Doctor insights on:
Hearing Drugs Treat Osteoporosis
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. ...Read moreSee 1 more doctor answer
Currently it is better to think of osteoporosis as a condition where the bone is weakened, and 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 ...Read more
Exercise and vit D: Weight-bearing exercises will help strengthen your bones. Calcium and vitamin d supplements also help-i recommend a blood test for vitamin d (25 hydroxy vitamin d), it should be 30 or higher. Some people need much more vitamin d than what is recommended to get their level up to 30. You can use the frax calculator to determine your fracture risk: http://www.Shef.Ac.Uk/frax/tool.Jsp?Country=9. ...Read more
Osteoporosis: The best way to treat with over the counter medications is with vitamin d supplementation as well as with calcium. Typical diets do not contain enough of these. Also, your skin helps to convert vitamin d into the usable form for your body so be sure to get outside. ...Read moreSee 2 more doctor answers
How can I manage osteoporosis without drugs? Are there any ways to treat osteoporosis without using prescription drugs (for example, by using vitamins or other supplements)?
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
Several : Several non-oral medications are now available that bypass the gastrointestinal tract - so they usually do not contribute to reflux. These medications include zoledronic acid (reclast), ibandronate (boniva), Denosumab (prolia) and parathyroid hormone (forteo). I would recommend discussing these options with your primary doctor or make an appointment with a specialist such as a rheumatologist. ...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
Bisphosphonates : Bisphosphonates like alendronate (fosamax) and risedronate (actonel) are often used as first line drugs in post menopausal and senile osteoporosis. They have excellent effectiveness in reducing the risk of spine and hip fractures. They are available as an oral medication taken once a week. There is also an intravenous bisphosphonate, zolendronic acid (reclast), that is given once a year. ...Read moreSee 1 more doctor answer
Do the drugs you take for osteoporosis once a month have less side effects than the daily or weekly pills?
Not necessarily: Oral medication for osteoporosis (bisphosphonates) all have similar side effect profile. Of course, if you take a medicine only once a month vs. once weekly, the frequency or occurrence of side effects will be less. When taking bisphosphonate, important to take with water, stay upright or active afterwards and not lay down, to minimize most common side effect of reflux symptoms ...Read more
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