Hi Annabelle: If you haven't read the link below, maybe it will help to answer your questions. Because Reclast is an iv bisphosphonate, it should have less gi probs, but of course there's the worry about osteonecrosis etc; with all iv bisphos's, but that is something you would have to decide for yourself. Check and see how long the half life is on this at the link below, that might help you to make a decision. Currently Reclast is used for Pagets disease in the US and some other medical probs, but as yet has not been approved for osteo here. I remember reading that it causes heart arthymias in the trials.
Does your mother have another 14 mos to go on forteo? If so, there might be other things available then if she doesn't decide to use Reclast. The 15 min infusion really makes it sound convenient, I'm just curious as to the side effects of those already on it. You might want to post in a Paget's forum and ask there, since they are the patients that would have long term knowledge of it.
Good Luck...
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