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How do you ever choose which med?
Osteoporosis & Bone Health | Last Active: Jun 19 5:47pm | Replies (47)Comment receiving replies
I am going to speak frankly here.
Prolia is NOT a first line plan in a 61 yo. Many experts now feel this is a drug to be reserved for the very old and frail population, and should be continued for life once started. There is no safety data available for use >10 years. I have been down the Prolia road and although there can be nice gains early, I am now faced with trying to exit the drug and experiencing the guaranteed major bone loss. One would not want to do this if it can be avoided. I am a "young 72", very fit and am now fully optimized with estrogen , progesterone and testosterone, exercise, supplements and diet. I am a physician. Be sure to get multiple opinions before you opt for Prolia.
Be aware that another "biologic," Evenity also causes rebound bone loss after the 12 month course. Do NOT STOP THESE DRUGS without a clear plan for follow-on treatment with powerful bisphosphonate (Reclast, for example) and a knowledgeable and accessible doctor. Good luck.
See TheOsteocollective,com for help. I have no disclosures to make.
Replies to "I am going to speak frankly here. Prolia is NOT a first line plan in a..."
@daylemaples
My Dr suggested Evenity then either Reclast, Prolia or Biophosphonate. But if my insurance won’t pay for an anabolic that leaves me with Reclast, Prolia or Biophosphonates. I really don’t want to start Prolia at 61. I can’t tolerate Fosomax plus they say starting with resorption then going to anabolic doesn’t work as well. So my only option will probably be Reclast. We’ll see how the insurance company decides my medical well being. Argh
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@daylemaples Unfortunately, we have to be our own advocates when it comes to these bone drugs. Often times, many on this site mention that their doctor did not advise them of the side effects, or minimized them. When side effects happen, doctors have been known to respond that they can't be from the drugs even though those exact same side effects are listed on the drug literature.
We all need to do our own research before taking any medication, especially such powerful drugs as the ones used for osteoporosis.