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DiscussionLoss of hearing left ear after 18 doses of Evenity and 2 of Prolia any
Osteoporosis & Bone Health | Last Active: Jul 18 12:27pm | Replies (26)Comment receiving replies
Replies to "Dear All, I had 6 months of Evenity, then followed by 6 months of Prolia (one..."
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@bones1957, It is hard to like your post. Your care has been egregious.
You probably already know this now, but:
Prolia works by preventing the cells that break down bone from the final stage of development. Prolia doesn't cause those cells to self destruct, as Reclast does, instead it allows them to continue to develop and collects them ( in what the literature calls a reservoir) at the final stage. As soon as you stop Prolia they all mature and are released on your bones without restraint. People experience cascade fractures after Prolia one vertebra after another. One drug is proven to stop this onset. It is Reclast.
Evenity after Prolia is a bit of an experiment. In some few, 12 months of Evenity after Prolia have proven effective.
It may have been the missed doses of Evenity that caused the fractures, but I suspect that Prolia to Evenity is a faulty sequence.
You could take the August Prolia, but consider not taking another 6 doses.
I would ask to take Forteo with Prolia given that the prescribing doctor is receptive to new methods of treatment ( and probably owes you). Forteo often helps with the pain of fractures because it accelerates healing. It is also the one osteoporosis drug that is given to help heal osteonecrosis (hoping you don't have that in the ears) Forteo with Prolia yields better increases in bone density, https://pmc.ncbi.nlm.nih.gov/articles/PMC6980341/ but Forteo also build the best bone in the other measures of bone strength.
I would be as eager as you are to get off Prolia. Still, it wasn't starting Prolia that caused the bone loss. It was stopping Prolia.
I think you are in a good position to insist on adding Forteo.
Without regard to whether you choose to stay on Prolia for one or six more injections. You absolutely have to transition to Reclast. And Reclast has it's own set of hazards.
I am so sorry this happened to you.