Question: I have been afraid to take Premarin because of a family history of breast cancer. I saw an article about Evista, and my doctor agreed it would be a good alternative. But after the initial prescription, the HMO would not pay for it.
My doctor then changed the prescription to Fosamax. When I questioned this change, the nurse told me Fosamax is the same as Evista. Is it really the same, or should I insist on Evista, which is supposed to be a substitute for estrogen replacement therapy?
Fosamax is a pain to take, since it must be swallowed well before breakfast. When I have a tight schedule, I have to get up half an hour earlier.
Answer: Fosamax (alendronate) is not the same as Evista (raloxifene). Both drugs are for osteoporosis, but they work in completely different ways.