Hi yes, zometa can reduce Serum calcium levels in the blood as the zometa draws calcium into the bone, so it needs to be replaced.
Calcium is necessary to maintain other organ functions and cause cramps if not adequately replaced.
I’ll check with oncologist when I get biopsy results (if it goes ahead today-massive problems getting a bed). I did eventually find an article which said, as long as calcium levels are ok it can be prescribed with Zometa. Still not entirely sure why. Maybe because Zometa can lower calcium in the blood.
Hi Jan, Mindy
I remember my oncologist told me Zolendronic acid
(1) is given to early stage postmenopausal women is to prevent osteoporosis and relapse of breast cancer to bone.
(2) is given to stage IV with bone met is to prevent skeletal related event like pain crisis, hypercalcemia, pathologic fracture, epidural cord compression,
Jan, maybe this explains why you are not offered the drug this time. I am offered as I have bone met.
I asked my oncologist whether I need the supplement vitamin D3 and calcium. She said yes to D3 but no to calcium because of possible hypercalcemia happens in stage IV bone met.
My oncologist told me to continue with my yearly mammogram (to my healthy breast) as well every 5 years coloscopy (my dad passed away of colon cancer) just in case cancer can be pre-screen before it appears on the scan.
Thank you Jan, you’ve been a great help in your replies. I’m with you on the mammograms! My first invasive breast cancer didn’t show and it was only then I learned they were not always accurate esp in denser, younger breasts. Thankfully an astute doctor felt the lump and an ultrasound confirmed.
The thing I’m most upset about is that I thought early screening would prevent the situation I find myself in. It hasn’t. I presented early due to family history. If I could turn the clock back I would've asked for a double mastectomy in 2006 when DCIS was picked up.
I don’t know the answer to your question, I’m afraid, but I was having 6-monthly zometa and daily Adcal (calcium AND vit D supplement) as part of my adjuvant therapy for primary bc. When I got my secondary TNBC diagnosis (which has not affected my bones, although there’s a question mark over a badly-healed fractured sternum) my oncologist said we could cancel the zometa as it obviously had done its job in protecting my bones, but continue with the Adcal. I think I’d have preferred to continue with zometa as well but he obviously had his scientific reasons I don’t get.
Even better though, he has cancelled my annual (and dreaded) mammograms as I have 3-monthly CT scans. Oh bliss - no more agony, no more dread (and basically for me they were pointless - I had a clear mammogram in 2018 when I had 2 stage 3 tumours and 19/21 infected nodes. Forgive me for not having any faith in the process!)
I wish you all the best with your diagnosis and hope it’s not a TN. That seems to complicate things.
just a quick query. Is it usual to be prescribed calcium supplements with Zometa? I took it when receiving preventative Zometa after primary diagnosis but have now been prescribed it with my most recent infusion subsequent to secondary diagnosis. I was having a wee google just to find out why it was taken with Zometa and found an article that said it shouldn’t be taken as could encourage damaging bone activity, HOWEVER, the article (scientific paper) was published in 2004 so it may no longer be accurate. Just wondering if those on here with bone secondaries are taking adcal along with infusion. I’m sure my onc is on top of things but I’m kinda in between primary and secondary treatments as I await bone biopsy to identify which of my primaries triggered the secondaries. Thanks in advance.