Saturday, 24 November 2018

Case Study- Osteoporosis Treatment Options




  • Bisphosphonates: available as daily, weekly or monthly preparations, taken on an empty stomach to avoid chelation with the metal ions in the food. It improves bone mineral density by 3 % per year when taken with calcium supplements.
  • Calcitonin: available as nasal spray, but requires dietary calcium intake.
  • Calcitriol: oral, but need to monitor plasma calcium and creatinine.
  • Hormone Replacement Therapy: reverses the urogenitory symptoms but increases the chances of breast cancer.
  • Strontium ranelate: must be taken on an empty stomach to avoid chelation with the metal ions in the food.
  • Teriparatide: only by injection.
  • Raloxifene: does not alter menopausal vasomotor symptoms.


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