Fosamax Information and Warning

UPDATED: Jul 13, 2023Fact Checked

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Jeffrey Johnson

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Jeffrey Johnson is a legal writer with a focus on personal injury. He has worked on personal injury and sovereign immunity litigation in addition to experience in family, estate, and criminal law. He earned a J.D. from the University of Baltimore and has worked in legal offices and non-profits in Maryland, Texas, and North Carolina. He has also earned an MFA in screenwriting from Chapman Univer...

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UPDATED: Jul 13, 2023

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UPDATED: Jul 13, 2023Fact Checked

Fosamax, Merck’s osteoporosis and Paget’s disease drug, has been implicated as a cause of Osteonecrosis of the Jaw (ONJ) or Dead Jaw disease. ONJ is caused by the temporary or permanent loss of blood to bone tissue, which causes the tissue in the jawbone to die and the bone to decay. ONJ can also occur when the bone is prevented from replacing itself by the use of drugs like Fosamax. It has been estimated that more than 2,400 Fosamax patients have reported serious jaw problems, including ONJ, since 2001.

Fosamax is one of a group of drugs called bisphosphonates, and the jaw absorbs 10 times as much of a bisphosphonate as other bones in the body. Bisphosphonates prevent normal bone renewal, and the jaw and maxilla need renewal because they receive slight daily injuries from normal use. The continual injury and lack of renewal can lead to bone death.

The risk of bisphosphonate-related ONJ has been linked to the size of the dose, according to Maico Meol, oral surgeon at the Washington Center Hospital in Toronto, Canada. Almost 95% of bisphosphonate-related ONJ cases are related to high doses taken intravenously as chemotherapy. Bisphosphonates have a shelf life of about 12 years and stay in the body. Because they stay in the jawbone in large amounts, experts fear that many bisphosphonate-related ONJ cases will emerge in the future. ONJ is often brought on by invasive dental work, such as extractions, that injure the jawbone, but it sometimes occurs spontaneously.

A report was published by Dr. Salvatore Ruggiero, a surgeon at the Long Island Jewish Hospital in 2004. He found bisphosphonate-related ONJ cases in both chemotherapy patients and those being treated from osteoporosis. An article by the head of oral and maxillofacial surgery at the University of Miami, Robert E. Marx, was published an article in the November, 2005 Journal of Oral Maxillofacial Surgery reporting bisphosphonate-related ONJ cases in patients receiving chemotherapy.

Fosamax information indicates that ONJ is a potential Fosamax side effect, particularly for patients who take it for a long period of time.

Check out the following articles for more information about Fosamax, filing a Fosamax lawsuit and finding a Fosamax attorney.

Exploring Fosamax: Case Studies on the Risks of Osteonecrosis of the Jaw (ONJ)

Case Study 1: The Complications of Bisphosphonate Use

Mrs. Thompson, a 65-year-old woman, had been taking Fosamax for over five years to manage her osteoporosis. During a routine dental procedure, she experienced severe jaw pain and swelling. After further examination, it was diagnosed as Osteonecrosis of the Jaw (ONJ) caused by Fosamax usage. Mrs. Thompson had to undergo multiple surgeries to treat the condition, resulting in significant physical and emotional distress.

Case Study 2: Long-Term Fosamax Use and ONJ

Mr. Johnson, a 70-year-old man, had been using Fosamax for ten years to manage his osteoporosis. He had previously undergone dental extractions without any complications. However, after his recent tooth extraction, he developed ONJ symptoms, including exposed jawbone and chronic infections. Mr. Johnson required extensive medical interventions and ongoing treatment to manage the condition.

Case Study 3: Chemotherapy-Induced Bisphosphonate-Related ONJ

Ms. Rodriguez, a 55-year-old breast cancer patient, had been receiving high-dose bisphosphonate therapy as part of her chemotherapy treatment. A few months into the treatment, she started experiencing severe jaw pain and difficulty eating. A dental examination revealed ONJ as a result of bisphosphonate usage. Ms. Rodriguez’s cancer treatment had to be adjusted, and she required comprehensive dental and medical care to address the ONJ complications.

Case Study 4: The Role of Early Diagnosis and Intervention

Mr. Anderson, a 60-year-old man, had been using Fosamax for seven years due to his osteoporosis. During his routine dental check-up, his dentist noticed early signs of ONJ. Thanks to the timely diagnosis, Mr. Anderson’s treatment plan included preventive measures and close monitoring. With appropriate interventions and regular follow-ups, he was able to avoid the progression of ONJ and minimize its impact on his oral health.

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Jeffrey Johnson

Insurance Lawyer

Jeffrey Johnson is a legal writer with a focus on personal injury. He has worked on personal injury and sovereign immunity litigation in addition to experience in family, estate, and criminal law. He earned a J.D. from the University of Baltimore and has worked in legal offices and non-profits in Maryland, Texas, and North Carolina. He has also earned an MFA in screenwriting from Chapman Univer...

Insurance Lawyer

Editorial Guidelines: We are a free online resource for anyone interested in learning more about legal topics and insurance. Our goal is to be an objective, third-party resource for everything legal and insurance related. We update our site regularly, and all content is reviewed by experts.

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