Osteoporosis Treatment & Management: Approach Considerations, Pharmacologic Therapy, Dietary Measures (2024)

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Osteoporosis Treatment & Management: Approach Considerations, Pharmacologic Therapy, Dietary Measures (2024)

FAQs

What are the pharmacologic treatments for osteoporosis? ›

Bisphosphonates are usually the first choice for osteoporosis treatment. These include: Alendronate (Fosamax), a weekly pill. Risedronate (Actonel), a weekly or monthly pill.

What are the approaches to osteoporosis management? ›

Pharmacologic prevention methods include calcium supplementation and administration of raloxifene or bisphosphonates (alendronate or risedronate). Bisphosphonates should be considered as first-line agents for the prevention of osteoporosis.

What is the best treatment for osteoporosis? ›

Some of the most common medications providers use to treat osteoporosis include hormone therapies like replacement estrogen or testosterone and bisphosphonates. People with severe osteoporosis or a high risk of fractures might need medications, including parathyroid hormone (PTH) analogs, denosumab and romosozumab.

Which nutritional approach is most effective in preventing osteoporosis? ›

Eating a healthy diet rich in essential nutrients such as calcium, vitamin D, and protein can help reduce the risk of osteoporosis. In addition, limiting caffeine and alcohol intake may be beneficial for bone health, especially among older adults.

Can you live with osteoporosis without medication? ›

If you decide not to take a drug treatment, it is likely that your bones will get weaker over time. This means your chance of breaking a bone will increase. Some people may never break any bones, while others may break several.

What is the life expectancy of a person with osteoporosis? ›

Men who began treatment at age 50 had a life expectancy of 18.2 years, while the life expectancy for a man beginning treatment at 75 was an average of 7.5 years. For women, the figure was 26.4 years for those beginning treatment at 50 and 13.5 years for those beginning treatment at 75.

What is the best medication for osteoporosis with the least side effects? ›

In general, bisphosphonates like Boniva and Fosamax are well-tolerated. The most common side effects are mild, GI-related effects like acid reflux, nausea, and diarrhea or constipation.

What is the best pain medication for osteoporosis? ›

If you have stronger pain, you can try codeine, dihydrocodeine and Tramadol. These can also be combined with paracetamol, such as Co-codamol, Co-dydramol and Tramacet. Co-codamol combines paracetamol and codeine and comes in different strengths. Your doctor can help you decide which dose is suitable to treat your pain.

Why was Fosamax taken off the market? ›

Plaintiffs who filed lawsuits against Merck for its osteoporosis drug Fosamax claim that the drug caused osteonecrosis of the jaw (ONJ) and femur fractures. Allegations against the drug company include failure to warn and manufacturing a defective drug. Merck settled about 1,200 ONJ cases for $27.7 million.

What is the second line of medication for osteoporosis? ›

Bisphosphonates are the first line, or main option, in Canada. They strengthen bones and slow down osteoporosis, reducing your risk of a fracture in the future. If they are not available, or might not work with your other medications, denosumab is the second line option.

References

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