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Doctor insights on: Coming Off Evista

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Dr. Jacob Udell
140 Doctors shared insights

Raloxifene (Definition)

The medication is a selective estrogen receptor modulator (serm). The medication is used in menopausal patients to address the issue of osteoporosis or brittle bones. It also is used for invasive ...Read more


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Please describe the medication: evista (raloxifene)?

Please describe the medication: evista (raloxifene)?

Women's health: E vista (raloxifene) is a selective estrogen receptor modulator used for osteoporosis and breast cancer prevention.
http://en. Wikipedia. Org/wiki/raloxifene. ...Read more

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I stopped taking evista (raloxifene) after taking it for 10 years?

.?: I'm not sure what you are asking but I recommend you discuss this with your physician/oncologist. ...Read more

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Any advice? What tests are required before taking evista (raloxifene)?

Bone density test: It depends on why you are taking it. A baseline bone density test would be a good idea if you were postmenopausal or had some other reason for bone loss. I am guessing you are asking for someone who is postmenopausal. ...Read more

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I stopped taking evista (raloxifene) after taking it for 10 years. Any consequences?

Breast? Likely no: The primary trial of Raloxifene for breast chemoprevention was limited to 5 years of use to match the standard of 5 years of tamoxifen. Recent data suggest a benefit of 10y of tam over 5 years for treatment of invasive er+ breast cancer. However, the benefit of the extra five years is not seen until after year 10. That suggests that the benefit of that drug holds for 5 years after it is stopped. ...Read more

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Is evista (raloxifene) a biphosphinate?

Is evista (raloxifene) a biphosphinate?

Thanks for asking!: Evista (raloxifene. Hcl) is not a bisphosphonate. It belongs to a class of drugs called selective estrogen receptor modulators (serms) with a different drug action as compared to bisphosphonates. ...Read more

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Can evista (raloxifene) cure osteoporosis?

There is no: Permanent cure for osteoporosis, Raloxifene (evista) mimics estrogen's beneficial effects on bone density in postmenopausal women, without some of the risks associated with estrogen. Taking this drug may also reduce the risk of some types of breast cancer. Hot flashes are a common side effect. Raloxifene also may increase your risk of blood clots. ...Read more

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How does smoking affect the taking of evista (raloxifene)?

Usually not.: However Evista (raloxifene) is associated with phlebitis because it, like oral estrogen, elevates serum fibrinogen. As they say, smoking potentiates the thrombotic complications of estrogen, and I suspect Evista (raloxifene) too. ...Read more

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I just got diagnosed with osteopenia and I am 41 yes old and was wondering if this is unusual they have me on evista (raloxifene) had a DEXA done?

I just got diagnosed with osteopenia and I am 41 yes old and was wondering if this is unusual they have me on evista (raloxifene) had a DEXA done?

Bone loss: There are a variety of risk factor for bone loss including ethnicity, lighter skin color, use of steroids, early hysterectomy etc. I used to do dexa's in my office and had quite a few women in their 40's with osteopenia. ...Read more

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Can evista (raloxifene) be taken with strontium for osteoporosis?

No due to blood clot: Both Evista (raloxifene) and strontium alone can cause blood clots. The combination has the risk of increasing the risk of blood clots even more. Blood clots can be fatal. There is no good data on the combination, so it's not recommended. ...Read more

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Does evista (raloxifene) have adverse side effects if a person takes it more than 5 years?

Does evista (raloxifene) have adverse side effects if a person takes it more than 5 years?

Perhaps: Evista (raloxifene) if taken to reduce breast cancer in post-menopausal women is usually taken just for 5 years but there is no limit number of years if taken for osteoporosis. There may be an increase risk of ovarian cancer the longer it is taken. Increased risk of stroke or blood clots is not necessarily related to duration of intake. ...Read more

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Is evista (raloxifene) commonly used for osteoporosis, or are there dangerous side effects?

Blood clotting: The most common is worsening of menopausal symptoms, but blood clots (particulary in the legs) are much more serious. Do not use if you're a smoker or have a problem with clotting. ...Read more

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Can evista (raloxifene) cause dizziness? Is it common for evista (raloxifene) to cause extreme dizziness? .

Can evista (raloxifene) cause dizziness? Is it common for evista (raloxifene) to cause extreme dizziness? .

Speak to your doctor: I recommend you call your doctor and get evaluated in person. Dizziness is a serious symptom that can be caused by a number of problems. ...Read more

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If I have had a stroke, is it safe for me to take evista (raloxifene)? I had a stroke 10 years ago. Does this mean that I should not take evista (raloxifene)? .

If I have had a stroke, is it safe for me to take evista (raloxifene)? I had a stroke 10 years ago. Does this mean that I should not take evista (raloxifene)? .

Speak to oncologist: You should address this question with your medical oncologist or the physician who prescribed this medication. He/she will be able to look at your entire history and medical problems and prescribe the medication best suited for you.
Good luck. ...Read more

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Are there any homeopathic alternatives to evista (raloxifene)? I believe in homeopathic medicine. Are there any promising homeopathic alternatives to evista (raloxifene)? .

Are there any homeopathic alternatives to evista (raloxifene)? I believe in homeopathic medicine. Are there any promising homeopathic alternatives to evista (raloxifene)? .

Osteoporosis: Over time, constitutional homeopathic treatment may strengthen vitality, preventing or slowing osteoporosis. It requires careful casetaking and prescription by a skilled homeopath. This is not a substitute for treating osteoporosis that is already advanced; advanced cases may require replenishment of physical nutrients and/or medicines like Evista (raloxifene) too. Homeopathic care can be collaborative. ...Read more

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How does evista (raloxifene) increase bone density?

How does evista (raloxifene) increase bone density?

Lowering bone loss: Bone is constantly being broken down for repair and being rebuilt. Evista, (raloxifene) which in bone is similar to estrogen, slows down the cells that breakdown bone, the formation or rebuilding continues so that the density increases. ...Read more

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Is it safe to take evista (raloxifene) and estradiol?

Is it safe to take evista (raloxifene) and estradiol?

Not a good idea: Evista (raloxifene) has some estrogenic effects itself, so there is no need to combine it with Estradiol.
What is your purpose in taking them? ...Read more

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What are some alternative treatments for evista (raloxifene)?

What are some alternative treatments for evista (raloxifene)?

Bisphosphonates: Evista is primarily given to combat/prevent osteoporosis. Alternative medications are bisphosphonates such as fosamax, actonel, boniva. Reclast (zoledronic acid) is an injectable.
Evista also has a breast cancer chemo prevention indication with the alternative being tamoxifen. Aroma taste inhibitors are being studied as further alternatives. ...Read more

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Could you take the drug evista (raloxifene) and have lidocaine injected for surgery?

Yes: Evista (raloxifene) is an oral estrogen receptor modulator and is used for prevention of bone loss in postmenopausal women while Lidocaine is a local anesthetic and thus it can safely be used in patients on evista (raloxifene). ...Read more

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Is it safe to take evista (raloxifene) after five years of tamoxifen and five years of aromasin?

Is it safe to take evista (raloxifene) after five years of tamoxifen and five years of aromasin?

Maybe. Continued: ... Aromasin, which prevents the formation of estrogen, is effective in reducing the risk of recurrence of breast cancer, but after 5 years, you are very likely to have sustained bone loss due to its effect. Evista (raloxifene) will arrest bone loss, and certainly is very unlikely to increase the risk of breast cancer, but it has never been studied as an advujant preventative like tamoxifen and aromasin. ...Read more

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Can evista cause low vitamin d?

Can evista cause low vitamin d?

Not really: Evista is prescribed to help treat/prevent osteoporosis. But the patient must have adequate calcium and vitamin d intake for maximum effectiveness. ...Read more

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Could a doctor please give me an alternative treatment for evista (raloxifene)?

Could a doctor please give me an alternative treatment for evista (raloxifene)?

Why are you on it?: If taking it for bone density, alternatives are a bisphosphonate (Fosamax, Boniva, (ibandronate) Actonel, etc), Miacalcin nasal spray, or a RANK-ligand inhibitor (Prolia). If you are taking it for breast cancer prevention, alternatives are (assuming the person taking it is postmenopausal) Aromasin and tamoxifen. ...Read more

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Evista (raloxifene) estrogen receptor for uterine cancer?

Evista (raloxifene) estrogen receptor for uterine cancer?

Unclear Question?: These are somewhat unrelated questions which makes it difficult for me to address your question. Evista (raloxifene) is not used for treating cancer...It is sued for treatment/prevention of osteoporosis. Estrogen receptors are specialised protein receptors found in breast cancer.Uterine cancer has little bearing on either of the two references you have listed. ...Read more

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Is it normal to experience jaw pain as a side effect from taking the prescription drug evista (raloxifene) for osteoporosis?

Is it normal to experience jaw pain as a side effect from taking the prescription drug evista (raloxifene) for osteoporosis?

Jaw pain: It is not normal to experience jaw pain on bisphosphonates (bone hardening drugs) and this can be an early warning side of a rare side effect, osteonecrosis of the jaw (ONJ). See your prescribing physician immediately and he/she may order a CT scan of your jaw. ...Read more

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Is evista (raloxifene) as effective as tamoxifen in reducing breast cancer?

Is evista (raloxifene) as effective as tamoxifen in reducing breast cancer?

Yes (and no): The study of tamoxifen and Raloxifene (star) trial compared the effectiveness of these two drugs in the prevention of breast cancer and found them to be equally effective, with a 50% reduction in invasive breast cancer as compared to placebo. However, only tamoxifen reduced the rate of carcinoma in situ (dcis, lcis). ...Read more

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After taking evista (raloxifene) for 5 years for osteoperosis, breast cancer developed. Is femara the best choice now?

Depends on cancer: Stage and hormone receptor status of the cancer determine what kind of treatment is needed.
If it is early stage and hormone sensitive and you are post-menopausal, Femara (letrozole) is one of the drugs that may be appropriate. ...Read more

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I had breast cancer and developed severe osteoporosis whilst on arimidex/ooph, now on strontium ranelate. Is evista (raloxifene) a safer med or are they similar?

Evista (raloxifene) is safe: Evista is a good medicine to prevent osteoporosis. Since you already have osteoporisis, for you the best medicine would be one of the bisphosphonates (there are several to choose from). Examaples include zoledronic acid (zoedronate), Fosamax and boniva (ibandronate). ...Read more

Dr. Erik Borncamp
48 Doctors shared insights

Evista (Definition)

Evista is a metabolic agent which is a kind of ...Read more