Doctor insights on:
Arimidex And Osteoporosis
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. ...Read more
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?
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. ...Read more
Should a treating gynecologist know that surgical bilateral oopherectomy and arimidex (anastrozole) would cause severe osteoporosis and when should she monitor it?
That should B on the: Radar screen, but there are not clear guidelines. Depends on when this was performed but oncologists also should follow this and often do. One consideration would be raloxifene. It works on bone and some organs like estrogen, in the breast it blocks estrogen, just like tamoxifen. It may not b a bad option. Good luck, appears on hrt, should help bone, why arimidex (anastrozole)? ...Read more
Is it normal to end up with severe osteoporosis t-3.7 after a bi oopherectomy and arimidex, (anastrozole) my dr said it wouldn't happen as I was 50 when operated on?
Is there a global standard of care related to oopherectomy/arimidex re bisphosphonates for rapid secondary severe osteoporosis?
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. ...Read more
Is there a guideline that says only women under 50 get osteoporosis after surgical meno.& arimidex (anastrozole) as that's what my dr thought now my bnes are ruined.
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. ...Read more
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?
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). ...Read more
Osteoporosis treat: Osteoporosis can be treated. At your age it would be unusual to go right to a prescription unless it was severe, you already had fractures, or other medical conditions you might have. For most people your age, a good diet and exercise will go a long way towards good bone health. ...Read more
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. ...Read more
DIet, no exercise &: An unhealthy diet is the biggest risk for osteoporosis. Sugar, sodas, excessive meat/protein, coffee, alcohol & smoking all acidify your body & leach calcium from bones. Lack of regular exercise & deficiencies of vit d & k also increase risk, as can malabsorption. See http://doctorklaper. Com/answers05.Html & http://www. Drdach. Com/wst_page6.Html. ...Read more
See below: According to the world health organization. Normal bone is based on standard deviations of bone loss as compared to normal bone. The more negative the number the more bone loss. Normal 0 to -1 standard deviations, osteopenia is -1 to -2.5 standard deviations, and anything more negative then -2.5 standard deviations is osteoporosis. ...Read more
Osteoporosis: Currently it is better to think of osteoporosis as a condition that can be managed or treated rather than cured. This is usually performed by dietary modifications, ingestion of supplemental calcium, vitamin d and a class of agents notice the bisphosphonates. These are usually delivered via oral or intramuscular injection on a weekly or monthly or even yearly basis. ...Read more
Maybe: Prolia represents a new category of osteoporosis treatment that is effective and has convenient twice yearly dosing. It appears much more effective than the bisphosphonates and rivals Forteo with much more convenience. It is expensive if not covered by your insurance. Whether it is best for you or not depends on many factors which would require more information about a specific patient. ...Read more
Yes, it can be:
Weight bearing exercise helps bone building by causing remodeling of bone and by stimulating the bone building cells to lay down new bone.
To the extent that pilates is weight bearing, it will help maintain bone health. ...Read more
Depends: Hi. Two categorical mechanisms: 1) anti-resorptive therapy, and 2) anabolic therapy. Most drugs are anti-resorptive: gonadal steroids (you haven't stated your gender...so, either estrogen or testosterone), all the bisphosphonates, denosumab, and others. The only anabolic drug is teriparatide, a favorite of mine assuming no contraindications. An ol' buddy, Mike Lewiecki, MD, runs a great program ...Read more
Yes: Osteoporosis put you at risk for hip and spine fractures which can be debilitating and possibly life threatening. Fortunately we have many medications that can successfully treat this. Make sure your house is well lit, minimize loose rugs or clutters to decrease chance of falling. Healthy diet, weight bearing exercises, take the med. ...Read more
Immobilization: Hi. Both weight-bearing and muscle use are good for bone health. You're not weigh-bearing OR using muscles if you're immobilized. Skeletal mass and strength suffer. It appears that the cells that eat away bone (osteoclasts) are relatively more active than the cells that fill the eaten-out bone back in (osteoblasts), so there's a net loss of bone mass and bone architecture & urinary loss of calcium ...Read more
Osteopoikilosis is a benign, autosomal dominant sclerosing dysplasia of bone characterized by the presence of numerous bone islands in the skeleton.
Osteoporosis causes bones to become weak and brittle — so brittle that a fall or even mild stresses like bending over or coughing can cause a fracture. Osteoporosis-related fractures most commonly occur in the hip, wrist or spine.