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Prolia vs. Evenity

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Prolia

(denosumab)

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Evenity

(romosozumab)

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Summary for Prolia

Prescription only

Prolia (denosumab) is an injection that's used to treat osteoporosis in adults at high risk of fracture. It's also for those at high risk of fractures from certain cancer medications. It works as a monoclonal antibody called a RANKL inhibitor to strengthen your bones. Prolia (denosumab) is a convenient option because you only need an injection every 6 months. It's injected under the skin by a healthcare professional at a medical office. Side effects include back and muscle pain. It also has a risk of causing dangerously low calcium levels.

Indications for Prolia

Pros and Cons for Prolia

Pros

Cons

  • Must go to the medical office to get the injection
  • Must take with calcium and vitamin D supplements
  • Can cause bone and muscle pain
  • Not safe during pregnancy

Common Side Effects for Prolia

Warnings for Prolia

  • Dangerously low calcium levels
  • Risk of fractures in the thigh bone
  • Risk of spine fractures after stopping Prolia (denosumab)
  • Risk of serious infections
  • Risk of problems in the jawbone
  • Serious allergic reactions and skin reactions
  • Severe bone, muscle, or joint pain
  • Don't take with Xgeva (denosumab)

Summary for Evenity

Prescription only

Evenity (romosozumab or romosozumab-aqqg) is an injection used to treat osteoporosis (bone loss) in certain women after menopause. These women either have a high risk of fracture or can’t take other medications for bone loss. It's also used when these other medications haven’t worked well enough. Evenity (romosozumab) belongs to the drug class called sclerostin inhibitors. It works to help your bones grow and prevent bone breakdown at the same time. The injection is given once a month by a healthcare professional. Common side effects are joint pain and headache. There's also serious risks of heart attack and stroke. This medication is brand name only; there's no generic available yet.

Indications for Evenity

Pros and Cons for Evenity

Pros

  • Helps with bone growth and prevents bone loss at the same time
  • Given just once a month
  • Only need 1 year of treatment

Cons

  • Needs to be injected
  • Must go to the medical office for each injection
  • Bone mineral density eventually goes back to where it was before after stopping the medication

Common Side Effects for Evenity

  • Joint pain (up to 13%)
  • Headache (up to 7%)

Warnings for Evenity

  • Risk of heart attack, stroke, or heart-related death
  • Low calcium levels (hypocalcemia)
  • Risk of problems in the jawbone (osteonecrosis of the jaw)
  • Risk of fractures in the thigh

Prices with our coupons for Prolia vs. Evenity

Price Card Drug Icon
Prolia1 syringe / 1ml of 60mg/ml
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Price Card Drug Icon
Evenity1 carton / 2 syringes of 105mg/1.17ml
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