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Re: To: ob-gyn-l@obgyn.net From: james connerth (babydoc@apex.net) Tue Aug 24 16:20:10 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez MD: "Re: To: ob-gyn-l@obgyn.net" Previous message: Barbara Boyle: "Re: Can anyone help" Actonel--less side than fosamax---300$/mo-dose around 5.0mg/day.I too see much intol. to fosamax. "Ronald E. Ainsworth" wrote: > >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 > > I see no benefit to this patient to switch to Evista, its bone > protection appears only to be for the hips, not the vertebral spine. > There is also no reason to place a patient on a SERM, in addition to > estrogen, as there is no reason to expect an additive protective effect. > The next alternative and has significant osteoporosis that is > progressing, if she cannot tolerate Fosamax would nasal calcitonin. > Consider a repeat DEXA scan to evaluate for progression. > > -- > Ronald E. Ainsworth, MD, FACOG > Paradise, CA, Private Practice 20 yrs. Next message: Efrain Ramirez MD: "Re: To: ob-gyn-l@obgyn.net" Previous message: Barbara Boyle: "Re: Can anyone help"

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