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← Return to Prolia discontinuation
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whiteswan,
while it is unusual to ask for a lower dose of Reclast and that may explain your providers reluctance, my opinion is that you need a new doctor.
You might call the infusion center and ask them if they are receiving prescriptions at a lower dose for Reclast. They can't legally change the dose. They
It seems that you are no more confused about how to maneuver through this medical system than your PA.
Even after living here for 73 years, it's tricky. One nice thing about Medicare here is that you can change doctors easily, though the md shortage has us with PAs and the wait for endocrinologist can be a few months. You might tell us what city you are in. Someone will know a good endocrinologist where you live.
Ask your PA to write for the reduced dose with the same code. The code is a diagnostic code which wouldn't change. At the same time ask them to request a longer infusion either in a note you can carry or directly to the infusion center.
I'm sorry you are having such a struggle inexcusable is the waiting 5 months with no answer from the PA.
Oh, I suspect the infusion nurse would not be allowed to take the 20$ (a common practice in China) either as an encouragement or as a token of gratitude.
They would stop the infusion if you had or complained of having a reaction. Although I think it is a 15 minute infusion and I don't know if the nurse would be standing by. And then you would't know how much of the dose you'd received.
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Gently , thank you.
Gently, we moved to Melbourne FL from Atlanta 7 years ago. I was with 3 endocrinologists. First one I left because I think he simply waits his retainment and only recently a friend (bridge game group) told that he did wrong diagnose, removed her thyroid, it was a mistake, now she needs take pills every day. Then endocrinologist with whom I now and for second opinion I took an appointment with third, she is an endocrinologist of my husband, a wonderful lady. She prescribed me low doses of Reclast and Medicare called her and told that it is impossible. I stay with my endocrinologist because I thought she knows her subject good. But may be I am wrong, when after breaking my hand I came with a lot of printed researches how to discontinue Prolia, first question to me was Are you a physician? and she asked to copy all these papers.
I hope that words your favorite endocrinologist are right for me and 1 Reclast works 2 years. I read (I need to reread again) that Reclast after Prolia must be done 2 infusions. Tymlos and Forte DO NOT work after Prolia immediately, density after Prolia drops with these medicines according Mayo clinic. A code even for 1 mg of Reclast is the SAME, but it must be something else, Medicare told me that they can not tell me, they will lose their job.
So it looks so way, my husband feels better and second 5 mg Reclast must be done soon or later.1 month in bed or fracture', which weight more?
In Orlando there was a very good endocrinologist, but she moved. May be somebody from Orlando here?