Doctor insights on:
Osteoporosis And Boniva
No: First, with osteoporosis, the bone i not dead it is only decreased in amount bone is living and has the ability to heal. People with osteoporosis will heal a fracture. Boniva (ibandronate) slows the rate of bone loss but does not stimulate the growth of new bone. However, since the body continues to make bone, the density usually goes up with Boniva (ibandronate) and similar meds. Few treatments have proven to make new bone. ...Read moreSee 1 more doctor answer
I believe so: The studies that have been done do show miacaclcin to be a better drug overall but particularly hip fractures which are so important. ...Read more
Acto-no: In my experience the patented drudeveloped to improve the bine density scan have not proven to prevent bone fractires. In fact, the black box warning states that these drugs cause brittle bone and increases risk of fracture. The ultimate goal in medicine is to get clinical outcomes while doing no harm. Bio identical hormone replacement has been proven to both produce bone & and stop bone loss. ...Read more
2 answers: In patients who are truly at high risk for a hip fracture, Fosamax (alendronate) will decrease the risk of a fracture by 50%. However, in about 1 person in 1000-5000 there will be an increased risk because the medication is too strong. The current recommendation by many experts is to not use this type of medication for prevention unless you are high risk for a fracture. ...Read moreSee 1 more doctor answer
No: Tamoxifen is a selective estrogen receptor modulator (serm) that is used to treat/prevent breast cancer. Evista (raloxifene) is also a serm and it is used to treat/prevent osteoporosis (it also reduces the risk of invasive breast cancer in at risk women). Tamoxifen does not cause osteopenia or osteoporosis. Tamoxifen has been shown to preserve bone. ...Read moreSee 1 more doctor answer
You may: One use of the bone mineral density test is measuring the impact of medication on the bone mineral. Boniva (ibandronate) and the other bisphosphonates (fosamax, actonel, atelvia, reclast) do not build new bone, despite claims and insinuations to the contrary. However, these drugs usually increase the bone mineral by slowing down bone loss and replacement. Taking the drug does not interfere with the test. ...Read moreSee 1 more doctor answer
Genetic or not: Brittle bone disease is an inherited disorder of bone that is called osteogenesis imperfecta. Osteopenia and osteoporosis are disease of the bone where there is decrease density of the bone. This is associated with age, hormonal change, medications, smoking and other issues. Basically the bone cells are out of balance and take away more bone than they replace. ...Read moreSee 1 more doctor answer
Not much: That is statistically different from placebo, though everything under the sun has been reported it is hard to link it to the drug. The one side effect that is different by about2% is infection, do I would not give it to a compromised person or one who had an acting infection. The debate ove osteonecrosis of the jaw continues on. ...Read moreSee 2 more doctor answers
Are strontium ranelate and strontium citrate recognised, beneficial treatments for severe osteoporosis?
Not approved: These two therapies are under investigation, but have not yet been approved in the us. ...Read more
My mom has trouble ingesting calcium and has osteoporosis- is there injectible forms of calcium or boniva (ibandronate)?
Possibly: Although there are studies showing that calcium and vitamin d slow the loss of bone after menopause, recent studies have been suggesting that taking calcium supplements is not the same as getting calcium through foods in your diet. Calcium supplements may be associated with a higher risk of cardiovascular disease, whereas high calcium diet is not. At your age you should be concentrating on diet. ...Read more
Which drug would you choose for osteoporosis of hip prolia or reclast (zoledronic acid) what is better tolerated less side effects?
Depends: Both drugs are effective in the treatment of osteoporosis involving the hip. Prolia is likely to work better than reclast, (zoledronic acid) though there are no head to head studies comparing the two. Prolia is typically used in people who have had a previous fracture (spine, wrist), or have very severe osteoporosis. Both are well tolerated with few side effects. Prolia is given twice yearly, Reclast (zoledronic acid) once yearly. ...Read more
Fosamax (alendronate) is for osteo: Most physicians rely on published studies with thousands of patients taking a drug that prove it works. Trying out a pill onesself is a trip back to the stone age. We require that a proven disease has a treatment proven to work before using it. The fda requires two studies done separately with thousands of patients to allow an approval of a drug. ...Read moreSee 1 more doctor answer