I've been taking Evista for about 9 years. My GYN now is suggesting that I add Reclast to my oste

Hi Orange, welcome to the community.  If your t-scores haven't gotten any better on Evista, then the Drs will usually suggest taking something stronger like Reclast, Forteo or Boniva.  You'll have to decide what you want to do based on your t-scores, and whether or not you have improved from the first scan.  Here's an article on Reclast that should answer most of your questions.  Normally you would take one or the other medication, I've never heard of combining Reclast with Evista, so double check this with the Dr.

Here's the WHO definition on t-scores in case you need to look at these and compare your scores.  You can also find these scores on the bottom of you dxa scan as well.

Normal bone density: Any score at or above -1

Osteopenia:  Any score between -1 and -2.5

Osteoporosis:  Any score at or below -2.5

Good luck deciding what to do.  If you have any more questions don't hesitate to post again.

THere is no documeted bennefit to taking a SERM (Evista is a type of drug called a selective estrogen receptor modulator) with a bisphosphonate (Reclast, Fosamax, Actonel). There have been multiple clinical trials conducted to study the possible synergy of adding a SERM with a bisphonate and there have never been any documented positive patient outcomes.

You may consider switching to a bisphosphonate and discontinuing the SERM. Clinical evidence shows that EVISTA fails to improve patient outcomes (i.e. reducing fractures) anywhere except the spine. In their pivotal trials, which included over 7700 patients, Evista did not prevent fractures at the hip, wrist, leg, ankle or anywhere other than the spinal vertebrae.