After 4+ years of Actonel is Prolia a good choice for continued treatment of osteoporosis?
I will be asking my rheumatologist the same question next time I see her. I am due for another bone scan so she will most likely want to see that first but based on the first 2 tests I am going downhill bone-wise.
Any feedback is welcome.
Thanks
Written by
Alebeau
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In that it is more likely to improve bone density over a period of a few years and risendronate appears to not even maintain yours. However - either you remain on Prolia/denosumab indefinitely or you use it for a few years and then switch back to the bisphosphonate to maintain the improved bone density. You can't take it for a time and then stop without switching to something else or you risk a speedy rebound loss of bone density after stopping.
I had biphosphonates for a year, then was switched to Prolia because it is not rough on the stomach. I have had it for 3 years now, with no problems. However, I have had some spinal compression fractures, so I'm just glad to have the help for my bones. I know that I will not be able to come off them just like that, but I think that is a small price to pay for the benefit I hope I am getting.
I was assured that a bisphosponate or Prolia would reduce the risk of another compression fracture - if that is what they could see, To be fair, since the infusion the low back pain I was really struggling with has steadily improved, but that had been going on a long time so I doubt it was due to the ?fracture, in which case, it didn;t cause pain.
I have been on Prolia (Denosumab) for about 14 years now and, although I have not been able to tolerate other Osteo treatments, I have had no problems with Prolia and it seems to be very effective.
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