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Topics:
General Internal Medicine • Rheumatology • Osteoporosis • Endocrinology • Bone and Calcium Disorders
When discontinuing Denosumab after more than 2-3 years of therapy, when do you recommend giving the first dose of zoledronic acid?
Answer from: at Academic Institution
My practice has been that after 2-3 years of denosumab, I wait 6 months and then start zoledronic acid.
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Answer from: at Community Practice
Six months after the last injection.
Answer from: at Community Practice
Yes, 6 months after last Prolia shot. I give 2 doses of Zoledronic 1 year apart and then consider drug holiday based on the DEXA report.