Posted 24/06/2011 13:34:46
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| Despite my 20 year history of Irritable Bowel Syndrome I am now on my 4th bisphonate in the 18 months since diagnosis. My hip score is -2.6 & spine -3.6. I've taken Fosamax, Actonel & one I can't remember that made me very ill so I was taken off it after one dose. I now have an acid reflux problem which I did not have before, so basically my entire digestive system is wrecked at present. I have been on Omeprazole (to treat the acid reflux) for the past 6 weeks, but it's still not better. I started taking Bonviva two weeks ago after a 5 week rest from bisphosphonates, but my IBS is worse again, so but it's not looking good. I presume that any alternative treatments e.g Strontium Ranelate must be v expensive to put me through all this. I am seeing my GP on Monday. Is there anyone out there with IBS? Or knows which treatment is less likely to upset the digestion? I appreciate people's responses to drugs vary (& I do realise I am lucky that there are treatments available nowadays).
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Posted 24/06/2011 17:40:12
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| I don't have IBS, so my case is not the same as yours, but I did have a bleeding DU a number of years ago. Although this was cured, I still get indigestion when under stress, which needless to say was activated when I was diagnosed with OP, after breaking both wrists 10 months ago. I was refused strontium Ranelate on grounds of cost by my GP and prescribed alendronic acid. I stopped taking this after 10 weeks because of indigestion and bone pains. By this time I couldn't face my GP, so bought strontium citrate from the internet. I was eventually dragged back to see her by my husband, and still refused the S.R. Because we had reached stalemate over treatment, she agreed to refer me to the local Rheumatology Dept. to see their consultant. I took all the information I had printed off about OP and treatment, a list of the supplements I was taking eg. Ca, vit D3, chelated Mg, vit K2 (mk4 and MK7) and information about them in relation to OP. My memory is poor when under stress, so I also took a list of the reasons why I couldn't take bisphosphonates. To cut a long story short, I said that if I couldn't have the S.R. I would continue to take the strontium citrate. The Consultant realised I had made up my mind and wouldn't change it, so she agreed to me having the S.R. She said, she would rather I look prescription medication, rather than one which hadn't undergone drug trials, and gave me a letter for my GP, there and then. I have been taking the S.R. for a couple of months without any problems. I believe the cost of the Strontium ranelate is approx. £25 per month, compared with approx. £4 per month for the alendronic acid. This is why the doctors don't like to prescribe it. I had allowed the GP to bully me initially, because I was depressed, burst into tears and couldn't stand up for myself. After 'talking' to several folk on this forum, especially Annabel, it made me determined to be 'positive' and not allow myself to bullied again by a doctor. You must do the same. GOOD LUCK!
Lynne H
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Posted 28/06/2011 18:26:45
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| Hi Lynne H, Thank you so much for your reply. Unfortunately, I can see a pattern emerging here. My visit to the doctor did not go well: I have insomnia because of the Omeprazole I have to take to counteract the acid & like you was not exactly assertive. She has changed the O to another similar drug, but will not consider changing the Bonviva (Ibandronate). She doesn't believe that it is upsetting my IBS. Initially she told me there was no other choice and clearly thought bisphonates were the most appropriate choice. I was left with the distinct impression that she thinks I am wasting her time for no good reason. Obviously cost is a factor (or probably the factor). My husband (who should have been there) thinks maybe we should ask to see consultants re: the IBS & maybe the osteoporosis too. We'll probably have to pay for this. Also am considering buying Strontium Ranelate to try, my doctor after eventually acknowledging there was such a drug said that it causes diarrhoea, but I think her information is out of date as in the NOS booklet it says this is short-lived & mild. Probably she was trying to put me off. So where did you buy your Strontium Ranelate & has taking it at bedtime worked out OK? Onwards & upwards, Snowdrop
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Posted 28/06/2011 19:13:40
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Why do you think you will have to pay to see a consultant? If you can get your GP to refer you, that should be on the NHS. If a GP won't refer on the NHS but does agree to refer privately, that seems wrong.
Your doctor sounds very unhelpful. Is it possible to change to another practice? I know sometimes it's not easy.
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Posted 29/06/2011 16:36:17
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| Hi Maria10 You cannot buy strontium ranelate, it is only available on prescription. As Lane70 stated you should beable to get a NHS referal to a consultant without needing to pay a penny!. When you go next time take someone with you for moral support. Take as much information with you, as you can about your history and treatments and DON'T LET YOURSELF BE INTIMIDATED! I saw a Rheumatology consultant because they just happen to have the DEXA machine in their dept. The consultant therefore had an interest in OP. I originally bought strontium citrate (Dr's Best Bone Maker) from the internet, which worked out at approx. £14 per month. I don't think it is wise to self medicate unless you have tried every other avenue first, (ie a consultant appointment) without success. I didn't have diarrhoea with either of the strontiums, but everyone is different. Perhaps strontium is not the best treatment for you, but you will only find out by talking to a consultant. GOOD LUCK
Lynne H
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Posted 30/06/2011 00:03:45
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| I read that the adcal is £4 per month, the fosamax £22 and the SR £26 per month. I don't think there's a lot in it.I trawled the internet to find this out but sorry I can't give a reference. Has anyone else got figures?
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Posted 30/06/2011 09:06:08
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I do know that age and menopausal state comes into it. If you are 'young' when diagnosed, they have to consider how long you may be on the medication. Also, SR is only suitable for postmenopausal women, apparently.........
diagnosed OP at 40, menopause at 42. Intolerant of AA and SR. Got along on Adcal D3, diet and exercise for last ten years. OP worsening. Fractured knee, fibula and shoulder this year. About to commence annual infusion.......
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Posted 12/01/2012 13:34:31
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Hi Lynne
I have just been through trying to get someone here in Spain to prescribe SR - i have Private Medical Insurance, but they don't pay for the drugs. Looking on Chemist Direct in the UK (with prescription), it works out to cost approx £60 pm whereas here I can get it for about £40 pm. The Daily Mail article about OP and SR a few days ago was quite an education. The Government is not looking at the longer term savings it seems.
Regards
Sieglinde
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