Re: GYN: Menostar
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Tue Sep 28 20:09:43 2004
Speaking of data, anyone seen any on Menostar and especially withdrawing
them only 1 or 2 times annually?
Garry
At Tue, 28 Sep 2004, Joanne Bulley, MD wrote:
>
>I haven't prescribed it yet -- but it appears to help with osteoporosis
>even at the tiny dose -- and so it is a good option for someone who has
>or is at risk for osteo but doesn't want standard estrogen doses - or
>has side effects such as breast tenderness - &/or doesn't want Evista -
>Fosamax - Actonel (for risks associated with those drugs)
>
>Unencumbered by data -- it seems smarter to me to encourage the
>osteoBlasts to build bone rather than to paralyze the osteoClasts that
>break it down.
>
>Whenever I have asked a speaker at a conference about the use of
>bisphosphonates in the younger woman (<70) -- asking if you paralyze the
>clasts for 5-10 or more years and then she does break a bone -- due to a
>truamatic fall and not osteoporosis -- how is that bone going to heal if
>the clasts are paralyzed?
>
>I have gotten the same aswer each time I ask the question, "We don't
>know because we have not studied the bisphosphonates long enough"
>
>So ... unless there is a totaly contraindication I just won't prescribe
>bisphosphonates to someone who is 50's - 60's. Her PCP can do it if he
>or she feels strongly that it is OK.
>
>I am ready to hear others opinions -- as well as data!
>
>Joanne
>
>Joanne
>
>At Tue, 28 Sep 2004, Garry E. Siegel, M.D. wrote:
>>
>>Hey, anyone have any info/thoughts on Menostar, a new low dose patch?
>>The company says progestin withdrawal is only needed every 6 to 12
>>months. This is indicated for prevention of osteoporosis.
>>
>>Garry
>>
>>--
>>Garry E. Siegel, M.D.
>>Private Practice
>>Roswell, GA
>>
>--
>Joanne Bulley, MD
>Keene, NH, USA
>
>"Every gun that is made, every warship launched, every rocket fired, signifies
> in the final sense a theft from those who hunger and are not fed, those who
> are cold and are not clothed."
>
>President Dwight D. Eisenhower
>April 16, 1953
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
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