About Charles Cusumano, PA-C, DFAAPA Expertise I`m a Physician Assistant in medical practice since 1975. I`m a nationally certified Physician Assistant and am a nationally credentialed Family Medicine Practitioner. I was also honored as a Distinguished Fellow in the AAPA.
Experience Radiologic Technologist 1963-1973;
Training in Hand and Upper Extremity
Microvascular Surgery at the Mayo Clinic;
and injury of the hand and upper extremity. I have taught pediatric ambulatory trauma. I'm ACLS certified.
I serve as Honorary Chairman from Kentucky to the Republican National Congressional Committee Physician Advisory Board.
Organizations AAPA, KAPA
Awards and Honors Distinguished Fellow American Academy of Physician Assistants
Expert: Charles Cusumano, PA-C, DFAAPA - 4/21/2006
Question I have taken Fosamax for 5 years for osteopenia and have just learned of a side effect of the drug called necrosis (death) of the jawbone. Extraction of a tooth usually causes the onset of this condition. Since I have Sjogren's Syndrome, I am especially concerned as the lack of saliva causes me to have dental problems. Should I stop taking Fosamax and, if so, is there an alternative medication that would be just as beneficial? Thank you.
Answer Hi Brenda,
There is an alternative to Fosamax called Evista. It will help in bone health. Although not quite as good, it does work. It doesn't have that side effect of jaw necrosis. Considering your Sjogren's, it might be a good idea to discuss this change with your healthcare provider. Also recent data is showing that Evista has breast cancer prevention associated with its use. We knew this was coming but just had to wait till the FDA got off it's ass and said so. Sorry for THAT outburst, but sometimes our government in it's effort to protect citizens gets it wrong and takes to long. Anyway, ask about Evista as an alternative, OK?
