Doctor insights on:
Prolia Or Evista
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
No difference: There is no such thing as "best" or "worst" medication, only those that work and don't work, based on the patient's individual circumstances and genetics. ...Read more
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
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
I believe so: The studies that have been done do show miacaclcin to be a better drug overall but particularly hip fractures which are so important. ...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
Fosamax/Boniva: Before taking either of those meds you should go online and learn about those two drugs. Yes, some wording will be hard to understand but there is always material designed for patients. Basically each of the above drugs are OK for almost all patients needing treatment for the bones. ...Read more
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
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