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Alternative to Reclast after Prolia
Hi all, I just had my 4th Prolia injection not quite two months ago. I did a year of Evenity before that, was on Fosamax for a few years before that, nothing for a few years,and actonel initially. I was diagnosed in my mid 40’s and am now 67. I have had 5 minor compression fractures over 20+ years. My current endocrinologist plan was 2 years of Prolia, then Reclast. My insurance denied covering Reclast as they said there’s a generic alternative. So, I had my provider request authorization for the generic zoledronic acid. Insurance just denied that because I have no recent fractures and “have not had significant bone loss despite trying oral bisphosphonates.”
So, they want to cheap out and have me try oral meds first. Is this a safe option? My endo was going with Reclast partly because he thinks its more convenient than a daily pill ( I couldn’t handle the weekly). I am wondering if I should ask him to appeal it or just give in and go with Fosamax. Last DXA my spine was -3.2 and hip I believe-2.4. I don’t want to be on ProLia another 15+ years.
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@daisy17 Thanks, it’s just that getting through to my doctor past his staff is pretty much impossible unless I make an appointment. See my earlier comment, the office lack of communication is insane.
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1 Reaction@neesie0159 There's a lot of info on line regarding what to do after stopping Prolia. Maybe researching some of those sites can help you decide between Reclast or Fosamax. Here's a couple sites I found. If you decide you want to go with Reclast, you could try appealing the insurance denial. Hopefully, your doctor would be willing to help you do that. Keep us posted.
https://melioguide.com/medications/how-to-discontinue-prolia/
https://www.droracle.ai/articles/920391/how-should-i-discontinue-prolia-denosumab-and-what-alternative
@daisy17 Thanks so much! I’ll check those out. I just want to feel certain I am getting the best option to keep me from fracturing again, and nothing I read gives me 100% certainty ( my anxiety brain is like that). Sometimes I feel like we osteoporosis patients are stuck between a rock and a hard place—risk fractures or risk side effects.