Doctor insights on:
How Is Forteo Better Than All Other Bone Strengthening Medication
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
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
Diagnosed w/osteoporosis and spinal fractures high risk for more fractures is there anything i can do to gain bone mass w/out scary meds like fosamax (alendronate)?
Yes.: First of all you need a medical evaluation including blood tests to find out why you have osteoporosis. You may have abnormal hormone levels, severely lacking vitamin D, or other problem which can be corrected. Medication named Forteo is the only medication currently available which builds new bone, improves bone quality, and helps with bone healing after a fracture. Fosamax does not. ...Read moreSee 1 more doctor answer
I was prescribed Nortriptyline for neuropathic pain, how effective is the medication. DDD at T5-T6 with small bone spurs as well. ?
Neuropathic pain: Nortriptyline can be used for neuropathic pain. In the US it is not FDA approved for neuropathic pain but it is prescribed off label and some studies have shown efficacy for treating nerve pain. If the pain does not resolve, then other medications and nonoperative treatments such as nerve blocks and physical therapy may relieve the pain. ...Read more
Is it effective to take glucosamine supplement for bone injuries like, stress changes to the bone?
Is it dangerous to take bone supps, bone meds, analgesics and other strong pain killers for osteoporosis when i only have one kidney?
No: As long as your kidney function is adequate, one kidney is ample for most medications. More details on the kidney function and which meds are necessary. ...Read more
Do antidepressants work well for back pain and osteoarthritis? If so, are tca's the best such as amitriptyline?
What kind of lumbar disk replacements are used to replace a herniated disk? Does replacement last as long as biological one? Any downsides?
Disc Replacements: Typically artificial discs are used and only fda approved for one level, not being recommended for anything more than that. The downside is there is not long term data for them compared to long term fusion but they have been documented to not seat properly and known to come out of the disc space. In most cases, a minimally invasive disc repair procedure is now the newest/best technology available. ...Read more
No: First, with osteoporosis, the bone i not dead it is only decreased in amount bone is living and has the ability to heal. People with osteoporosis will heal a fracture. Boniva (ibandronate) slows the rate of bone loss but does not stimulate the growth of new bone. However, since the body continues to make bone, the density usually goes up with Boniva (ibandronate) and similar meds. Few treatments have proven to make new bone. ...Read moreSee 1 more doctor answer
Prescribed Pulmicort flexhaler and told it is less taxing on liver, won't create bloating or hair growth. How is it different than other steroids?
Why are prolia and raloxifene considered by some to be better alternatives to the other treatments for osteoporosis and are the side effects common?
Is there any medication or supplement that would be similar to remeron (mirtazapine) as far as gastric pain relief goes without screwing with my brain chemicals?
Anti-depressants: there are many different types of antidepressants, and sometimes these will help with gastrointestinal symptoms. If you find the Remeron (mirtazapine) is working but does cause you side effects, contact the prescribing doctor, to see if they recommend switching to a different medication. Good luck. ...Read more
6y/o will jia nsaids failed to work now on methotrexate but having a lot of side effects. Is there another medicine that works well with jia?
Tnf inhibitors: Tnf inhibitors work well.Get a more detailed answer ›
Does treatment with in-ovation braces work faster than normal braces? I'm trying to research different kinds of teeth straightening methods, and am intrigued by in-ovation, but there seems to be less information about it than the other types.
What are the benefits and drawbacks of weight bearing as early as 3 weeks post fibula fracture as opposed to resting for 5 weeks with elevation.
See below: Your alternatives depend on what conditions you have. We need more info to answer your question. ...Read more
31, knee off angle by 21 degrees, dr states do to the angle being off so much osteotomy is not an option. A partail as well do to no acl, is there any other option other then full knee?
Which SSRI better to add to Buspar (buspirone) for control (GAD&social phobia) if we looking for fewer (weight gain&fatigue) as much as we can ZOLOFT OR PROZAC ?
Is it better to be on 25mg methotrexate injections (53pounds) or lower dose of methotrexate along with a biological in treating juvenile arthritis?
JIA treatment option: There are 2 schools of thought. One is to be just on one medicine if you can if that controls the arthritis. If the arthritis is poorly controlled, than add a 2nd medicine. The other approach is to start with multiple medications to get the arthritis under control and then pull back later. Either approach is reasonable. I think many doctors try and just treat with one medication if possible. ...Read moreSee 2 more doctor answers
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