Fosamax substitutes

DEAR DR. GOTT: I have been taking Fosamax for years to treat post menopausal bone loss. About three weeks ago my femur bone broke and I also had a benign tumor at the site of the breakage. I spent two weeks in the hospital getting that repaired. They put a steel rod in my leg and I developed severe post surgery colitis.

My question is — is Prolia a good alternative for Fosamax?

DEAR READER: Prolia (denosumab) is a monoclonal antibody designed to identify and destroy only certain body cells. It is prescribed for the treatment of osteoporosis in postmenopausal women who are at high risk of bone fracture by working to slow bone loss and increase bone strength. [Read more...]

Addressing non-traumatic bone fractures

DEAR DR. GOTT: I have been taking Boniva for almost five years. Could I or should I stop now? I’ve heard there is some discussion about this. I’m 74. Your opinion, please.

DEAR READER: Boniva is prescribed to slow bone loss, increase bone mass, and treat or prevent osteoporosis in women, a condition in which bones become thin, weaken, and are subject to easy fracture.

The Food and Drug Administration issued a warning to physicians and their patients on Oct. 14, 2010, regarding an increased risk of bone fractures of the thigh with bone-strengthening bisphosphonates such as Boniva, Fosamax and Actonel. The report went on to indicate it remains unclear whether drugs in the category trigger thigh fractures, but because of the potential connection, labeling now warns of the possibility. [Read more...]

New Hope For Osteoporosis Sufferers

DEAR DR. GOTT:
Being an avid reader of your column, I feel compelled to share information with readers interested in alternative therapies for osteoporosis.

After experiencing jaw problems from using Fosamax, I found a great natural product that is affordable and works well. Called OsteoValin (osteoval carbonate forte), it is manufactured by the Carter-Reed Company. It is not a calcium supplement. It is supposed to be taken in addition to a bone health regimen. It assists the body in building new bone mass while reducing bone loss.

I have been using the product for 18 months, along with a quality calcium/magnesium supplement and my last bone density test showed great results. For me there have been no side effects. OsteoValin can be ordered by calling 1-800-898-5153. Their customer service is excellent and they won’t try to sell other products to you. [Read more...]

Daily Column

DEAR DR. GOTT:
I am a Caucasian woman, 78 years old, 5’ 2 ½” tall, weight 112 pounds and am in good health. I walk every morning and ride my bike and hike whenever I can. I am not sedentary. My problem is that my bone density is not improving. I was on Fosamax for five years with no results so my doctor changed me to Boniva two years ago. There is still no improvement.

My recent bone density exam showed a T-score of negative 2.6 for the femoral neck. The previous one was negative 2.2. My T-score for L1-L4 is negative 1.2 and the one before was negative 1.1. My question to you is, what can I do to improve my bone density?

DEAR READER:
You don’t say if you are taking calcium plus vitamin D supplements. If you are not, you should be. I recommend you take 1500 mg of calcium and 400-600 IU of vitamin D daily. [Read more...]

Daily Column

DEAR DR. GOTT:
I am a healthy, active 70-year-old female. I take vitamins and 120 mg of calcium with vitamin D. I would like to know if I should be taking Fosamax plus D also. I weigh 127 pounds and am 5’ 2”. I don’t want to take anything I don’t need.

DEAR READER:
Fosamax plus D is an osteoporosis medication that also contains vitamin D which aids calcium absorption into the bones. Unless you have had testing that shows osteoporosis, you do not need this medication.

I would also like to add that I was unaware that calcium came in 120 mg tablets. Perhaps you miswrote, but if not, you should take 1200 mg of calcium and 600 IU of vitamin D daily to prevent osteoporosis.

I recommend you speak to your primary care physician or gynecologist if you have further questions regarding osteoporosis and treatment. [Read more...]

Daily Column

DEAR DR. GOTT:
I am a 67-year-old non-smoking, non-drinking female who lives a very healthy lifestyle with exercise, good nutrition, average weight, etc. I have no history of heart disease in my family, yet three weeks ago I wound up in the ER with atrial fibrillation that required an over-night stay for observation, followed by a nuclear stress test and the wearing of a heart monitor. I’ll meet with a cardiologist in a few days to discuss the results.

I’ve taken Fosamax for almost seven years for mild bone loss and recently read of a scientific study indicating the drug can cause heart abnormalities — including atrial fibrillation, congestive heart failure, blood clots, and stroke! I stopped taking the Fosamax immediately.

Is my atrial fibrillation a chronic condition now or does the discontinuation reduce and eventually end the symptoms? [Read more...]

Sunday Column

DEAR DR. GOTT:
I just read in the New York Times that long-term use of biphosphonates for osteoporosis could lead to weaker bones in some people who use them. Since I suffer from the disease, I am very concerned and question whether I should discontinue my medication. I can’t get an appointment with my own physician for more than a month, so am turning to you for an answer.

DEAR READER:
You are referring to a small study reported in The Journal of Orthopaedic Trauma, disclosing patients with low-to-no-trauma fractures. A large portion of those in the study had been on long-term Fosamax therapy for an average of 6.9 years. Of particular interest is that all of the breaks occurred straight across the bone and some were preceded by weeks or even months of unexplained aches and pains. [Read more...]

Daily Column

DEAR DR. GOTT:
I’m writing regarding your past column concerning the side effects of Actonel. I’ve taken Fosamax and Boniva for osteoporosis and had a terrible reaction to both. The first one put me in the hospital for five days because I was having the same symptoms as a heart attack. The Boniva that I was switched to gave me the same reaction, just not as bad. Still, it was enough to scare me. My doctor said we would never try those medications again.

DEAR READER:
As I originally reported, Actonel is ordinarily a beneficial drug. However, some people suffer side effects. Most are mild and do not justify discontinuing the drug, yet some are extremely serious. Chest and back pain, esophageal stricture, joint pain, nausea, diarrhea, back and abdominal pain, hypertension, urinary tract infections and more have been reported. As I’ve said in the past, [Read more...]

Daily Column

DEAR DR. GOTT:
I am a healthy 56-year-old female, 5’4” tall, who weighs 115 pounds. I walk rapidly seven days a week, 45 minutes a day. I have no significant aches or pains and no health problems according to my doctor during annual checkups. I don’t take any medication. I underwent a bone density test and was told I have very low bone density and my doctor wants me to take Fosamax.

I don’t like the idea of taking a strong medication such as Fosamax when I feel so great, and I don’t want to take medicine for something I might not have. Besides, if I do have a problem, it could be 15 to 20 years before it affects me, and there might not even be a significant problem then.

DEAR READER:
Before taking any medication, a patient should explore the risk/benefit relation. If, as you say, your bone density is “very low”, you are at risk of fractures and you ought to revise your objection to Fosamax or similar drugs. On the other hand, a moderate reduction in bone density can be monitored by annual testing.

You fail to indicate if you drink milk, eat yogurt, or get adequate calcium in your daily diet. If you don‘t, you might consider taking calcium with vitamin D supplements to maintain healthy bones. It’s safe, without side effects, and might be more to your liking than prescription medication.

At the end of a trial period agreed upon between you and your physician, you can be re-tested to determine if you have additional loss of density or if the simple supplement corrects any abnormalities. If additional loss is present, you will need to take prescription medication.
To give you related information, I am sending you a copy of my Health Report “Osteoporosis”. Other readers who would like a copy should send a self-addressed, stamped number 10 envelope and $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.

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.
[Read more...]