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Is there an alternative medicine to Evista?
Evista is so expensive on the new Medicare plan, I just want to know if there is anything else that can replace it. Just what bone work does it do that I can't use something else.
Mickey S
  Fosamax is an alternative medicine for treating osteoporosis and is taken only 1x a week (as opposed to daily Evista). Your doctor will determine if you can take it because there are certain restrictions (ie, kidney problems etc). Basically these medicines help to reduce bone loss and can even increase the amount of bones in some individuals. You should also consider calcium supplements with Vitamin D. The vitamin D helps in the absorption of calcium.
which is the better choice of drugs for Osteoporosis?? Is it Fosamax, Boniva, or Evista?? I am presently on Bo
I am presently on Boniva and was told it is the same classof drugs as Fosamax, and Fosamax has now been proven to give problems with bone (death) of the jaw. I was told Evista would be the only other drug of cchoice for my severe Osteoporis!! Evista is supposedly not a hormone or in the same class (Bisphosphonates) as Fosamax or Boniva.
  Your doctor is the best guide for this.
There was a recent study that Evista can also be a successful phophylaxis for breast cancer in some women.
Wide Awake
Does Evista cure Osteoporosis??
My mom has Osteoporosis nd we r both wondering if Evista cures Osteoporosis..if u guys can help me i would really apperciate really worried about her nd i would need ur help to find the answer for that question
  No. Prescriptions merely prevent the body from shedding dead tissue, thus mimicking the appearance of halting bone loss. By harboring dead cells, you are inviting disease - potentially bone cancer.

Whole foods and exercise. It's not easy, but it's true.
☮Jen D☮
can evista be taken with strontium for osteoporosis?
Doris Weinraub
  Your best (and safest) bet would be to ask a pharmacist if there are any interactions listed between the drugs and supplements you're taking. Doctors and pharmacists both have access to a database of drug and supplement interactions and they can tell you quickly if you can safely take them together or not.... anyone here will just have a best guess from searching on the internet (which isn't always accurate, as we all know) ;-)
I don't imagine there would be a problem, but I don't have access to that database. I know that Calcium and Strontium shouldn't be taken at the same time because they compete for absorption, but a pharmacist or doctor can say if the Evista would have a similar issue. Good luck and I hope I helped!
can anyone give me an alternative treatment for Evista?
  What is the conventional treatment of osteoporosis?

I have recommended the conventional prescription drugs Actonel, Fosomax and Evista for osteoporosis treatment. They have different benefits and risks, however. Evista (raloxifene) might be suitable for some women while Actonel (risedronate sodium) or Fosamax (alendronate sodium) would be better for others. The choice has to be made on the basis of a woman's individual health profile and in consultation with her physician. Both Actonel and Fosamax seem to do a pretty good job of slowing menopausal bone loss. Fosamax's effects can be seen as soon as three months after treatment begins and continue as long as you are on the drug. Unfortunately, this drug can cause severe digestive reactions including irritation, inflammation, and ulceration of the esophagus, all of which may cause chest pain, heartburn or pain with swallowing.

Actonel is newer than Fosamax and works in much the same way. Research shows that it reduces the risk of new vertebral fractures by 65 percent within one year of treatment. I have tended to recommend it over Fosamax because patients tell me that the side effects are milder. The most common include stomach upset, diarrhea, headache and joint pain that may disappear as the body adjusts to the medication.

Evista (raloxifene) is an entirely different type of drug, a selective estrogen receptor modifier (SERM). These agents seem to provide the benefits of estrogen replacement without increasing breast cancer risk. In fact, Evista appears to reduce breast cancer risk as well as protect against osteoporosis. Side effects include hot flashes and vaginal discharge, dryness, or itching. We will know more about the benefits and risks of Evista when the National Cancer Institute completes a five year study comparing it to Tamoxifen, a drug used to treat breast cancer patients and recently shown to reduce the incidence of breast cancer among high risk women. Tamoxifen also protects against osteoporosis.

Fortunately, if you develop side effects to one of the available drugs, you can switch to another. Another drug receiving attention is strontium ranelate, a combination of the mineral strontium with ranelic acid. It has been licensed for sale in the UK and elsewhere in Europe for treatment of osteoporosis in postmenopausal women. A number of studies have shown that it can strengthen bone and reduce the risk of fractures, even among women 74 years of age or older when risks are highest. Strontium ranelate is not yet approved by the FDA for treatment or prevention of osteoporosis in the United States. It remains under study.

A final concern is that many women can't tolerate the side effects of the popular drugs Fosamax, Actonel and Boniva, which are all varieties of bisphosphonates. Irritation of the stomach and esophagus is the most common reported problem, but some oral surgeons and dentists have begun to report a more serious concern in a sub-group of their patients: jaw necrosis, the death of the jawbone. This warrants further study.

What therapies does Dr. Weil recommend for osteoporosis treatment or osteoporosis prevention?

Eat plenty of vegetables and fruit. Potassium, magnesium, vitamin C and beta carotene (found in fruits and vegetables) have been associated with higher total bone mass. A diet rich in vegetables and fruit and moderate in animal protein and grains may minimize the acid-ash residue of the diet.
Get enough calcium. This mineral is one of the primary constituents of bone, and adequate intakes are necessary for lifelong bone health. Choose non-fat dairy products such as yogurt and non-fat milk. Eat more sardines (with bones), dark green vegetables like collard greens, bok choy and broccoli, whole soy based products like tofu, and calcium-fortified soy milk and orange juice. Consider taking a calcium supplement if you are not eating at least three servings of dairy per day and/or calcium-fortified foods, if you are postmenopausal or if you have a family history of osteoporosis.
Eat magnesium-rich foods every day, including spinach, tofu, almonds, broccoli and lentils. Pumpkin seeds and sunflower seeds are also good sources of magnesium.
Eat vitamin K-rich foods every day. The best sources are green leafy vegetables (see the calcium-rich greens listed above), but most vegetables are good sources. Talk with your doctor about the effects of vitamin K if you are taking a blood-thinning medication.
Make sure you get enough vitamin D. I recommend supplementing with 1,000 IU daily for adults.
Decrease your sodium intake. Avoid salty processed foods and fast food. Don't salt your food before tasting it.
Limit caffeine intake.
Avoid alcohol or drink only in moderation.
Increase weight-bearing activities, such as walking, weight training and calisthenics. Try to do at least 30 minutes of exercise most days of the week.
How does smoking affect the taking of EVISTA?
elizabeth e
  I don't know what Evista is, but smoking will kill you. And it interferes with every medication you take, with your breathing, your arteries, your heart, your lungs, etc., etc. How do I know? I stopped smoking some time ago, but not before I seriously injured my health and ended up with emphysema
does the medication Evista for osteporisis cause weight gain?
Is anyone taking Simvastatin and having side effects? It is the generic form of Evista for cholesterol. ?
I am very sore in the lower back and stomach and it hurts to breathe. I am wondering if it is from this pill.
Mimi N
  Yes- I have taken Simvastatin daily and regularly for 4 years for my cardiac and Cholesterol problems. I too have noticed back pain, body pain and pain in the leg joints. On reporting this he has changed the medication and given Storvas - another Vastatin group (Atovastin Calcium tablets) medicine but the problem continues.

If you have more of the pain it is better you consult your doctor and let him give some alternate medication. However please note the side effects of Simvastatin as under and report if it is severe.

Side effects that you should report to your doctor or health care professional as soon as possible:
• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• dark urine
• fever
• joint pain
• muscle cramps, pain
• redness, blistering, peeling or loosening of the skin, including inside the mouth
• trouble passing urine or change in the amount of urine
• unusually weak or tired
• yellowing of the eyes or skin

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
• constipation
• heartburn
• stomach gas, pain, upset -
My Cholesterol 6.7 MMOL/L. Started taking Atorvastatin 10mg for 3 months now. Chol 4.2 but liver GGT 85 IU/L?
Normal GGT for female (7 - 32) IU/L. Do not consume alcohol. Only taking Calcium Evista 60 mg for Osteoporosis. Now on menopause.
After taking evista for 5 years for osteoperosis Her2 breast cancer developed. Is Femara the best choice now?
The cancer was removed and had not spread to the lymph nodes. About 6 weeks of radiation was done and now she is ready for the next step.
Edward D
  I have not taken Evista. However, I have taken Femara. I was diagnosed with invasive ductal carcinoma in November, 2006. No lymph node involvement so did not have to have chemo or radiation. Did have mastectomy. Since tumor was estrogen/progestone positive and HER2-, and I was post menopausal, I was put on Arimidex first. Terrible side effects, could only tolerate for 6 weeks.

Oncologist put me on Femara. Gave it a shot for 4 months. So disabling that I almost ended up in a wheelchair. Also both Arimidex and Femara cause bone density loss and have caused osteoarthritis.

Presently I am taking Aromasin which is the third aromatase inhibitor. Has side effects but is tolerable. Also causes bone density loss and many other problems.

Go to for specifics on side effects of all these meds. Then talk to your oncologist and make a decision.
OSTEOPOROSIS medication question...?
I have spinal cord injury and recently diagnosed with osteoporosis... which of these medication is more effective for my bones
• actonel • aredia • boniva • didronel • evista • Forteo • fosamax • miacalcin • zometa • vivelle • reclas

ps- im 26 !
Princess Jasmine
  I have heard of really good things on the Forteo injections. I have heard that they actually do work. However I have also heard that the average person cannot afford them. They are about $700/mo. and the insurance companies won't help pay for it.

I am not so sure about some of the other meds. My husband has been taking fosamax for more than 10 years and it hasn't done a thing for him. Yes the osteoporosis isn't any worse, but it isn't better either.

to check out all these drugs go to and under the drugs tab find the name of it and read all the info available.
Nana Lamb
What's the cost of tamoxifen or raloxifene (Evista)?
I am looking for the cost of tamoxifen or raloxifene with and without insurance. And this is why:

I am a medical student. One of the problems of today's medical education is that we don't learn about the costs of treatment, so it's hard to relate to patients. My small group is trying to tackle this problem. Last week we talked about breast cancer, and the cost of tamoxifen and raloxifene as a breast cancer prophylactic/therapeutic treatment came up. It sounds great for an imaginary patient to take tamoxifen for at least 5 years or as long as life time to avoid cancer, but we were shocked to find out that many real patients cannot afford the treatment and stop prematurely. I searched online and found that in Canada, one week's supply costs $20 or so. But I haven't been able to find any reliable information about the cost in US. So if you could help me with this, I would really appreciate it!
  My Mom took tamoxifen and passed away in 2000. At that time, I think it was costing about $80.00 per month. So no doubt, it's higher now.


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