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Looking ahead after Tymlos: Reclast, Evenity or HRT?
Osteoporosis & Bone Health | Last Active: Jun 3 8:49am | Replies (34)Comment receiving replies
According to the bone expert who ran the clinical trials, one year of Reclast. Reclast is said to stick to the bones for ten plus years. According to a pathologist reclast sticks to the bone for almost ever. He said it attaches in mottled form not evenly like a good stucco job. The effect of an anabolic taken after reclast will be blunted. You might be thinking about say Forteo after the bisphosphonate. So the bone expert is recommending risidronate after Forteo for me. It has the least adhesion time of the bisphosphonates.
I'm glad you have a year to decide.
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I do plan on repeating Forteo. I'd like to skip the bisphosphonate altogether. And that is the reason for the risidronate suggestion the shortest adherence time, so the briefest interference with repeat Forteo. There aren't trials on longer use of teriparatide because of the original black box. My thought is to take Forteo breaks with no intervening medication. It currently looks as though a month break is too long. I have another year of Forteo.
I haven't found an endocrinologist who actually likes the idea.
I did find a pathologist (cadavers only) who thinks it's brilliant and wants me to send him my bones when it becomes convenient.