I have been prescribed a bisphosphonate, what side effects do I have to worry?

The first thing to remember is that after you take a bisphosphonate you have to remain upright for at least 45 minutes. The reason for this is that the pill can cause severe ulcers of the esophagus. Another rare complication is osteonecrosis of the jaw. This serious complication affects the jawbone and may follow some type of a dental procedure. It is highly recommended that you stop the bisphosphonate for at least 2 weeks prior to any dental work. 

Recent reports indicate that bisphosphonates can also cause fractures in the thigh, sometimes in both legs. These fractures are extremely painful and the pain may radiate to the groin and genital area. Sometimes these fractures are tiny but often the entire pelvic bone can disrupt. To limit these side effects, the use of bisphosphonates for more than 5 years is not recommended. Now that you know the real facts, the ultimate decision to take the drug depends on you. Do not listen to the hogwash your doctor says that you must be on these drugs. Talk to people who have used the drugs and always get a second opinion. Finally bisphosphonates are very expensive.