riley

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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