Doctor insights on:
Forteo Vs Prolia
Adrenal Insuf, NO immunity, MANY med iss. Finished Forteo DON'T want 2 take Reclast/Prolia. Endo mad at me. But, is there anything else?
This is a LOT of: Information. I see that you make many submissions on Health Tap. It is important to remember that we can NOT diagnose or make medical / medication recommendations/ treatment on the general Health Education portion of HealthTap. Health Tap Prime or Concierge can be used for that purpose. ...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.
Took fosomax for 7 yrs with little benefit (slightly worse each yr), then no meds x2 yrs. Which has best risk/benefit ratio: reclast, (zoledronic acid) prolia, fosomax? Ctx test results >300 so md eliminated forteo.
See your doctor:
Find out if vitamin d has been assayed; deficiency could be your problem.
Speak with your doctor about options, including evista. ...Read more
Osteoporosis drug: Forteo is a medication which is used for men and women with osteoporosis who are or may be at risk for fragility fractures. This drug is injected and can lead to increased bone mass and strength. To determine if you would be a candidate for these injections, I would recommend initial consultation with your primary care physician. ...Read more
Denosumab: Denosumab is an excellent treatment for persons with a low bone mass and at increased risk of fracture. These fractures occur much more often in folks twice your age so you need to have an extensive workup to find out why you might need a drug to prevent bone loss and actually increase your bone health. ...Read more
Treat osteoporosis: Denosumab is an antibody that works in a way similar to bisphosponates (like fosamax) to decrease bone turnover and decrease the risk of fractures in people with osteoporosis who have had a previous fracture. Studies suggest that it is more effective than bisphosphonates. In your age group, unless you have severe osteoporosis or a previous fracture, you would not be a candidate for it. ...Read more
Yes but only if. .: All supplements, herbs & medications have side effects. No such thing as a free lunch. Therefore, only use a medication if potential benefit (s) outweigh risks & side effects. Forteo (teriparatide) is used to increase bone strength in severe osteoporosis. It's given as a daily shot for up to 2yrs. After that, we worry about osteosarcoma in rats. But if you're not a rat, it appears to be safe 4 now. ...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 more
Only one: Hi. The only active ingredient in Prolia is denosumab, a monoclonal antibody that binds a signaling molecule, RANK Ligand (RANKL), that bone forming cells (osteoblasts) secrete that activates bone resorbing cells (osteoclasts). RANKL activates the osteoclasts to break down bone. Denosumab interrupts that, and preserves bone mass and architecture. ...Read more
Best bone drug: Forteo is the ONLY anabolic bone drug - directly causes new bone formation. The patient must be assessed to make sure he/she is a candidate for Forteo (certain patients shouldn't be treated with Forteo). But if the patient has no contraindications, it's the best, most potent drug for osteoporosis out there. Get enough calcium & vitamin D. Don't check blood calcium within 4 hours of taking Forteo. ...Read more
Many options: Depending on your personal presentation, including your DEXA (bone density) scan results, your the frax® score (a tool developed by who to evaluate fracture risk of patients) and your vit d and ca++ levels, there are other meds such as fosamex, actonel, boniva, reclast, (zoledronic acid) to name a few. Osteoporosis treatment is important, so I recommend discussing with a provider who is educated in it. Good luck. ...Read more
How long after starting Forteo would you recommend a Dexa Scan to see if the injection is even working? And what do you consider improvement? Was -3.7
Prolia is used for just 2 years and is safe and effective in the vast majority of patients.
If you ever feel some symptoms you think might be related to Prolia call your doctor right away.
PS: Just for kicks one of my twin granddaughters is Leah so I like the term Pro"Leah". ...Read more
Due 2 be done with Forteo, but my med conditions don't let me be on many cause of crisis. What would be comparable to Forteo without complications?
Varies: There are multiple osteoporosis meds from pills, to nasal sprays, injections; they all have a variety of different side affect profiles. Usually with your primary care doctor, you would select the medication that is most likely to be tolerated by you with the most potential benefit. ...Read more
Have MG. Severe Osteo. Finally started Forteo, 4th shot, IF I was to react orMG flare would it happen by now? People say can happen after mnths of use
Forteo and Osteo: Unlikely to be caused by Forteo but you must discuss this with an Endocrinologist. ...Read more
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 more
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 more
Yes if indicated: Forteo is usually prescribed to prevent spontaneous fracture from severe osteoporosis. You have either failed other treatments or were found to be so osteopoorotic you are at risk of breaking bones without falling. The benefit far outweighs the risk. Keep in minf if everyone who is prescribed Forteo is at risk for falling isn't it more likey the falls are related to the risk and not the injection. ...Read more
Have long span final fusion with loosening hardware, told I have osteoporosis, dr. Wants me to go on forteo before he tries to do corrective sx, safe?
I've been injecting Forteo since 10/31/14. Today I had precancerous growth removed. Should Forteo be discontinued. Only have osteopenia, failed fusio?
Precancerous: Unlikely to be caused by Forteo but needs very careful evaluation by the doctor who prescribed this. ...Read more
What medical issues could preclude a patient from being a candidate to use forteo for osteoporosis?
Can forteo use in young adults?, doesn't it promote bone growth, then should be good for bone growth
Not for use in young: Forteo is FDA approved for the treatment of osteoporosis, which most typically occurs in elderly patients. Forteo has a black box warning due to the possible risk of osteosarcoma (a type of bone cancer), and because of this risk it is not to be used in young patients. ...Read more
Does Alendronate and Prolia produce the same results? I want to choose just taking only one and my t-score is -2.7.
Essentially: There are no good "head to head" trials of the meds so I can not say for sure one does not do slightly better than the other, but the avail studies do not show this. They do work very diff though and some individuals may respond better to one than the other. However, the choice of which to use often has to do with other factors. For example GERD & Barret's Esoph may sway you one way cost another. ...Read more
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