• Pam Flores
    Health Guide
    February 16, 2009
    Pam Flores
    Health Guide
    February 16, 2009

    Hi Barbara:  These insurances changes are always tough, and I wondered what would happen with MC when fosamax became available in generic, and you've answered that question.


    Have you tried to get your insurance co to accept actonel through an appeal for coverage?  All insurance co's have this process available to their members, so if you wanted to stay on actonel, you could try this.  I know quite a few people who have had success with this.  You can look at your insurance booklet and try for a "tier change" (changes the copay price on a drug).  Usually you just have to explain your reasoning for wanting to stay on actonel, and have your Dr fill out the form.  Normally there has to be a medical reason for this, like being allergic to one of the in-active ingredients in fosamax or something else along those lines.


    There should be little to no difference between brand name fosamax and the generic.  Here's a link from our expert Dr. Gonter on this topic.


    As far as there being a difference between actonel and fosamax, you'd have to read the clinical trial that was done on the two drugs called the FACT (Fosamax Actonel Comparison Trial).  Here's a link to a summary on that trial.  Fosamax and actonel, even though in the same class of drugs, *may* have slightly different benefits to some individuals, but you would need to know your medical history to see how you might be affected by it, if at all.


    Since you've been on actonel for over 6 years, hopefully you've built up a good amount of bmd, so maybe that will help protect you since the drug stays in your system for quite some time.  It sounds like your scores have greatly improved so hopefully fosamax will maintain that and also slow your resorption as well.


    Good luck.  I hope the change has great results!!



    • tamera
      January 10, 2011
      January 10, 2011

      I used to sell Actonel.   From the studies we read on Fosomax, not all generics are equal.  The reason Fosomax caused so much trouble in the early stages, was that it was not coated and it would dissolve too early resulting in gerd problems.   If anyone has a way to determine if the generic is coated or not, I believe they are pretty comparable.  Actonel has the "cleanest" side affects record from what I read.


      I currently take Actonel and swear by it and have had the results, going form Osteoporosis to Osteopenia, but it is getting expensive and the generic prices are getting more and more tempting.  

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