Question 1

can arimidex (anastrozole) cause osteoporosis and is there a way to prevent it?

Accepted Answer

Arimidex (anastrozole): Arimidex (anastrozole) is a definetely a reason to have a bone mineral density screening.  It can decrease bone mineral density which may  increase the risk of osteoporosis.  First have a bone screening. Make sure to eat a healthy diet and find foods rich in calcium.  A calcium supplement with vit d is a great choice too, but is not the main way to get your calcium.  If you can do weight bearing exercises also.

Question 2

is it normal to end up with severe osteoporosis t-3.7 after a bi oopherectomy and arimidex, (anastrozole) my dr said it wouldnt happen as i was 50 when operated on?

Accepted Answer

Hormone replacement : Yes it is possible and not entirely caused by surgery or post resection oophorectomy.

Question 3

how can i be sure that it was a bilateral oopherectomy and the use of arimidex (anastrozole) that caused my osteoporosis and how could it have been stopped or helpd?

Accepted Answer

Osteoporosis: Arimidex and oophorectomy both can cause osteoporosis.

Oophorectomy because you lose the estogen they produce

Arimidex lists bone softening as one of the potential side effects.

Probably no absolute way to prevent it. Calcium , vitamin d, wt bearing exercise. If you can take estrogen, or non hormonal like Evista can help. Talk to doc for options available based on your medical conditions.

Question 4

can arimidex (anastrozole) cause arthritis as well as osteoporosis?

Accepted Answer

Yes: Yes it can cause joint pain and can cause bone loss that can result in osteoporosis.

Question 5

is there a global standard of care related to oopherectomy/arimidex re bisphosphonates for rapid secondary severe osteoporosis ?

Accepted Answer

The standard is to : Treat but there are a variety of treatment options that need to be customized to the individual based on their medical status and as to what is available locally for that individual.

Question 6

is there a guideline that says only women under 50 get osteoporosis after surgical meno.& arimidex (anastrozole) as thats what my dr thought now my bnes are ruined.

Accepted Answer

Bone loss: Aromatase inhibitor may cause bone loss. That is why it is important to have a baseline bone desitometry to check you bone density. In addition, while you are on aromatase inhibitor, there is a medication that you can get to prevent bone loss/decrease skeletal related event- like denosumab/prolia. Other bisphosphonate therapy also can be your option if you have osteoporosis.

Question 7

i had breast cancer and developed severe osteoporosis whilst on arimidex/ooph, now on strontium ranelate.  is evista (raloxifene) a safer med or are they similar?

Accepted Answer

Evista (raloxifene) is safe : Evista is a good medicine to prevent osteoporosis. Since you already have osteoporisis , for you the best medicine would be one of the bisphosphonates(there are several to choose from). Examaples include zoledronic acid(zoedronate), Fosamax and boniva (ibandronate).

Question 8

whats the risk of osteoporosis from fludrocortisone at a dose of 0.4mg per day?

Accepted Answer

: Osteoporosis is multifactorial so it is difficult to answer your question. You need the fludrocortisone is why it is prescribed and you could counterbalance the effect it may have by good nutrition and exercises to maintain your bones. Adequate vitamin D and other measures may not allow the effect of fludrocortisone on the bone to be significant enough. It is not just the dose but also duration.

Question 9

can osteoporosis be treated?

Accepted Answer

Absolutely: Osteoporosis absolutely can and should be treated.  A bone density test is often done to determine the severity of it.  An underlying cause can be checked for.  Ther are a number of medications that can over time strengthen bone.  Also, things like adequate calcium and vitamin d combined with weight bearing exercise is encouraged.

Question 10

how is osteoporosis diagnosed?

Accepted Answer

Bone density testing: The best test is a bone density test (known as a DXA scan).  This painless test measures the density of your bones.  Your doctor uses this test to predict the risk of bone fracture in the future.  Sometimes a spine or hip xray can show fractures of your spine/vertebra which can indicate undiagnosed osteoporosis but usually the first test is the DXA scan.

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Doctor answers about:

Arimidex and osteoporosis

A member asked:

Can arimidex (anastrozole) cause osteoporosis and is there a way to prevent it?

A member asked:

Is it normal to end up with severe osteoporosis t-3.7 after a bi oopherectomy and arimidex, (anastrozole) my dr said it wouldnt happen as i was 50 when operated on?

A member asked:

How can i be sure that it was a bilateral oopherectomy and the use of arimidex (anastrozole) that caused my osteoporosis and how could it have been stopped or helpd?

A member asked:

Can arimidex (anastrozole) cause arthritis as well as osteoporosis?

A member asked:

Is there a global standard of care related to oopherectomy/arimidex re bisphosphonates for rapid secondary severe osteoporosis ?

A member asked:

Is there a guideline that says only women under 50 get osteoporosis after surgical meno.& arimidex (anastrozole) as thats what my dr thought now my bnes are ruined.

A member asked:

I had breast cancer and developed severe osteoporosis whilst on arimidex/ooph, now on strontium ranelate. is evista (raloxifene) a safer med or are they similar?

A member asked:

Whats the risk of osteoporosis from fludrocortisone at a dose of 0.4mg per day?

A member asked:

Can osteoporosis be treated?

A member asked:

How is osteoporosis diagnosed?

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