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Prolia black box warning?

Osteoporosis & Bone Health | Last Active: Apr 28 8:56am | Replies (59)

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@formisc

That sounds like a great plan! As mentioned earlier, if you do not want to commit to a prescription of Alendronate yet, you could just try a couple of weeks to gauge your reaction, if any. But remember to do the blood tests first. Oh, you may also want to consider bringing forward your DXA so that you can separate the effect of Prolia and your subsequent relay drug on bone density

Reclast is the more potent drug and is most often quoted for use as a relay drug for getting off Prolia esp after 4 (per Dr McCormick, 3) or more shots of Prolia. But i was wary of putting in 1 year's dose at 1 go so i opted for weekly Alendronate where timing is also less of an issue. If you do end up deciding on Reclast, there is a lot of advice on this forum on how to minimise any side-effects like drinking lots of water. Also, windyshores (search under "Members") mentioned that she would ask for a 20% test dosage first so i am not sure if that is something your doctor would consider or agree to
All the best to you and please do keep us updated!

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Replies to "That sounds like a great plan! As mentioned earlier, if you do not want to commit..."

Hello formisc,
So sorry, I had answered under the wrong classification, so best to re-write this !
So here is my update from my 13 March appointment.
Apparently, my rhuematologist sent my GP a letter suggesting stopping the Prolia due to on-going infections and respiratory history [which is long] and to start Forteo. Should mention my rhuemy is also an internal medicine specialist.
To stress the point of on-going chest infections since the start of Prolia, I took ill again on 03 March, with ER treatment required.[Was seen by another respirologist there, who concurred with my regular respirologist].
I am now home and after a regime of 3 antibiotics and my regular antibiotic, I am improving ! Once back to 'normal' I will commence Forteo. [I am set for another round of pulmonary function tests after another 3 weeks and respirologist appointments, which will occur before the Forteo shot commences].
Apparently, Forteo has less infection complications and is indicated for steroid induced osteoporosis. Looks like the better choice.
I have yet to get my baseline bloodwork, but will do so when feeling a bit better.
Again thanks to you and others for your expertise and wonderful support in this - you were the trigger to get this 'ball rolling'.
Your happy Connect Buddy!