Patients allowed to refuse meds

DEAR DR. GOTT: I don’t want to take bisphosphonates for osteoporosis. My doctor insists. Can I refuse? He discounts the heavy-duty resistance exercises I do daily.

DEAR READER: Yes, you can. Your physician can strongly recommend a medication or course of treatment and indicate why he feels it is necessary, but the bottom line is that it’s your body. I am sure that he has your best interests at heart, but perhaps a calcium plus vitamin D supplement will suffice. Therefore, before getting into any shouting match, I suggest you speak with him and review all options.

Dentist won’t pull tooth of woman on Fosamax

DEAR DR. GOTT: I was diagnosed by my gynecologist, through a bone scan, as having osteoporosis. I have been taking Fosamax for about 5 years. I take one tablet once weekly.

My dentist has now warned me that he would never pull a tooth because of the Fosamax. He says he would do a root canal and cap the tooth however. Could you give me any advice regarding this medication? My gynecologist told me that there were no bad side effects unless the Fosamax were given by injection. Thank you.
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