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Bone-Builder Drugs–Fosamax & ONJ I'll be addressing the “bone-builder" drugs like Boniva, Fosamax and Actonel. First, let me say that the information I am giving is from a Naturopathic viewpoint – do no harm and use our God-given resources for health and healing. Because I truly do not like being controversial, you will find this reply short and to the point. It is each of your jobs to take the information you glean and determine what is right for you personally. Each person is an individual and must weigh out the good and bad for each action taken. Now, I find that many people are taking bone-building prescriptions because they seem to be an easy solution. Many of these medications are using bisphosphonates, which are used to treat or prevent osteoporosis and well as other bone issues such as Paget’s disease, bone metastasis, bone fragility, and even to slow several types of cancers. The bisphosphonate can be oral or intravenous and is quickly absorbed onto the surface of bone. However, there can be another side to these medications (not always – maybe even rarely). After a recent visit with a group of dental health experts, I learned that dentists are now including on their intake forms the question “Are you taking any bone density or building medications?” The reason is that they are finding more and more patients who are taking these medications are experiencing TMJ, jaw sensitivity, and even ONJ. Osteonecrosis of the Jaw (ONJ) is a serious condition of the jawbone where parts of the bone die. As the bone weakens and deteriorates, decaying matter overwhelms the tissue of the mouth. There are now more and more specific guidelines for dentists to observe when they detect the possibility of ONJ. Osteonecrosis can occur to other bones and joints in the body also and is not limited to the jaw. This condition has been linked to the use of bisphosphonates and it appears more research is needed on the mechanism of this drug, even though it’s been in use for some time. There has been enough concern that the American Dental Association has posted information on its website at: www.ada.org/prof/resourses/topics/osteonecrosis.asp It should be noted that in 2005, the Food and Drug Administration (FDA) requested a bisphosphonate label change that warned patients of the Osteonecrosis risk associated with its use. Oral bisphosphonate manufacturers Merck (Fosamax) and Sanofi-Aventis (Actonel) added warnings to their labels to inform consumers and avoid potentials for litigation. In my practice, I would encourage the individual to pursue a natural path for strong and healthy bones before taking any medications. If the person is truly unable to comply with diet changes, lifestyle adjustments, and healthy choices, then I would encourage a strong conversation with the physician to find out every piece of information available before putting that medication into action. Each of us must learn to read and attempt to understand the literature that comes with our pharmaceutical medications. Yes, there will be some cases that this medication is the answer, undoubtedly. Weighing out the facts for yourself is the best answer. Here are some websites of integrity for your exploration: — Joan © 2009 Joan Goodman
Joan Goodman,
CTN, MH 281-493-9473 All articles are copyrighted by Joan Goodman. They may only be reprinted with her express permission. |