After Evenity

Posted by pami @pami, Jan 26 10:21pm

I will have my last injection of Evenity in two weeks. I don't want to have a Reclast infusion because I have had up to 5 in the past. I am concerned about starting Prolia for the remainder of my life. I am 70. I am considering Forteo because my insurance will pay for that rather than Tymlos. Any suggestions? I can't take bisphosphates. They wreck havoc on my stomach.

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Profile picture for susanew @susanew

I have 4 more Evenity treatments. My question is, after finishing up all 12 treatments, at what point would you go on to something else? Would it be immediately, or would there be a time interval before restarting on a new medication?

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Immediately, following your medical provider's advice. The good results of Evenity go away quickly if there is no follow up treatment.

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I'm very skeptical about any of these treatments. All through my envenity treatment I complained about muscle, bone & joint pain- it was severe to what I have experienced. The doctor chuckled and said none of these symptoms are caused by the drug and I'm her own way laughed. I've been off of the treatment for 2 months (after the 12month treatment) and ironically my pain has decreased about 75% snd my treatment did not increase my bone density - it decreased. So I'm feeling that the treatment is more severe than the diagnosis. All I hear is you got to do some type of treatment / right now I'm doing nothing and trying to ween off of some other meds that I have been on for years. They want me to go Thylomos and I'm refusing. My experience!!!

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Profile picture for CarolynK @carolynk

Immediately, following your medical provider's advice. The good results of Evenity go away quickly if there is no follow up treatment.

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Thxs - since envenity, reclast or fosamax didn't do anything for me I really don't want to go thru all the side effects of any more of these medicines that say they will help bone strength. I might change my mind in a year or so but right now going on something will not maintain the envenity since it didn't work. I'm very frustrated with all of these doctors and not one can lead me down the right path. I'm just giving myself time and being very careful with every move. My original rheumatologist was great but the two others I've wanted opinions from are just useless and want to treat everything instead of their specialty. I'll get to the right answers but right now I'm feeling pretty good and don't want to be in pain like last year. Thxs for your feedback.

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I had bad side effects with Tymlos, which you have to self inject daily… but every one is different. I had severe orthostatic hypotension and nausea. Lost 17 lbs though! I agree that these meds are just a crap shoot and docs really don’t have a reliable solution long term.

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Profile picture for 4deborahrb @4deborahrb

I had bad side effects with Tymlos, which you have to self inject daily… but every one is different. I had severe orthostatic hypotension and nausea. Lost 17 lbs though! I agree that these meds are just a crap shoot and docs really don’t have a reliable solution long term.

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Thx you

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Profile picture for jcochrane3037 @jcochrane3037

I finished treatment with Evenity last month after 12 monthly doses. Post treatment DEXA showed 12% increase in BMD at lumbar spine and 2%increase in BMD in total hip. T-score at lumbar spine went from -2.5 to -2.3 (osteoporotic to osteopenic). My rheumatologist recommended I take Prolia or Reclast within 3-4 weeks after completing the Evenity treatment to lock in the gains.I ended up taking Prolia because my Medicare Advantage plan removed Reclast from their formulary.
My only issues with Evenity were bruising and swelling at the injection site in each arm after each treatment and body aches and pains which have resolved with cessation.
My after insurance cost were $485 for each dose of Evenity (two injections) X 12 months for an out of pocket cost of $5820 for the drug and another $1200 or so for the administration fees. The Prolia injection was about $325 for the drug and $135 for cost of administration. Will have another Prolia injection in August.

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ouch the cost...I have regular Medicare with a supplemental plan with AARP which cost 280/mo so $3,360. So there's that. However, I get the shot in my stomach which they pinch up the excess skin and give the injection. Every once in awhile there was a small amount of pain but nothing like with the first dose in the arms... ouch on that one too. Administration Fee? There was no admin fee for mine. I could see on the monthly statement some months it was a couple of thousand with zero co-pay. Anyway, I've finished now and everything is osteopenia now rather than osteoporosis which is some gains. Dr. has ordered reclast injection which I am researching that. Can't I just wait and see 'how it goes' after 6 months or a year? Also I have several dental implants which worry me

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If you are on Medicare Advantage it's unlikely. If, however, you are regular Medicare with a supplement plan, it will pay. I realize that's an expensive route compared to Advantage but overall my supplement plan is $280.00/mo. But they refuse nothing.

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Profile picture for jcochrane3037 @jcochrane3037

I finished treatment with Evenity last month after 12 monthly doses. Post treatment DEXA showed 12% increase in BMD at lumbar spine and 2%increase in BMD in total hip. T-score at lumbar spine went from -2.5 to -2.3 (osteoporotic to osteopenic). My rheumatologist recommended I take Prolia or Reclast within 3-4 weeks after completing the Evenity treatment to lock in the gains.I ended up taking Prolia because my Medicare Advantage plan removed Reclast from their formulary.
My only issues with Evenity were bruising and swelling at the injection site in each arm after each treatment and body aches and pains which have resolved with cessation.
My after insurance cost were $485 for each dose of Evenity (two injections) X 12 months for an out of pocket cost of $5820 for the drug and another $1200 or so for the administration fees. The Prolia injection was about $325 for the drug and $135 for cost of administration. Will have another Prolia injection in August.

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How many prolia injections will you take? I am in same protocol and have had 1 prolia injection so far. My Dr. plans for no more than 3-4 prolia followed by reclast infusion. I was hoping for a drug holiday and frankly request scares me.

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Profile picture for gretch19 @gretch19

How many prolia injections will you take? I am in same protocol and have had 1 prolia injection so far. My Dr. plans for no more than 3-4 prolia followed by reclast infusion. I was hoping for a drug holiday and frankly request scares me.

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Post evenity hopes
I would like to have no more than two Prolia shots, then a short course of reclast and the another round of Evenity if I can get it. Then Prolia for the rest of my life. I am 77 and trying to buy time before I return to Prolia. I have a consult with another endocrinologist to get a younger perspective on sequencing choices . I'll report back after July.

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Profile picture for Helen, Volunteer Mentor @naturegirl5

@susanew As @gravity3 asked I am wondering what your doctor recommends?

After I completed 12 months of Evenity my endocrinologist ordered a DEXA scan. I made significant gains in bone density in both my hip and lower spine. He explained that the gains with Evenity "fall off" if not "locked in" with another medication so within 6 weeks of completing the Evenity I had a Reclast infusion. My endocrinologist said the time frame between finishing Evenity and getting the Reclast infusion should be brief - no more than 6-8 weeks. The plan is for me to have another DEXA scan one year after the Reclast infusion (that will be in December, 2025) and then re-assess.

By the way, I had no side effects with Evenity or with Reclast.

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No side effects!
May I ask your age?
Do you have any allergies or history of stroke?
Are you taking any other medications?
I’m so afraid to start this!

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