Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
Is there an equivalent for Prempo. I am 63 with no breast cancer history other than two cousins. There is heart disease in my family. I am a good candidate for osteoporosis. I am aware that exercise, vitamin D3 and Vitamin K are helpful. Also, I just found that Strontium is also helpful. I am concerned mainly due to the fact that Prempro used to cost $12.00 for three month supply and now is $87.00 or $58.00 (mail order). I hope this site is free.
Dear , madam, the drug you are talking is a hormone replacement therapy due to menopause and it will cause some effect on bone loss, but the main drug to prevent bone degradation is bisphosphonates, and the one commonly used is a once monthly dose of Ibandronate 150 mg, it has to be taken empty stomach in morning with one glass water and do not recline for 1 hour after taking the drug, also, continue calcium regularly, but not in the day you take Ibandronate. Strontium, calcitonin all help and can be taken. I would advise you to consult an orthopaedic doctor before starting treatment, or you can send all your treatment record to me and i will then prescribe you what is required.
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Dear , madam, the drug you are talking is a hormone replacement therapy due to menopause and it will cause some effect on bone loss, but the main drug to prevent bone degradation is bisphosphonates, and the one commonly used is a once monthly dose of Ibandronate 150 mg, it has to be taken empty stomach in morning with one glass water and do not recline for 1 hour after taking the drug, also, continue calcium regularly, but not in the day you take Ibandronate. Strontium, calcitonin all help and can be taken. I would advise you to consult an orthopaedic doctor before starting treatment, or you can send all your treatment record to me and i will then prescribe you what is required.