WOULD YOU PUT YOUR MOTHER ON RECLAST

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Anonymous

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Serious inquiries only - Mom was on Evista for years. Serious osteoporosis. Rheumatoid Arthritis with prednasone for years - auto immune disorder - been on Evista now considering switching to Forteo - history of cancer in family - multiple cormorbities - Dr wants to put her on Forteo.. Would you put your mother on Reclast?
 
























Absolutely I would put her on reclast. Once a year look at all the efficacy studies. Why would you want her to have to take a drug every week when you can do it once a a year. MAy be less expensive for her as well
 






No brainer!! Yes put her on Reclast. The efficacy data is superior to orals, medicare reimbursing, guarenteed compliance. Suggesting to all my family who take osteo meds to consider. They are all checking into it.
 












Anonymous said:
Serious inquiries only - Mom was on Evista for years. Serious osteoporosis. Rheumatoid Arthritis with prednasone for years - auto immune disorder - been on Evista now considering switching to Forteo - history of cancer in family - multiple cormorbities - Dr wants to put her on Forteo.. Would you put your mother on Reclast?
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One Word: NO

I'd try the Oral Bisphosphonates first, then the PTH- Forteo.
 






YOUR ALL WRONG YOU WANT TO PUT HER ON FORTEO FIRST TO BUILD UP THE BONE AND THEN ON RECLAST TO MAINTAIN WHAT BONE WAS BUILT UP BY FORTEO. I USE TO SELL THAT MED AND IT IS A GREAT ONE. USING THAT FIRST AND THEN RECLAST WILL HELP HER BIG TIME....hope this helps.
 












I sell reclast and, based on published data, I do believe it's far better than the oral. However, Forteo first may be an option to consider--It will build bone, Reclast does an excellent job of maintaining bone. Good luck.
 






Anonymous said:
Serious inquiries only - Mom was on Evista for years. Serious osteoporosis. Rheumatoid Arthritis with prednasone for years - auto immune disorder - been on Evista now considering switching to Forteo - history of cancer in family - multiple cormorbities - Dr wants to put her on Forteo.. Would you put your mother on Reclast?
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My honest opinion, DO what the doctor says no one here is a doctor. Reclast is a NEW drug, you can’t know what would happen in 4, 8 or 10 years. New drugs have to be taken with consideration, look what happened with Zelnorm, Vioxx and hundreds of new drugs!!! Remember, once Reclast is applied in the system it’s going to be in there for a whole year. Good luck!
 






Anonymous said:
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My honest opinion, DO what the doctor says no one here is a doctor. Reclast is a NEW drug, you can’t know what would happen in 4, 8 or 10 years. New drugs have to be taken with consideration, look what happened with Zelnorm, Vioxx and hundreds of new drugs!!! Remember, once Reclast is applied in the system it’s going to be in there for a whole year. Good luck!
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Its new for osteoporosis but it has been used for a few years as Zometa.
Have there been any difficulties there? These are cancer patients and would probably show more side effects. They are also getting it infused more often although it is a slightly lower dose. Reclast is not applied in the system it is infused. You apply ointment or a patch
 






Anonymous said:
Its new for osteoporosis but it has been used for a few years as Zometa.
Have there been any difficulties there? These are cancer patients and would probably show more side effects. They are also getting it infused more often although it is a slightly lower dose. Reclast is not applied in the system it is infused. You apply ointment or a patch
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...you're right but for some reason Zometa never caused serious atrial fibrillation which affected significantly more patients in the Reclast group compared with the placebo group.
 






before you come on here and start quoting reclast data, you need to know your facts. You say that reclast causes serious atrial fibrilation. Can you tell me what the average atrial fibrilation rate is for a population of people in the United States aged 65 to 89? I can. It's 2.7% Wow, your telling me that reclast's afib rates is lower than the national average for that age group. Why yes i am doctor. I'm not telling you that reclast has cardiovascular benefits because we are not indicated for that but i can tell we don't have any problems. Oh and one more thing, Until any of those actonel reps can come up with a study which contains the exact number of patients or atleast the same aged patients, they don't need to go into my offices and bad talk reclast. I will make them look stupid!!!!
 






one more thing. Lets do a test of actonel, boniva and fosomax on patients 65 to 89 years of age for 3 years and then lets measure an afib rate. That's the only way those reps are going to be able to talk about our afib rate. The fact is,older people have more problems and react more negatively towards medicines. I'm suprised that reclast's safety data isn't really bad but it turned out to be amazing.
 






Anonymous said:
...you're right but for some reason Zometa never caused serious atrial fibrillation which affected significantly more patients in the Reclast group compared with the placebo group.
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That is the point. Zometa is roughly the same dose give more often and no afib. It was totally random for the afib and if Actonel reps are bad mouthing Reclast they better worry about the train that is about to hit them called Fosamax Generic
 






I am very familiar with Zometa and therefore, feel comfortable saying that Reclast is a great option. In fact, I have encouraged my Mom get on zolodronic acid for her osteoporosis prior to getting the indication. Taking it once a year and paying full price was about equivalent to her monthly co-pays on her oral med.

Every case is unique, but for severe osteoporosis I would feel comfortable having my Mom take the medication more often than just annually. 2 - 4 doses a year would be very reasonable for some patients.

No, I'm not a doctor....but I know more about this product than any doctor I've called on in the last 5 years. In Oncology they look to people like me to help them form their opinions. The comment above that says, "None of you are doctors" clearly is coming from a Mass Market rep. How do you get out of bed in the morning when you think so little of what you do for a living?
 






Nurse Practitioner here....former rep,

I have the choice of prescribing a $4 generic alendronate which has proven and has the indication to prevent hip fractures...the kind that leads to over a 50% mortality rate or prescribe a new product which doesn't have the indication to prevent hip fractures. This one is a no brainer.

If called into court any prescriber will be asked why didn't you prescribe the only drug that has an indication to prevent hip fractures in my client? Why did my client have to pay 100 times more for a product that doesn't have the proven efficacy of a well studied generic?

Case closed....I would prescribe generic alendronate for 100% of my patients unless they can not tolerate it or currently haven osteonecrosis of the jaw, renal failure, liver failure or some other major organ problem.
 












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