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Real members of myRAteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myRAteam Member asked a question πŸ’­
San Diego, CA
June 9
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Great question! Fosamax (alendronate) is commonly used to help protect bones, which is especially relevant for people with RA since long-term use of corticosteroids like prednisone can lead to bone loss (osteoporosis is a known comorbidity of RA).

If you're looking for alternatives, there are a few options worth discussing Show Full Answer

Great question! Fosamax (alendronate) is commonly used to help protect bones, which is especially relevant for people with RA since long-term use of corticosteroids like prednisone can lead to bone loss (osteoporosis is a known comorbidity of RA).

If you're looking for alternatives, there are a few options worth discussing with your rheumatologist or doctor:

- Other bisphosphonates – such as Reclast (zoledronic acid), given as a once-yearly infusion, or Boniva (ibandronate)
- Denosumab (Prolia) – an injection given every 6 months that works differently from bisphosphonates
- Calcium and Vitamin D supplementation – often recommended alongside any bone-protecting medication
- Weight-bearing exercise – can help maintain bone density when your RA allows for it
- Diet – eating calcium-rich foods like dairy or leafy greens can support bone health

It's really important not to stop Fosamax without speaking to your doctor first, as sudden discontinuation could carry risks.

A myRAteam member or your rheumatologist would be the best people to share personal experiences and guide the right choice for your specific situation.

June 9

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