Connect
FOLLOW UP WITH EVISTA AFTER BONE BUILDING DRUGS
FOLLOW UP WITH EVISTA AFTER ANABOLIC BONE BUILDING DRUGS (eg EVENITY, TYMLOS, FORTEO/TERIPARATIDE, )
I am considering using Evista upon completion of 12 Evenity injections and would appreciate any information from those who have used Evista upon completion of ANY OF THE ABOVE bone building drugs. Hopefully this information will also assist others who are also considering an appropriate follow up drug.
I wish to present information on the effectiveness of Evista as a follow up drug to my endocrinologist who I am sure will recommend Prolia or one of the bisphosphonates.
I am seeking the following information:
Which of the above bone building drugs did you use?
Did Evista maintain, increase or decrease your bone density at the LUMBAR SPINE?
(please include the approximate number of months/years you were using Evista when the bone density was measured)
Did Evista maintain, increase or decrease your bone density at the HIP?
(please include the approximate number of months/years you were using Evista when the bone density was measured)
Do you have any comments on your experiences of using Evista as a follow up drug?
Like
Helpful
HugInterested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.
Connect
I used Forteo for 24 months after having 13 spinal compression fractures. I followed that with one injection of Prolia and then 5 years of Evista (Raloxifene ). Numbers maintained fairly well. Bone density done every year and report stated "no significant bone loss". However, after 5 years the insignificant loss added up and another bone building agent was recommended . The Evenity was not covered and $800 a month. My insurance would however, cover me to take Forteo again, as it had proven to work. I was pleased with that, as did not feel confident with trying Evenity as it is made by same company as Prolia and more side effects.
I will go back on Evista once I've completed this second round of Forteo (I am actually taking the generic brand this time). They can no longer read my spine due to the previous fractures, but my January scores 2025 were
Left Formal Neck: T-score -3.3. Z score -1.6
Left total Hip: T-score: -2.8 Z score: -1.5
I started this new round of Forteo 9 months ago and will be having a bone density test in January 2026. Will post results then. I'm still trying to decide if I will do one shot of Prolia to "cement the results" as they say, but not sure at this point. I lost two molars on Prolia and still have a wee hole in my upper gums. By the way, my finger nails are no longer soft and breaking. I hope that's a good sign!!
I am curious why you want to use Evista rather than HRT for example. I was prescribed Evista as an alternative to HRT at the age of 41 when I went into early menopause. It wasn't until I did my first DEXA scan 20 years later I realised I had osteoporosis - total T score -2.5. I was told to go on Prolia immediately but refused. I continued on the Evista and my T score dipped and waned between -2.4 to -2.5 in the 5 years since diagnosis, with the spine in most recent test worsening to -2.6. Then 6 months ago I was persuaded to switch to HRT given its superior bone building properties. It was an option I was initially repeatedly refused due to the 24 year gap since menopause. But there has been a radical change of thinking on this issue, especially for those of us with osteoporosis. Certainly all the evidence shows HRT will deliver vastly superior results to Evista. That said, I do believe Evista did significantly slow my descent into osteoporosis given that all my younger sisters have far worse osteoporosis than me - including a sister 9 years my junior who has a spine T score of -3.7. Three of them are now on HRT, with one of them taking Tibolone as an alternative to HRT under the care of an endocrinologist. Her T score has improved significanrly from -3.5 to -2.8 in past 3 years