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← Return to Forteo (teriparatide) followed by HRT: My Experience
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Forteo (teriparatide) followed by HRT: My Experience
Osteoporosis & Bone Health | Last Active: Feb 20 8:32pm | Replies (190)Comment receiving replies
@tillymack yes; from what I’ve read Reclast is the go-to drug for managing Prolia rebound, though in some cases oral bisphosphonates like Fosamax can be considered based on a patient’s risk profile. Risk is influenced by many factors, including number of shots received, fracture history, overall fracture risk, bone density at stopping, and other individual considerations. In very high-risk patients, endocrinologists may monitor CTX to help guide the timing or frequency of Reclast infusions.
There’s a small study of 2 Prolia shots followed by Evenity, focused on BMD improvement but not powered to show rebound prevention.
Professor Langdahl has an excellent YouTube talk on managing Prolia discontinuation for anyone interested.
Replies to "@tillymack yes; from what I’ve read Reclast is the go-to drug for managing Prolia rebound, though..."
Thank you. This is timely for me. I had Evenity for a year with great results. I have had two prolia shots and now wondering if I could return to evenity i stead of having a lighter dose of reclast followed by evenity again. I
also began bhrt one year ago and hope that this will help support a transition from prolia.
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@mayblin Thanks so much for your reply. I've been on Reclast for 3 or 4 years and have developed a small lump above my knee. My PCP ordered an MRI and the radiologist asked to have contrast added. Fortunately it was not found to be bone cancer but I wondered later if there could be a connection.