Prolia anyone?

I was on Prolia for 1.5 years~3 injections worth. I felt like I had the flu everyday, sort of achy. But the reason I quit was because I had an abcessed tooth that needed to be pulled and the dentists (checked with a couple of dentists) refused stating that it was too dangerous because of being on Prolia and the concern for jaw necrosis. After my Rheumatologist spoke with the dentists they agreed to work on me after I had been off Prolia for 6 months. Luckily, it was month 5 when my tooth problem needed attention and I took a month worth of antibiotics while waiting for the 6 month mark. No problems with the extraction at all. But my teeth aren't very strong and there's no way I want to be in that position again. For the bisphosphonates/Prolia the instructions are to get a dental exam before starting treatment but there's no guarantee a patient won't need dental care during treatment.

catsme - the injection is Prolia, the monoclonal, the infusion is Reclast/Zometa - or zoledronic acid, which are bisphosphonates. While not the same drug class or mechanism, both are regarded similarly in terms of dental work and the need to be off for 6 months before invasive procedures or an extraction. Routine dental work can be done at the half-way point between injections of Prolia at 3 months afterward, not sure about bisphosphonates because some are taken daily/weekly/monthly, cleanings can be done any time.

Like you, I have been on Arimidex since 2017 with no issues other than developing osteopenia of the lumbar spine. I had a dexascan 1 month before the cancer diagnosis and was fine so I am sure it developed from Arimidex. My doctor wanted me to start Prolia shots every 6 months but I pushed back for a couple of reasons. I couldn't find anywhere online that Prolia was approved for osteopenia and I kind of wanted to save this in case I developed Osteoporosis down the road. Second, my insurance would only pay for 1/2 of the cost and so my cost would have been over $800 x 2 times per year. Instead, I tried Boniva first. It is a pill, taken once a month. I rarely ever have side effects from meds but Boniva was different. I took it twice and had severe naseau and diarrhea for 2 weeks. The first month I actually thought I had food poisoning due to the severity. Six weeks ago I switched to Fosamax which is a weekly pill. So far, so good. No issues at all. Both Boniva and Fosamax are available as generics and are inexpensive. I purchased both at Sam's Club with my plus membership. The cost was $10-$12 per month.