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Re: To: ob-gyn-l@obgyn.net From: Efrain Ramirez MD (eramirez@icepr.com) Tue Aug 24 17:35:40 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez MD: "Re: intravaginal compresses forgotten" Previous message: james connerth: "Re: To: ob-gyn-l@obgyn.net" In reply to: Bouschbacher JM, France: "Re: intravaginal compresses forgotten" Next in thread: Scott Wiersma: "Re: Can anyone help" Lower the dose of Fosamax to 10mg/day--tell her "this will not produce heartburn"..see no reason to switch to Evista. Repeat DEXA later on. At Tue, 24 Aug 1999, Len2976@aol.com wrote: > >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 -- Efrain Ramirez MD FACOG "The things you learn after you know everything are the important ones" Next message: Efrain Ramirez MD: "Re: intravaginal compresses forgotten" Previous message: james connerth: "Re: To: ob-gyn-l@obgyn.net" In reply to: Bouschbacher JM, France: "Re: intravaginal compresses forgotten" Next in thread: Scott Wiersma: "Re: Can anyone help"

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