alternatives after 5 years of Fosamax

[Bogart0416]

This is my 5th year on Fosamax. I will be 70 this month.My DEXA scores have improved. Total lumbar spine -2.1, left forearm -2.3 and femoral neck -2.0. However, my rheumatologist is telling me I am still at risk for fracture and is recommending towards the end of this year that I start Prolia. I do not want to start Prolia. My question is whether anyone has experience ceasing Fosamax and then starting Evenity or any other recommendations. Thank you.

[PoohBear72]

Good morning. I had to stop Fosmax summer of 2023 and transition to Evenity for a year. Results were positive in my case as seen in my scan. I have since transitioned to Reclast infusions. Next scan Sept 2024. Treating osteoporosis is such a personal thing. I encourage everyone to find a doctor skilled in treating osteoporosis who will really listen to you and your concerns and work with you. This is not a one-size-fits-all condition. I was fortunate to find an endocrinologist who is willing to listen to. my considerations. That has made all the difference. Best of luck. Keep in touch!

[Bogart0416 in reply to PoohBear72]

Thank you so very much for your feedback. Yes osteoporosis is so individual. My best to you as well Joyce

[UncleRoy]

Hi Bogart,

I just finished taking Prolia for 3 years and never had any side effects. I'm a nurse and was more than nervous about taking it after I read all the horror stories online. I went online to a US website drugs.com and looked up Prolia and then looked at each side effect listed and what percentage of people actually had that side effect - often less than 15% and decided it was worth trying it. It helped my bones and I am now switched to Reclast which I will start soon and see how that goes. These are problematic drugs and having osteoporosis is problematic also, we just have to gather our information and make the best decision we can. I wish you well.

[WarriorOne]

Mom was on prolia for many years and never had an issue.

[Arcadia10]

Is there any reason why your rheumatologist thinks you are still at risk of fracture? You no longer have osteoporosis according to your DEXA results.

[CM1671]

Your scores are good. Your endocrinologist may suggest a "drug holiday" and rescan, or starting a new drug. Reclast is another bisphosphonate, so probably wouldn't be indicated. Personally, I would want to try Evenity when my doc wants to discontinue Fosomax. Previously had bad experiences with Boniva and Prolia.

[Bogart0416 in reply to CM1671]

Very much appreciate your feedback. Thank you.