Fosomax generic is only going to help Reclast. It's going to increase the prescribing of osteroperosis meds overall by getting more physicians to start treating it. Then when patients don't tolerate it (which they won't because generics always have far worse side-effects), they either have to move on to Evista, Reclast, Boniva IV, or Forteo. Prescribing another oral bisphosphante is asinine, and if you're a physician reading this and it's something you do, then you're a f&#king r***** and you shouldn't be practicing medicine. If they can't tolerate one oral, they won't tolerate any of them.
Since Reclast is once yearly, there's no reason to prescribe Boniva IV. Forteo is far too expensive, and it's fracture data is no better than Reclast. PLUS a good majority of the patients who are on Forteo actually have a DECREASE in BMD after 2 years. It's pathetic. So whether you go off of fracture data (which you should) or BMD, Forteo has no advantage over Reclast. Plus, how many patients are going to comply with sticking a needle in themselves every single day for 2 years?