Our osteoporosis experts are Drs. Michelle Bellantoni and Suzanne Jan de Beur. Both can be found on-line at the main Hopkins website.
Osteoporosis Q & A
Yes, Reclast is now approved for treatment of postmenopausal osteoporosis. You can initiate a call to your insurance company to see if they will cover it. They may not as it is likely to be more expensive than Actonel, unless your doctor can prove that you are not responding to Actonel. Good luck.
Evoxac (cevimeline) is FDA approved for treatment of dry mouth only. There is some anecdotal data that it may relieve symptoms of chronic dry eyes. But it is not usually prescribed for treatment of dry eyes.
Actonel has not been shown to cause blepharospasms, blepharitis or dry eyes. On the other hand, sarcoidosis is well known to be associated with sicca symptoms, ie, dry eyes/dry mouth syndrome and may be the causative factor in your case.
Both are effective drugs for osteoporosis with similar side effects, mainly GI upset. Boniva 150 mg is taken once a month on an empty stomach and you have to wait one hour before eating. Actonel 35 mg is taken every week or 75 mg on two consecutive days monthly wating 30 minutes before eating.
Different drugs have different strengths. Some drugs are more powerful and thus lower mg amounts can be used. Both Fosamax and Boniva are similarly effective for osteoporosis.