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
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 3 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
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
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
57 year old Asian woman with osteoporosis. Any studies that show that diet & exercise alone can maintain health, i.e., drugs aren't necessary?
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 moreSee 2 more doctor answers
Medications: Before treating osteoporosis a variety of tests should be done and a history should be taken to determine, if possible, the cause of the problem. A variety of medications can be used to prevent bone loss including estrogen, bisphosphonates and denosumab. For severe osteoporosis teriparatide, a drug which builds bone can be used. ...Read moreSee 1 more doctor answer
Osteoporosis.: For osteoporosis, it's weight bearing exercise, calcium and vitamin D3 supplementation, keep your weight down. Medications when necessary would include Fosamax, Actonel or Boniva (ibandronate). You'd need bone density tests every two to three years after you reach the menopause and treat more aggressively with medications dependent on the results. ...Read moreSee 1 more doctor answer
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. ...Read more
How can I naturally treat my osteoporosis? Are there natural ways to help treat the beginning signs of osteoporosis?
Vitamin D & Calcium: Everyone's definition of "natural" is different. For example, nothing is more natural that Premarin (conjugated estrogens) which is an estrogen extracted from pregnant mare urine. If you're looking for something that's not fda regulated, then i recommend vitamin d and calcium. ...Read moreSee 1 more doctor answer
Several medications.: Steroid-induced osteoporosis can be prevented if a bisphosphonate drug or Forteo is taken during the time of steroid use. If osteoporosis is already present the same drugs would be helpful in preventing further loss but a return to normal bone density would be unlikely. ...Read more
Upset stomach.: The most common side effect of anti-osteoporosis drugs is an upset stomach from bisphosphonate (fosamax, actonel, (risedronate) boniva) drugs taken by mouth. This occurs in 5-10% of patients. Bisphosphonate drugs given intravenously may produce fever and muscle aches for 1-2 days in about 40% of patients. Jaw problems and unusual fractures of the thigh bone rarely occur with long-term use of bisphosphonates. ...Read more