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Reducing the Risk of Bone Fracture

Reducing the Risk of Bone Fracture - AHRQ Effective Health Care ...

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What are <strong>the</strong> possible side effects <strong>of</strong> <strong>the</strong>se medicines?<br />

Medicines<br />

Denosumab<br />

(Prolia®)<br />

Menopausal<br />

Hormone<br />

Therapy<br />

(MHT)<br />

Raloxifene<br />

(Evista®)<br />

Teriparatide<br />

(Forteo®)<br />

Possible Side<br />

Effects*<br />

Nausea, vomiting,<br />

heartburn, or irritation<br />

<strong>of</strong> your esophagus<br />

Low calcium levels<br />

in your blood<br />

Rashes<br />

Increased risk<br />

<strong>of</strong> infection<br />

Problems with <strong>the</strong><br />

health <strong>of</strong> your jaw<br />

bone<br />

Heart disease<br />

Stroke<br />

Breast cancer<br />

Arm or leg pain,<br />

muscle pain or cramps<br />

Hot flashes<br />

Blood clots<br />

Headaches<br />

High calcium levels<br />

in your blood<br />

Increased risk <strong>of</strong><br />

bone cancer<br />

Additional Information<br />

Following <strong>the</strong> instructions for taking <strong>the</strong>se medicines<br />

lowers <strong>the</strong> risk <strong>of</strong> <strong>the</strong>se side effects.<br />

This side effect is easy to treat.<br />

Call your doctor if you have a rash or blisters that do<br />

not go away or get worse.<br />

Infections can be serious and affect your heart in some<br />

cases. But <strong>the</strong> risk <strong>of</strong> this side effect is small.<br />

This side effect is rare, but it is serious and can cause<br />

pain, infections, and sores in your mouth.<br />

One <strong>of</strong> <strong>the</strong> studies found that <strong>the</strong> risk may be higher<br />

during <strong>the</strong> first year <strong>of</strong> taking this medicine.<br />

It is important to know <strong>the</strong> symptoms <strong>of</strong> a stroke and<br />

seek medical attention right away.<br />

Taking a combination <strong>of</strong> estrogen and progestin<br />

hormones may lead to more invasive breast cancer<br />

and a higher risk <strong>of</strong> death from breast cancer.<br />

Let your doctor know if this side effect keeps you from<br />

exercising or enjoying favorite activities.<br />

This side effect may be uncomfortable or embarrassing,<br />

but it does not cause any o<strong>the</strong>r health risk.<br />

Taking this medicine might increase your risk <strong>of</strong><br />

developing a blood clot in your legs or lungs. People<br />

who will not be able to move for 3 or more days<br />

(because <strong>the</strong>y are ill or recovering from surgery) should<br />

ask <strong>the</strong>ir doctor about stopping <strong>the</strong> medicine.<br />

Although this side effect can be treated with aspirin<br />

or o<strong>the</strong>r pain relievers, you should see your doctor if<br />

headaches become too strong or happen <strong>of</strong>ten.<br />

This side effect can be treated with medicines.<br />

This side effect happened at doses that were higher than<br />

what people usually take.<br />

* This list is from both research studies and <strong>the</strong> U.S. Food and Drug Administration.<br />

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