Home HealthTopics Health Centers Reference Library Research
Join us on Facebook Join us on Facebook Share on Facebook

Osteoporosis

combining Fosamax with Evista or Miacalcin

08/10/2006

Question:

I`m 58 years old, with borderline osteoporosis (T scores of -2.4, hip, and -2.3, spine). I`ve been taking Fosamax for a few years, but since my back scores have been getting worse in the last two bone scans, my doctor wants to add Evista to my treatment. With a very sedentary job, I`m concerned about the increased risk of blood clots (2 1/2 times the risk on Evista), and so Miacalcin spray was suggested as another option. What are the pros/cons of each option?

Thanks for your response!

Answer:

Combination therapy is not commonly used.  There is no evidence that combination reduces the rate of fractures.  If your bone density has gotten significantly worse, a thorough search for an secondary cause of your osteoporosis should be undertaken.  That may necessitate a consultation with an osteoporosis specialist.  Also, be sure you are taking the drug correctly and that you are getting adequate calcium and vitamin D.

For more information:

Go to the Osteoporosis health topic, where you can:

Response by:

Margery   Gass, MD Margery Gass, MD
Formely, Professor, Clinical Obstetrics & Gynecology
College of Medicine
University of Cincinnati