My father’s rheumatologist prescribed Fosomax (generic) for him after about two months into treatment. He’s still on prednisone over two years later, as well as Fosomax (we’ve been meaning to ask her how long he should he on it, as we didn’t discuss this and others have said it’s usually only meant for 2 years).

There are a lot of stipulations with taking it (being upright, etc.) but he honestly hasn’t had any side effects, which is notable because he almost always has strong reactions to medications. Loss of bone density is a real risk with long-term prednisone especially at his older age, so while we weren’t excited about adding another med, we felt it was the right decision.