Thoughts on Prolia?
Diagnosed with Osteoporosis. Drs recommend Prolia. Do not like taking medications especially oral. Last resort would be Prolia as injection. Looking for opinions on this medication. Thank you
Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.
I hope you do well with reclast. I also have issues with drugs. My doc says my body processes drugs slower. I am happy to know that you have a couple of Endos willing to do the smaller dose. I asked mine about it and she instantly said no. No studies to prove it works and insurance won’t allow it. So I’ll be searching for another doc for when I am at the end of my bone builder
Best wishes to you.
gently, thanks for the reply. May I ask how much you weigh? Are you eating something salty right before the shot?
Do you know of anyone who has successfully come off of Prolia? I have been on it for 2 years. I do have a history of vetebral compression fractures. I was not made aware of the issues of coming off it before I started. My endocrinologist wants me to be on it for at least another year. Dr. McCormack recommends only 2 years. I do wish to come off due to the issues that can arise, however, I am concerned about doing that very thing because of all those same issues. . I am very concerned. Any thoughts.
@awesomemomx2 you are in a tough spot and I wonder if the decision also depends on your current DEXA scans and how much progress you have made in these two years. McCormick and others are saying the longer you are on Prolia, the more risks in getting off. The recommendation is Reclast for the transition. I hope you can talk with your doctor or McCormick about a long term plan either way.
45kgs
Yes, salt constricts your blood vessels witin seconds of consumption.
Thanks gently.
I've been researching this very question and recently found a study about the different treatment sequences you're discussing. It gets a bit technical, though there are charts included that are very helpful (I'm a visual person).
Here's the link followed by a couple of excerpts that provide an overview:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8567484/
"The primary objective of these post hoc analyses was to compare the probabilities of achieving a T‐score > −2.5 at the total hip or lumbar spine over 3 years with alendronate treatment alone versus treatment sequences of 12 months of romosozumab followed by 2 years of alendronate, or 12 months of romosozumab followed by 2 years of denosumab. An additional objective was to compare the probabilities of achieving non‐osteoporotic BMD T‐scores over 1 year of treatment with romosozumab compared with alendronate."
"After 3 years of treatment, during which those patients initially randomized to romosozumab had switched to either denosumab or alendronate, the probability of reaching a total hip or lumbar spine T‐score above −2.5 was dependent on treatment sequence."
I have been on Prolia almost 5 years when I went from osteopenia to osteoporosis. After 2 years my bone density went back yo osteopenia.
So my Endocrinologist has monitored me closely during those 5 years with multiple blood test and is now evaluating me to see if I can discontinue the Prolia. I will have a bone density test first. He did several X-Rays and had me se e a Rheumatologist who did other x-rays and results better than expected. According to recent studies if there’s significant improvement after 5 years one can come off and be given 1 Reclast in 6 months to help prevent rebound. So hopefully I will be one of the lucky ones to succeed in stopping. My Endocrinologist is really into close monitoring and I have been with him for over 10 years.
Can you site the recent studies that you mention about Prolia and 5 years? What type of test did you endocrinologist order for you? I am looking to go off Prolia and who appreciate information on the best way to go off of it. I am also looking for a endocrinologist who closely follows with bone turnover markers. I have been reading Dr. McCormack's book " GOOD BONES " on how to come off it. Also looking for first-hand experiences from people who have done it. I am very concerned.
Hi awesomemomx2,
I started a discussion on stopping Prolia which you might find helpful. You can try the link below or if that doesn't work, click on my profile and look under "Discussions":
https://connect.mayoclinic.org/discussion/support-for-those-quitting-prolia/
In there, i have posted some links to studies that i have come across which will provide some guidelines on how best to quit Prolia.
Fyi, I am in the process of quitting Prolia after 3 shots. You are in an important juncture because once you have been on Prolia for over 2-2.5 years, it becomes that much harder to mitigate the possible rebound effect
All the best to you and everyone here