Re:To: ob-gyn-l@obgyn.net

From: Len2976@aol.com
Tue Aug 24 13:00:51 1999


I have a patient who is a 50 y/o white female. Last year I saw her for a yearly and ordered a baseline dexa because of a family history of osteoporosis and her hx of surgical menapause 15 years ago. She had originally been on premarin 1.25, later .9, now .625. The scan revealed osteopenia in her spine and osteoporosis in her hips. I started her on fosimax 20 mg daily, 1500 mg calcuim daily, and advised daily weight-bearing exercise.

Patient returns this year. States has not done well with taking fosimax (heartburn, inconvenient time--a.m. dosing).

Physician consultant suggested Evista. In the past I only used it for patients in whom estrogen was contraindicated. If used, would premarin be discontinued?

Lenora McCall, CNM





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