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Timing of Reclast Infusion after your last Evenity Injection.
Osteoporosis & Bone Health | Last Active: May 12 6:39pm | Replies (63)Comment receiving replies
windy,
We are the same path. I have my last Evenity dose next friday.
Reclast in June.
I have been receiving the Evenity injections in an infusion center which has been fine. The Reclast I will receive at the rheumatologist office.
Yesterday, I spoke to the RN who does the infusion. She said that I could slow the infusion down as much as I wanted.
She also advised about hydration and Tylenol.
I will follow instructions and hope for best.
I asked that their office order a dexa. The nurse said that insurance only pays for it every two years. I told her that I would pay for it myself.
It’s crazy to take a year of Evenity and not want a dexa at the end of it.
Also, crazy that Medicare would pay $5,639.15 for Evenity every month for 12 months, but not pay $300 for a dexa.
Replies to "windy, We are the same path. I have my last Evenity dose next friday. Reclast in..."
I had my first Reclast infusion yesterday. I was terribly nervous but I was lucky that the two nurses who did the infusion were wonderful! They made all the difference for me. I asked for 1 hour infusion and hydrated and took Tylenol before and after. I am feeling pretty good today so I'm grateful for that.
@susanfalcon52 Just like mao22 I have had no problem with having DXA scans every year. Maybe has to do with how the dr bills it. I have paid for one under 1 year when I really wanted to know how I was doing at that point. But my doc has been all for doing it each year. I have traditional Medicare and a Medicare supplemental also. Always pays 100% except for the early DXA I did.
Also I intend to investigate the Reclast followup to Evenity more. I see people saying that they take Tylenol and anti-histamines and they get a slower infusion and more things I can't remember right now. The only one of those things that seems crucial is the slow infusion. Paul Miller MD in an interview by Lani Simpson discussed how Reclast can damage kidneys if infused too fast. My own doc said the same though he stated a shorter time for it like 20 or 30 minutes being fine. What was dangerous was like 5-10 minutes is what he indicated. I want more solid info on the speed of the infusion than that but it is at least clear that infusion time is a critical factor in protecting the kidneys. I doubt that Tylenol and some of the other suggestions I see are doing anything more than reducing non critical symptoms? Like a head ache. The question remains why do some percentage of Reclast shots result in months of pain and so on? What is causing that and do any of the suggested tricks have any effect on the long term serious effects? Other than slow infusion which seems like a sure thing for the kidney damage issue that is. At least one person on this forum has said they followed all the suggestions and they still got terrible long lasting consequences. Can't remember which thread that was in right now but it was fairly recent.
Good luck to us all
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Better check on that, with billing and insurance. I had a DEXA in April of 2023 at the beginning of Evenity shots. I am also on Medicare and supplemental insurance and when I called to set up my follow-up DEXA after a full year of Evenity, I was told there would be no problem since I had an osteoporosis diagnosis, and it was paid. I owed nothing. My doctor wasn't aware either.