Doctor insights on:
70 yo female w/osteoporosis and family hx of BRCA breast cancer. Ok to Denosumab and Reloxifene therapy together??
Yes it is OK: You can take these medicines together. There is no significant interaction or harm. So relax and take them as advised by your doctor. ...Read more
Currently it is better to think of osteoporosis as a condition where the bone is weakened, and can be managed or treated rather than cured. This is usually performed by dietary modifications, ingestion of supplemental calcium, vitamin d and a class of agents notice the bisphosphonates. These are usually delivered via oral or intramuscular injection on a weekly or monthly ...Read more
Maybe: Prolia represents a new category of osteoporosis treatment that is effective and has convenient twice yearly dosing. It appears much more effective than the bisphosphonates and rivals Forteo with much more convenience. It is expensive if not covered by your insurance. Whether it is best for you or not depends on many factors which would require more information about a specific patient. ...Read moreSee 1 more doctor answer
Not much: That is statistically different from placebo, though everything under the sun has been reported it is hard to link it to the drug. The one side effect that is different by about2% is infection, do I would not give it to a compromised person or one who had an acting infection. The debate ove osteonecrosis of the jaw continues on. ...Read moreSee 2 more doctor answers
Yes: Even if you take a prescription treatment for postmenopausal osteoporosis, you still have to get enough calcium and vitamin D daily, especially if you are at high risk for fracture. You need both calcium and vitamin D because they help in different ways. Calcium: 1200 mg daily helps keep bones strong & Vitamin D: 800-1000 IU daily enables your body to absorb calcium. ...Read moreSee 1 more doctor answer
I have osteoporosis in high risk category. Any alternative to Prolia injections or oral Biphosphonates due to side effects. I don't like taking meds?
Choices are many`: Osteoporosis simply reflects a thinning of the bones. There is little chance of a spontaneous fracture of your wrist, rib, spine or hip in the absence of a fall or trauma. Oral and injectable agents can improve your bone density and slightly reduce the risks of such fractures. Staying in shape is also a way to reduce falls/fractures. An exercise program is highly recommended. ...Read more
Which drug would you choose for osteoporosis of hip prolia or reclast (zoledronic acid) what is better tolerated less side effects?
Depends: Both drugs are effective in the treatment of osteoporosis involving the hip. Prolia is likely to work better than reclast, (zoledronic acid) though there are no head to head studies comparing the two. Prolia is typically used in people who have had a previous fracture (spine, wrist), or have very severe osteoporosis. Both are well tolerated with few side effects. Prolia is given twice yearly, Reclast (zoledronic acid) once yearly. ...Read more
I had a severe allergy to forteo. Doc wants me on prolia for severe metabolic osteoporosis. Is it similar? I don't want to die from injection.
How to best manage severe, severe osteoporosis? Have tried all types of services, just started Prolia, increased calcium, increased vitamin D.
Ask about Forteo: Ask your physician about Forteo, which is the only osteoporosis treatment which actually builds bone (for the most part, all of the other treatments simply prevent further breakdown of bone). Unfortunately, insurance coverage can be an issue for Forteo, and also it requires a daily subcutaneous injection (a very tiny needle) for 2 years. Add daily walking to your treatment as well. ...Read moreSee 1 more doctor answer
Why are prolia and raloxifene considered by some to be better alternatives to the other treatments for osteoporosis and are the side effects common?
Osteoporosis treat: Osteoporosis can be treated. At your age it would be unusual to go right to a prescription unless it was severe, you already had fractures, or other medical conditions you might have. For most people your age, a good diet and exercise will go a long way towards good bone health. ...Read moreSee 2 more doctor answers
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