My Experience on Evenity for Treating Osteoporosis

Posted by arlene7 @arlene7, Jul 7, 2020

Thought I would share for those considering or on Evenity for osteoporosis:
Afer much research and discussions with my GP and Cardiologist, I have decided to start my treatment with Evenity injections. As with all drugs, there are many side effects. My biggest concerns were stroke and heart attack. However, considering that I do no have any history for either, for me personally, the benefits outweigh the risks. As my GP said to me, "if everyone only thought about the side effects of the drugs, no one would be taking them".

I had my first injections (subcutaneously in the back of each arm) on June 30th. The nurse that administered the injections discussed the drug in depth, along with all the possibilities that may occur. She also mentioned that for all the patients that she has seen, none has had any side effects.

The injections are once a month for only one year, so I'm hoping that this works well for me and I can improve my bone density, especially in my spine, where I need it the most.

My endocronologist has also prescribed Hydrochlorthiazide for my idiopathic hypocalcemia. I have an appointment with an allergist this month to confirm whether I still have an allergy to sulfa drugs, since this drug contains sulfa. Apart from this I take D3 orally and try to obtain additional calcium through foods not supplements. Trying to walk 3-4 times a week and will begin with a few weight bearing exercises.

My journey began September, 2019 when I was diagnosed with severe osteoporosis. After waiting to see three doctors, receiving three denials from insurance company for Evenity, which took several months, I am hopefully on my way for a favorful outcome.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

@artscaping

@arlene7. Thank you so much for sharing your experience with Evenity. I noted the statement about "everything" has side effects. I think that is true and the challenge becomes to make sure Evenity or other bone medications don't have an interaction with our current drugs or treatments. I also have an allergy to sulfa drugs.....so you did have and now it is possible that you will not have an allergic reaction to sulfa. No more rolling on the carpet naked to take care of the itching. Now that I have the neuropathic itch, I don't need anything else.

Arlene, there is one question about Evenity, I think many of us would like to hear. How long do you take Evenity? 2 years? And then what? I always want to know what comes next to protect the bone that is developed.

You have my good wishes for a helpful outcome. Please check in with us as you begin this journey. You have persevered beautifully. Now all you have to do is share ........ not a bad deal.

Be safe and protected from inner and outer harm.
Chris

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Can you clarify is there is Sulfa in Evenity? Thanks!

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@sus34

Can you clarify is there is Sulfa in Evenity? Thanks!

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Here is what the manufacturer says:What are the ingredients in EVENITY? Active ingredient: romosozumab-aqqg Inactive ingredients: acetate, calcium, polysorbate 20, sodium hydroxide, sucrose and water for injection.
Does this answer your question?

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@charleneb

My first post:

I was diagnosed with Osteoporosis about 19 years ago, when I was 51 years old. I have been on one or another of the various bisphosphonates treatments most of that time. After each dexascan I was told that it was doing it's job and the deterioration was holding steady. I was off the medication a few times for dental surgery and because I just got tired of taking it . Turns out that taking a vacation from it is now recommended.

BUT, late last year I developed pains in both thighs, that seemed worse in the days following taking Fosamax. So, I stopped taking it again, without discussing with my doctor or even telling her about the pain. Some days my thighs felt like jello but I did not have any falls.

Then, while away from home in early March, I was hit by a dog. Really! I had just opened a sliding glass door to let the dog in and while still holding the handle he pushed his way in, bounced into my left thigh and kept going. I heard the crack of my femur breaking while I was still standing holding that handle. I eased myself to the floor, not falling, and thus began my next journey.

I had a rod put into my femur and spent just over two weeks in a rehab facility. We did not go home for almost 4 months (another long story involved). I did not go back on the Fosamax. The surgeon said my right femur needed a rod put in before it broke but I was not ready to go through that again. After coming home I started making all the doctors appointments I had avoided for over a year, including seeing my primary care physician and the orthopedic surgeon who had operated on my foot a few years ago after I rolled my ankle and broke two bones.

Surgeon said that the one who had operated on me was right. I need a rod in my unbroken femur and the sooner the better. Not elective surgery. They consider it urgent. There are small stress fractures that are trying to heal themselves but can't without help. It has not been scheduled yet but hopefully will be in the next 2 weeks.

I had my dexa-scan today and saw an endocrinologist. She was able to see the scan less than an hour after it was taken. She agreed I should NOT take a bisphosphonate again and was surprised I was on it for long. She highly recommended Evenity, to start as soon as Medicare approves it.

According to her and from what I have since read, it is NOT recommended for everyone who has osteoporosis. It is only approved for those who have suffered serious injury because of the osteoporosis and are likely to have another break. Femur breaks are a known complication of long term bisphosphonates use, so there is no point in staying on it. I don't have a history of a heart condition or stroke but I know those are some of the possible complications.

I read the posts here and was interested in the different ways it is being injected just under the skin. My doc said it would be in the tummy. I have had that type of injection before and had the bruises and swelling to show for it that took months to go away. Sounds like I should ask her about the various ways and if she recommends one over another.

She did say that the other medications that require an injection are for daily use at home. Those are less likely to receive Medicare approval than Evenity with it's two injections done at the same clinic visit, once a month for 12 months. Once a month beats out daily as far as I am concerned.

I am interested in seeing how others are doing that are on Evenity and in sharing my story once my treatments begin.

Charlene

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Evenity is also anti-resorptive (in addition to buildng bone) and like biphosphanates, carries a risk of atypical femur fractures and dentla/jaw issues. So I would think you might consider Forteo or Tymlos, which are not anti-resorpitve.

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@windyshores

Evenity is also anti-resorptive (in addition to buildng bone) and like biphosphanates, carries a risk of atypical femur fractures and dentla/jaw issues. So I would think you might consider Forteo or Tymlos, which are not anti-resorpitve.

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I will discuss this with my doctor. They have put off starting me on it because of my surgery this Tuesday.

Thanks.

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@charleneb

My first post:

I was diagnosed with Osteoporosis about 19 years ago, when I was 51 years old. I have been on one or another of the various bisphosphonates treatments most of that time. After each dexascan I was told that it was doing it's job and the deterioration was holding steady. I was off the medication a few times for dental surgery and because I just got tired of taking it . Turns out that taking a vacation from it is now recommended.

BUT, late last year I developed pains in both thighs, that seemed worse in the days following taking Fosamax. So, I stopped taking it again, without discussing with my doctor or even telling her about the pain. Some days my thighs felt like jello but I did not have any falls.

Then, while away from home in early March, I was hit by a dog. Really! I had just opened a sliding glass door to let the dog in and while still holding the handle he pushed his way in, bounced into my left thigh and kept going. I heard the crack of my femur breaking while I was still standing holding that handle. I eased myself to the floor, not falling, and thus began my next journey.

I had a rod put into my femur and spent just over two weeks in a rehab facility. We did not go home for almost 4 months (another long story involved). I did not go back on the Fosamax. The surgeon said my right femur needed a rod put in before it broke but I was not ready to go through that again. After coming home I started making all the doctors appointments I had avoided for over a year, including seeing my primary care physician and the orthopedic surgeon who had operated on my foot a few years ago after I rolled my ankle and broke two bones.

Surgeon said that the one who had operated on me was right. I need a rod in my unbroken femur and the sooner the better. Not elective surgery. They consider it urgent. There are small stress fractures that are trying to heal themselves but can't without help. It has not been scheduled yet but hopefully will be in the next 2 weeks.

I had my dexa-scan today and saw an endocrinologist. She was able to see the scan less than an hour after it was taken. She agreed I should NOT take a bisphosphonate again and was surprised I was on it for long. She highly recommended Evenity, to start as soon as Medicare approves it.

According to her and from what I have since read, it is NOT recommended for everyone who has osteoporosis. It is only approved for those who have suffered serious injury because of the osteoporosis and are likely to have another break. Femur breaks are a known complication of long term bisphosphonates use, so there is no point in staying on it. I don't have a history of a heart condition or stroke but I know those are some of the possible complications.

I read the posts here and was interested in the different ways it is being injected just under the skin. My doc said it would be in the tummy. I have had that type of injection before and had the bruises and swelling to show for it that took months to go away. Sounds like I should ask her about the various ways and if she recommends one over another.

She did say that the other medications that require an injection are for daily use at home. Those are less likely to receive Medicare approval than Evenity with it's two injections done at the same clinic visit, once a month for 12 months. Once a month beats out daily as far as I am concerned.

I am interested in seeing how others are doing that are on Evenity and in sharing my story once my treatments begin.

Charlene

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@charleneb I am not on Evenity, I am on Tymlos but I just wanted to make a comment here.

The daily injections take about two minutes, part of that is deciding using the diagram, where each shot should best be, and preparing the needle. The whole thing is quick and most often painless. Once in a while, I get a little twinge of discomfort but nothing that I would consider pain. I like that I just do it before I go to bed and I don't have to make appointments and go elsewhere.

I am on Medicare and getting it approved was not a problem. I had a minor hip fracture so I think that clinches it (a minimally displaced trochanteric femur fracture). I just don't want you to be afraid of the daily injections. The only negative for me is the cost. If you are on Medicare it will most likely cost about $560 a month initially but with such a large copay you do get into the "donut hole" quickly and the cost is greatly reduced. If you are not on Medicare then there are often programs where people pay nothing for it! The only way that happens if you are a Medicare recipient is if your income is less than $60,000 a year.
JK

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Has anyone found a natural cure for ostoporosis

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@siberian

Has anyone found a natural cure for ostoporosis

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Define natural?

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@contentandwell

@charleneb I am not on Evenity, I am on Tymlos but I just wanted to make a comment here.

The daily injections take about two minutes, part of that is deciding using the diagram, where each shot should best be, and preparing the needle. The whole thing is quick and most often painless. Once in a while, I get a little twinge of discomfort but nothing that I would consider pain. I like that I just do it before I go to bed and I don't have to make appointments and go elsewhere.

I am on Medicare and getting it approved was not a problem. I had a minor hip fracture so I think that clinches it (a minimally displaced trochanteric femur fracture). I just don't want you to be afraid of the daily injections. The only negative for me is the cost. If you are on Medicare it will most likely cost about $560 a month initially but with such a large copay you do get into the "donut hole" quickly and the cost is greatly reduced. If you are not on Medicare then there are often programs where people pay nothing for it! The only way that happens if you are a Medicare recipient is if your income is less than $60,000 a year.
JK

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I have had to use those self injectors before, for something else, although it was on a weekly basis, not a daily basis. I wouldn't say I feared it or that it was very painful but my stomach became a mass of bruises even after just 10 weeks of weekly shots I have also had them done in a clinic and rehab setting for other reasons. My stomach was much less bruised when done that way.

My doctor said in home self injection treatments are not approved by Medicare as quickly and easily as ones done in the clinic. It only took a couple days for them to approve the Evenity. We have delayed starting it because I am going in on Tuesday for surgery to insert a rod in my right femur before it breaks like the left one did.

I agree that not having to go anywhere can be great. The clinic where I will be getting it done is 30 miles away. I try to look at it as a reason to get out of the house. If it weren't for Covid we would go out to eat after the shots.

Thank you for the concern.

Char

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@siberian

Has anyone found a natural cure for ostoporosis

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Hello @siberian and welcome to Mayo Clinic Connect. I wonder if you didn't mean "alternative" treatment, which can sometimes mean the same thing.

In case my guess was right, I have found an article that lists some alternative treatment options you may be interested in reading about.

- Osteoporosis Alternative Treatments:
https://www.healthline.com/health/osteoporosis-alternative-treatments#melatonin

Do you suffer from Osteoporosis? If so, how long?

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Hello. I thought I would give my views on Evenity. I broke my knee a few years ago, it was a clean break and took about 6 weeks to heal. It was just bad luck that day, I fell in a “snow hole”, it was covered with snow and stepped right in it and turned and felt my knee break. I’m small boned and I was diagnosed with Osteoporosis several years ago in right hip, my hip doesn’t give me any problems, but because of my knee, my Dr recommendation was Evenity. The Rep just left when I arrived at the office for a checkup and I was the first one to try it. I trusted my Dr, no blood work was done to check my Calcium or anything. Well, started them in April. The first shots I could bearly move my arm for days, then my legs were always sore. I have had 4 shots and have been in terrible pain since. Going from a sitting position to standing, it so painful and knees causes me so pain. When I walk, it feels like I’m walking on golf balls. My feet feel cold all the time and I’m being poked with needles, my lower back hurts all away around to the groin area and my hips, thighs and calf’s feels like I ran 10 miles. I’m 58 and walk like I’m 80. I told my Dr, that I hurt so bad and I stopped the shots, his reply was let’s wait until October to get it out of your system. 2 weeks ago I was in outpatient because of the pain. I have switch Drs now and have to have test run next Wednesday. I see a chiropractor 3 times a week, my hips keep going out of place. Please, don’t get this shot, it’s not worth it. My Dr has never even prescribe anything else for me to help with Osteoporosis and everything I read says when all other medications have failed, I didn’t get that option. My body is in pain every single day and I’m totally pissed off that my Dr didn’t care and put me on these shots. Evenity is awful and it’s just not worth it. I pray It’ll get better and I will go with changing my diet and exercise and chiropractor care. There you have it. Thanks for reading!

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