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Showing posts with label etidronate. Show all posts
Showing posts with label etidronate. Show all posts

Wednesday, March 16, 2011

The case of a 70 year old man with an arthritic ankle

"He is an avid golfer still playing several games a week but restricted now to flat courses).   He has had two knee replacements with no problems but is coming off steroids because of a bout of polymyalgae rheumatica.  Now taking 3 and a half mgs a day.   He has a lot of other medication including betaloc, disprin and allopurinol which are a preventative prescription to stave off any nasties I believe.   An x-ray has confirmed his ankle is arthritic.   He likes a daily wine and small beer but has always been a beer drinker.    Any help would be marvellous."


With further questioning, it was confirmed he was on other medication as well: Arrow-Simva simvastatin (40).Betaloc CR 47.5, Aspirin 100MG EC (ethics), Allopurinol 300MG,  prednisone 3and 1/2 daily  ,Etidronate disodium 200MG, calcium carbonate 1 25G
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Gary:
Without knowing the exact sequence of when each drug was prescribed, I am making some assumptions as to what came first, next, then last.

Heart and blood pressure medications are, in my opinion, prescribed with excess.  This may be in response to a perceived "family risk" or raised cholesterol and/or blood pressure even if the elevation is of minimal risk ("to stave off any nasties").  These drugs have many side effects, including upsetting digestion, and weakening joints and muscles by depleting the body of critical minerals and nutrients like Coenzyme Q-10.  Even the Mind is affected.

If a person is at elevated risk of cardiovascular disease, the best course of action is to correct nutrient imbalances and not to medicate.  Medicating without first correcting imbalances within the body is madness.

One of the conditions that we see almost daily from the use of these drugs is disabling muscle and joint pain, often referred to as Polymyalgia or similar.  The standard medical treatment is to place the person on a steroid - usually Prednisone.

Prednisone will give relief for a few months; but at a huge cost.  Prednisone progressively shuts down adrenal function leading eventually to a life threatening condition known as Addison's.  The only treatment is to increase the Predisone.  To stop taking Prednisone can be life threatening.

Prednisone also expedites the loss of bone and the softening of joints.  It is not unusual for those on prednisone to require joint replacement within 5-10 years of use.

The usual treatment to counter the loss of bone is to place the unfortunate person on a drug like Etidronate which effectively kills the bone and to prescribe calcium supplements.  There is evidence that "bone sparing" drugs are associated with increased fracture risk from about four years of use (this is all documented on my blog in many articles about drugs for osteoporosis).

Excess calcium circulating via bone loss and calcium supplements will increase the rate of calcification of the blood vessels and joint tissues (arteriosclerosis and arthritis).  This is medical madness when drugs have been prescribed to treat a perceived or real cardiovascular condition.

As in the case of our 70+ year old man, you can see the process by which one drug is added onto another.  Never, it seems, is a drug that may be causing harm withdrawn.  Diseases, such as osteoporosis, are being caused by drugs where good health once dominated.  One can only speculate as to why these drugs are dished out with scant regard for the health consequences.  Is it outright ignorance?  Is it due to brain-washing by the drugs industry?  Is it the convenience of a quick-fix?  Is it the money (prescribing drugs is highly profitable)? Is it because the act of withdrawing a drug that is causing harm implying culpability by the prescriber (safer to cover your tracks by giving the drug-induced condition an important name like "polymyalgia rheumatica" and prescribing another drug)?  Whatever the reason may be, the end result is a person who is falling apart while drugged out on as many as a dozen different highly expensive medicines.

There are three steps this man can take to rescue his health:

  • Consult his doctor about a progressive withdrawal of all the medication he is on.  Ones like the calcium, the Etidronate and the statin can be withdrawn immediately without any risks at all - other than feeling better.  Set a timetable no longer than three months for the lot.  If the doctor objects, listen to what he has to say carefully.  If you are not satisfied, or unconvinced, I recommend you change doctors without hesitation.
  • Commence immediately a course of Coenzyme Q-10 and an adrenal recovery programme (You will need my assistance with this).  These are complimentary to your current and any ongoing medication and will prepare the way for getting off Prednisone which is the most delicate challenge ahead.
  • Complete a Hair Tissue Mineral Analysis and act on the results.




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The advice in these articles is given freely without promise or obligation.  Its all about giving you and your family the tools and information to take control of your health and fitness.  Please give me your support by subscribing to my free email updates. Please shop at my Online Store. Please encourage your family and friends to do the same. While we may not always be able to compete with the big operators on price, we aim to more than compensate through personal service!
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Do you have a question?  Email Gary: gary@myotec.co.nz. Include any relevant background information to your question.  Please be patient and be aware that I may not be able to answer every inquiry in detail, depending on workloads (My paying clients take precedence!). I will either reply by email or, most likely, by way of an article (Personal identifying details will be removed before publication).

Monday, April 26, 2010

I am a 60 year old woman diagnosed with osteopaenia and now taking Etidronate


Dear Gary,

I follow your page and blog with interest and am interested in your advice for my situation. 

I am 60 years old, a non-smoker, generally very healthy. I exercise regularly (walking, yoga), eat a well balanced diet and have pretty well always done so.  At age 48, when peri-menopausal I had a Dexa test. Because at that time I was diagnosed at having osteopenia  I have had subsequent tests. The results of these tests are summarised below in terms of the T Scores:

Age
48
50
56
58
T Score Lumbar Total
-1.8
-2.5
-3.7
-3.7
T Score Right Hip (total)
-1.2
-1.6
-2.0
-1.9
T Score Left Hip (total)

-1.3
-2.2
-1.5

The treatments I have had are:
- HRT between age 48-51
- no treatment between age 51-56

Monday, September 08, 2008

I stopped taking Fosamax immediately after reading your article about biphosphonates

"I had been taking Fosamax for 11 months before reading your article. I decided to stop taking them immediately. I saw my doctor but she said she knew nothing of any bad side effect and wanted me to continue taking them. I refused and went back to taking Etidronate for two weeks and Calcium for two and a half months. Is this safer for me ? I had been on that for several years before changing to Fosamax last Sept. I am 72 in a couple of days time. Take no other medication and feel I am reasonably fit . I walk four kilometres most days .I am not overweight at all. My only problem really is back pain. I had x-rays in Jan and the results where deteriation of the spine. I find vacuuming and gardening a problem but as we have a large garden and grow lots of veg etc I still need to be able to do my share. Also I love doing it.
I do value your opinion and look forward to hearing any ideas you may have to help me."
__________________________
Gary replies:
Editronate is the same class of medicine as Fosamax - a bisphosphonate. I have yet to hear a single compelling reason why a person should be taking these. Unless, of course, they have very special reasons for needing to suppress bone turnover, such as bone cancer.

Even at 72 your bones are living organs that are in a constant process of renewal. The best approach to maintaining their health by far is to nourish them with good food and to sitmulate them through exercise to be supple and strong.

There are a number of things you can do regardless of age to improve bone health:
  • Lift about 2kg from ground level above your head and down several times daily.
  • Get a referral to the ACC sponsored Tai Chi community exercise programme
  • Walk, garden, dance.
  • My book on back pain has many exercises in it that would be beneficial for you.
  • Get a little protein into your body 3-4 times a day. If necessary, you can take a whey protein supplement.
  • Ensure you take a mineral supplement that supplies calcium and other bone mineral nutrients in the form that is found in the body (This excludes most calcium supplements). Take small doses frequently and void the big-hit supplements. Active 4.3 will do the job nicely.
  • Ensure that you have a rich daily intake of all of the fat soluble vitamins - A, D, E and K. A blood test of vitamin D can be ordered through your Dr; but bear in mind that a notice has been circulated to doctors earlier this year requesting that they refrain from ordering this test unless absolutely necessary due to cost. Insist on the test then send me the results and I will assist with its interpretation. This will help with determining how much supplementary vitamin D you need.
  • You may need to take some supplements for all of the fat soluble vitamins other than vitamin K. The best source of vitamin K is spinach, silver beet, Brussel sprouts, taro leaves and brocoli cooked in fat like coconut oil, lard or clarified butter or ordinary butter (The fat dissolves the vtiamin K).
This exercise and nutrition advice does not in any way interfere with current medication.

You still need to discuss your medication needs with an informed and caring health professional. If your doctor knows nothing of the side effects of these drugs you are taking, then it may be time to change to a doctor who is better informed. I am about to write my take on why official statistics of adverse reactions to many medication seem incredibly rare, while being a common occurence to people like me who are working at the coal face. Keep a watch out for it.

Please let me know how you get on.

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Do you have a question?
Email Gary: gary at myotec.co.nz (Replace the "at" with @ and remove spaces). Please include any relevant background information to your question.