Doctor insights on:
Best Medication For Osteoporosis
I need an exercise regimen and best medication my osteoporosis. I am 39 years old and not in very good shape?
Something is wrong!: At age 39 you should not have osteoporosis. You could have thyroid or parathyroid disease. Medications for osteoporosis are not without risks. The cause of the osteoporosis will dictate the best medication. The exercise regimen most beneficial for osteoporosis is tai chai.See 1 more doctor answer
I've been hearing about new drugs that can help treat osteoporosis some are taken weekly, monthly or even annually. Which is the best one?
Great concern!: This is best determined by your personal need, current medical condition and "risk". After your screening, family history and medical history review -you and your clinician may seek what works best for you. Often the 1st choice may not be suited for your individual profile.See 1 more doctor answer
What are the best treatment options for both acid reflux and osteoporosis? I have read that many drugs for osteoporosis can cause heartburn and drugs that treat reflux can be harmful to your bones. I have been trying diet changes for the heartburn (somew
Depends: You are absolutely correct. There are natural options available: http://drfairchild.Blogspot.Com/2012/12/gerd-and-reflux-treatment.Html.
Osteoporosis: The list of therapies for osteoporosis is ling. You can find the list on the web. If your doctor has ordered a bone density study and used the result to prescribe a specific medication. If you have not had a bone density test you should not take any osteoporosis drug until you have had your bone density study.
Vit D,K and others: It takes more than just vit d and calcium. Vit k in the form of mk7, magnesium and trace minerals are important. Strontium can be helpful. Oxaloacetic acid has been shown to slow bone loss. Of course hormones can slow bone loss. Wt bearing and strength exercise are important. There are options besides biphosphonates.See 1 more doctor answer
Now I have severe osteoporosis, does that mean I have to stay on medication forever? If not, how many years, and then what do I do?
MED & EXERCISE: You need 2 stay on it until ur scores get better. The med alone is not the answer, wt bearing exercise is very important. Walking is a good wt bearing low impact exercise u can do. Star slowly & increase as tol. Find a companion who will walk with u the time flies by. If u think u can rely on the rx alone u r wrong.
Not available in USA: Strontium ranelate is not approved for use in the USA. Studies in Europe suggest it helps prevent fractures but long term safety is an issue. There are better drugs available.
In some cases yes: B"sd The most prescribed are the bisphosphonates- the ones taken by mouth are only little absorbed and are do not lead to kidney problems. Several are IV, with Reclast (zoledronic acid) or zoledrenic acid given usually over 30 minutes once a year. Kidney complications can occur. Most likely if the medication is pushed in fast or if there is already kidney disease or impaired function. Prolia - is kidney safe.
Ask your doctor: Some of this depends on your cause of osteoporosis and your doctor can assist in determinign the cause. Once the cause is determined there are a variety of therapeutic options including: vitamin d, calcium, bisphosphonates (fosomax, Boniva (ibandronate) etc), prolia, Forteo and others.
Upset stomach: Generally osteoporosis medicines are well tolerated. The most commonly used are bisphosphonates taken by mouth. They most commonly cause heartburn. Intravenous bisphosphonates cause fever and muscle aches for 1-2 days in 30-40% of patients. Very rarely bisphosphonates are associated with jaw problems and fractures of the mid thigh bone. Teriparatide may cause nausea and muscle cramps.
Several things: First there are many causes of bone loss which are treatable and can lead to an increase in bone density. After that, you have to take enough calcium and vit. D and a nutritious diet for anything to help you build bone. The natural mineral strontium is prescribed as a drug in europe is available over the counter in this country as strontium citrate or carbonate. See an experienced practitioner.See 1 more doctor answer
Not likely: Problem is bone cell turnover favors destruction over new production and diet will not influence this disparity.
I like: vitamin D and K2, check them out.
What are the reasons that would stop bone medications from working in relation to halting rapid osteoporosis?
Absorption: The most common cause for bone antiresorptive medications to not work is that they are not being taken correctly, and not being absorbed into the blood stream. This is especially true for bisphosphonates. One also needs to look for a secondary cause of osteoporosis such as hyperparathyroidism, hyperthyroid, steroid effects, other meds.
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