[NP-Clinical] Re: fosamax

[Shelby Havens]

Amy,

Not really, because experts don't seem to agree on the recommended doses. I buy my vitamins online from Puritan's Pride, but I also like GNC brand products. They are both reputable companies. 

Regards,

Shelby Havens, ARNP

 
> 
> From: "Amy Kinzie ANP" <amynp at comcast.net>
> Date: 2007/03/09 Fri PM 10:09:24 EST
> To: "NP Clinical" <np-clinical at nurse.net>
> Subject: Re: [NP-Clinical] Re: fosamax
> 
> is there a particular product / supplement that you are recommending to 
> patients to meet these needs?
> 
> Amy
> ----- Original Message ----- 
> From: "Shelby Havens" <shelbyhavens at bellsouth.net>
> To: "NP Clinical" <np-clinical at nurse.net>; <np-clinical at nurse.net>
> Sent: Friday, March 09, 2007 12:52 PM
> Subject: Re: [NP-Clinical] Re: fosamax
> 
> 
> > Calcium citrate is much more easily absorbed than other forms. It should 
> > be taken with zinc, vitamin D, and vitamin K as well.
> >
> > Regards,
> >
> > Shelby Havens, ARNP
> >
> >
> >>
> >> From: Julie Orfirer <jeorf at yahoo.com>
> >> Date: 2007/03/09 Fri AM 08:22:22 EST
> >> To: np-clinical at nurse.net
> >> Subject: [NP-Clinical] Re: fosamax
> >>
> >> Sue,
> >>
> >> First you want to be sure that this is someone you want to treat with 
> >> drugs.  What is her fracture risk profile?  (Does she have any of the big 
> >> 4? Personal or first degree family member history of low-trauma fracture, 
> >> current smoker, weight under 127#)  What are her T-scores?  How old is 
> >> she? Hopefully very very soon we'll have the WHO-2 that will give us 
> >> those new guidelines (tapping fingers impatiently on her desk for the 
> >> past 1-1/2 years...) that may help.  Is she getting enough calcium and 
> >> vitamin D?  That's a real toughy for these folks - I think it's a good 
> >> place for chewable calciums (a bit easier on them than the giant pills) - 
> >> there's even a gum now that you chew for 5 minutes (and don't want to 
> >> chew any longer than that 'cause it tastes nasty after 5 minutes).  Do 
> >> test her 25 (OH) vit D and make sure it's over 32.  (I doubt that it is 
> >> unless she's supplementing well - most of our bariatric surg patients 
> >> have horrendous vit Ds.)
> >>
> >> If you do decide that you want to treat her with a bisphosphonate you 
> >> might consider the liquid Fosamax.  It's still a big bolus of liquid 
> >> because it still needs to be taken with water but we find it more 
> >> tolerable for some folks.  If she has problems with it tho the injectable 
> >> Boniva is probably the best bet.
> >>
> >> Julie
> >>
> >>
> >> Message: 1
> >> Date: Thu, 08 Mar 2007 11:44:52 +0000
> >> From: "Sue Wiers"
> >> Subject: [NP-Clinical] fosamax
> >> To: np-clinical at nurse.net
> >> Message-ID:
> >> Content-Type: text/plain; format=flowed
> >>
> >> I have a woman in her mid-fifites who had gastric bypass 4 or 5 years 
> >> ago.
> >> Subsequently, her surgeon has left the area and no one took over his
> >> practice.  The patient had been on ERT (s/p hyst) in the past and was 
> >> taken
> >> off for reasons that I cannot recall at the moment.  The last two annual
> >> bone densities have each demonstrated significant interval loss in 
> >> density
> >> although still not outright osteoporosis.  Does anyone out there know if 
> >> a
> >> person following gastric bypass can take Fosomax?  I am not sure if the
> >> potential esophageal effects may be more pronounced or not.
> >>
> >> Sue Wiers FNP
> >>
> >>
> >>
> >>
> >>
> >> "To affect the quality of the day, that is the highest of the arts." - 
> >> Henry David Thoreau
> >> http://sculpturefest.org/pages/artists2006/markey.html
> >>
> >> ---------------------------------
> >> Be a PS3 game guru.
> >> Get your game face on with the latest PS3 news and previews at Yahoo! 
> >> Games.
> >>
> >
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> 
> 
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