← Return to Struggling with making an osteoporosis treatment decision

Discussion
Comment receiving replies
@tsc

Hi @zaa. My doctor didn't say, but I trust him and it was his drug of choice. Another doctor I trust also recommended it. I think if a drug has been around a while and is effective, some doctors prefer to go with it vs. push the new drugs, which may not have a track record. Usually, after five years on alendronate, or a similar drug, a "drug holiday" is recommended. I'm hoping to get back some bone density - with exercise and supplementation - to be able to get off it before then.

The temporal artery biopsy is pretty much the state of the art tool for diagnosing GCA. I had it done at the end of May. There is also an imaging technique, but it's pretty rare. GCA can result in stroke or blindness so it's nothing to mess with. I think if there's any hint of GCA it's prudent to have the biopsy done. I'm glad I had it done before the Delta variant started gaining ground here.

It sounds like the result of your biopsy was negative. Is that so?

Jump to this post


Replies to "Hi @zaa. My doctor didn't say, but I trust him and it was his drug of..."

Yes, both sides came out negative but there’s still chance. For now, diagnosis is PMR. Like the idea of a drug holiday!

With a-3.1 I would do Forteo, Tymlos or Evenity. Those stronger drugs won't work as well after taking alendronate. Too many docs start with these "front line" drugs. Trusting doctors feels good but honestly, in every medical situation, whether osteoporosis or cancer, I have benefited from both a second opinion and self-advocacy.

Great comment. The older drugs do have a track record and you can at least get good information. Fosamx is usually given easily (now a generic) ..but if you take the “holiday” know that it stays in your system for 10 years!!! Some holiday!! There are others in the same category that, if you stop them, they leave out of your system within a couple of weeks. Worth looking.