Doctor insights on:
Prolia Injection Site
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
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
Mam has had her 4th prolia injections today. Also takes 2 calcichew d3 tablets daily. Never had side effects. I'm worried now is it safe. She is 87?
I assume she is taking prolia for osteoporosis. This medication has been deemed safe for the treatment of osteoporosis by the FDA. However, it does have several potential side effects and depending on other medical conditions of your mother, some of these side effects may be more likely. Check the following link for more info:
http://www. Drugs. Com/prolia. Html
All the best,
Ariel ...Read more
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
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.
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
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
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
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
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
I just had my 1st dose of Prolia on 11/20. Just started w/ a tooth problem which needs to be pulled. What are my options?
More info needed..: Your prior medical history is crucial in determining the proper course of care. You may be more likely to develop osteonecrosis of the jaw if you have cancer or have been treated with chemotherapy, radiation, or steroids. The oral surgeon extracting the tooth should consult with your primary physician. Together they will determine the best course of care and manage any complications. ...Read more
One of the side effects of Prolia is onj
or osteonecrosis of the jaw, that's why maintaining good oral hygiene is very important.
You dentist or oral surgeon should be aware of that and would be able to help with post operative instructions and measures. ...Read more
Prolia: Both medications are anti-resorptive, meaning they prevent breakdown of your bone. Reclast (zoledronic acid) has been used for longer so has more side-effects that are known. It also can not be used if you have kidney problems. Prolia is an injection every 6 months (vs. 12 months with reclast). Both medications tend to be very well tolerated. ...Read more
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
For me, 3 yrs ago Reclast=5% improvement, Prolia for 2 yrs=little improvement, but 10% LOSS hip neck! Why? And, now must be off for 3 yrs, scary! Thx!
Treating osteoporosi: Reclast (zoledronic acid) is an antiresorptive medication (like Fosamax, Boniva, etc) that is given IV. It will prevent further loss but will not rebuild bone. 5-10% increase/decrease is likely within the margin of error of a DEXA scan. Recombinant human parathyroid hormone rPTH (Forteo) is an injectable medication that does rebuild bone and increase density. RPTH cannot be given with a history of cancer. ...Read more
How long will the dizziness and nausea lasr from prolia shot? What can I do to overcome these symptoms?
Difficult to answer: Most side effects are self limiting and should resolve quickly. If they continue then the side effects could be treated with other medications. Discuss this with the doc who did your injection. ...Read more
With a bone density t-score of -2.7, how much improvement can be expected if I take ALENDRONATE 70mg and Prolia for one year? Is Prolia safe?
Osteoporosis: A T score of -2.7 exceeds the lower limit of bone mineral density -2.5 and indicates a diagnosis of osteoporosis. Both Alendronate as a bisphosphonate and Prolia as a RANK ligand inhibitor are effective therapies for osteoporosis. The combination of these two is aggressive therapy and should result in significant increase in bone mineral density within a one year period. ...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
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 more