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@bec39

My mother is 90 and her PCP insists she needs to go on an osteoporosis drug, specifically Prolia, as her numbers are off the chart. She is terrified by what she has read about the side effects (as am I) and we’re trying to find her an alternative. She was on Fosamax for years followed by Forteo, but nothing since. I do agree she should be on something, though her Dr. says she can’t go back on another Bisphosphonate - is this true? I know she can’t go on Tymlos, Evenity is a possibility but only for one year. What about Raloxifene? I’ve never seen a conversation about that one. Any thoughts would be most helpful…

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Replies to "My mother is 90 and her PCP insists she needs to go on an osteoporosis drug,..."

Why can't she go on Tymlos?

I have older friends on Prolia and doing okay. At 90 she might not have to deal with the issues of getting off Prolia.

Of course Evenity might get her out of trouble fast.

No matter what she does, she will have to do a bisphosphonate like Reclast or Fosamax to keep her gains. Unless she just stays on Prolia for her lifetime.

I am taking raloxifene (generic Evista) but cannot comment on its effectiveness as I have not had a scan since starting it. Blood clots are a possible side effect, but my endocrinologist was not overly concerned as I do not have a history.

I had been on Prolia (5 injections) but stopped because I felt it was a factor in my extreme hair loss. I am not a candidate for Fosomax due to GI issues. I also had breast cancer and raloxifene may help ward off this disease (?).

Best wishes,
Cindy

bec39, talk to your mother's doctor about using Forteo again. My endo said since the black box warning was lifted on Forteo that some of her colleagues have started using Forteo again for their patients for a lifetime use of 4 yrs. As example, if your mother was on Forteo for two years prior, maybe she can use Forteo again. Check with her doctor. It's worth a conversation.

Oh wow, I have not heard this. I will definitely check with her doctor, that would be the perfect alternative!
Thank you so much!❤️

Hi @bec39 - I combined your discussion with an existing discussion titled "Alternative treatment instead of Prolia injections" - https://connect.mayoclinic.org/discussion/alternative-treatment-instead-of-prolia-injections to meet @gently and @malliecallie.