Reclast vs Prolea?

Posted by gwpitt @gwpitt, Dec 19, 2023

I have osteoporosis and was on Tymlos for 7 months. I had to stop because of debilitating pain (that resolved with cessation of treatment) and am now on Fosomax.

I also have Barrett's Esophagus and Fosomax can cause esophageal irritation. My rheumatologist recommended Reclast but did not suggest Prolea because of the theoretical risk of Fosomax worsening my esophageal condition.

Can anyone provide advice on taking Reclast vs Prolea?

Thanks in advance.

Gswpitt

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gwpitt | @gwpitt | Dec 19, 2023

Sorry for the error, but the proper spelling is Prolia!

Gswpitt

windyshores | @windyshores | Dec 19, 2023

In reply to @gwpitt "Sorry for the error, but the proper spelling is Prolia! Gswpitt" + (show)

My docs don't use Prolia because it is so hard to get off. With Reclast you can "lock in gains" and take a break after one or two doses, or so I have been told.

gwpitt | @gwpitt | Dec 20, 2023

Very helpful info. Thank you.

Gswpitt

mao22 | @mao22 | Dec 20, 2023

In reply to @windyshores "My docs don't use Prolia because it is so hard to get off. With Reclast you..." + (show)

I will have to make a decision within the next 2 months regarding what to do about Evenity. Mainly, I would like to know how soon after the 12th shots one has to get either the Prolia shot or the Reclast infusion. No one has given me concrete information about that. I surely don't want to lose any gains from the Evenity.
Right now I am leaning towards the Reclast infusion for a year or two, because of the problems with Prolia seemingly to be a 'forever' option. At 76 yr that seems rather scary.
Any feedback for how soon after Evenity is over, one has to lock in those gains???

susanfalcon52 | @susanfalcon52 | Dec 20, 2023

In reply to @mao22 "I will have to make a decision within the next 2 months regarding what to do..." + (show)

mao22,
I am in same boat. I have my 8th Evenity injections next month. I am leaning towards Reclast, but anxious

windyshores | @windyshores | Dec 21, 2023

In reply to @mao22 "I will have to make a decision within the next 2 months regarding what to do..." + (show)

I believe you do Reclast one month after your last Evenity injection, but check with your doc!

gwpitt | @gwpitt | Dec 24, 2023

These decisions are difficult and stressful, but all you can do is consider the options and make your least bad choice. Unfortunately, all medications have potential complications but their risks are usually lower than their benefits.

I am a retired physician and I struggle to find the "best" treatment plan. I also know friends with osteoporosis who need treatment but are fixated on the complications and procrastinate or never start treatment; taking on a high risk of fracture.

Good luck with your decision.

Gswpitt