prevention of osteoporosis treatment

Posted on 12 Янв 201818

Osteoporosis prevention and treatment - UpToDate

Osteoporosis prevention and treatment - UpToDate
Mar 26, 2017 ... For those already affected by osteoporosis, prompt diagnosis of bone loss and assessment of fracture risk are essential because therapies are available that can slow further loss of bone or increase bone density. This topic review discusses the therapies available for the prevention and treatment of ...

The other medications described above work by reducing bone resorption. Providing adequate lighting in all areas inside and around the home, including stairwells and entrance ways. Raloxifene can be used for the prevention and treatment of osteoporosis in postmenopausal women, although it may be less effective in preventing bone loss than bisphosphonates or estrogen. Furthermore, exercise may decrease the tendency to fall due to weakness. Ibandronate (brand name: Boniva) can be used for prevention and treatment of osteoporosis.

PTH is unique in that it is the only medication that works by stimulating bone formation. Calcium and vitamin D for bone health (Beyond the Basics)" The main dietary sources of calcium include milk and other dairy products, such as cottage cheese, yogurt, or hard cheese, and green vegetables, such as kale and broccoli ( ). Clinical trials suggest that PTH therapy is effective in both the prevention and treatment of osteoporosis in postmenopausal women and in men. Exercise may decrease fracture risk by improving bone mass in premenopausal women and helping to maintain bone density for women after menopause. UpToDate allows you to search in the languages below.

A premenopausal woman with low bone density may have little increased risk of fracture. It is administered as an injection under the skin once every six months. An explanation of T-scores is provided in the table ( In addition, the NOF recommends drug therapy for people who have osteopenia (T-score between -1. Restricting caffeine or salt has not been proven to prevent bone loss in people who consume an adequate amount of calcium. Yearly intravenous zoledronic acid can improve bone density, decrease the risk of spine and hip fractures, and decrease the risk of recurrent fractures in high-risk patients with recent hip fracture [ Side effects of zoledronic acid can include flu-like symptoms within 24 to 72 hours of the first dose. The details of the WHI are discussed elsewhere. The benefits of exercise are quickly lost when a person stops exercising. Bisphosphonates are medications that slow the breakdown and removal of bone (ie, resorption). It is available as a pill that is taken once per day or once per month. The absolute risk of fracture can be calculated using the However, some people who do not meet these criteria will benefit from a medication to treat osteoporosis or osteopenia.

Osteoporosis Prevention: Diet, Exercise & Medication
Osteoporosis Treatment. Treatment for osteoporosis focuses on slowing down or stopping the mineral loss, increasing bone density, preventing bone fractures, and controlling the pain associated with the disease. Some 40% of women will experience a broken bone (fracture) due to osteoporosis during their lifetime.

Osteoporosis can strike at any age, although the risk for developing the disease increases as you get older. In the future, more people will be at risk for having osteoporosis because people are living longer and the number of elderly is increasing.

Thus, bone density alone should not be used to diagnose osteoporosis in a premenopausal woman; further evaluation is generally recommended. Because it is a newer drug and there are no long-term safety data, denosumab is usually reserved for patients who are intolerant of or unresponsive to oral intravenous bisphosphonates. The final decision about use of a medication should be shared between the patient and health care provider. Ibandronate (brand name: Boniva) can be used for prevention and treatment of osteoporosis. Women are at a higher risk for osteoporosis after menopause due to lower levels of estrogen, a female hormone that helps to maintain bone mass.

Another good source is salmon, with approximately 600 international units per 3. Estrogen may be an appropriate treatment for prevention of osteoporosis in young women whose ovaries do not make estrogen. Such medications include the following: Heparin, a medication used to prevent and treat abnormal blood clotting (ie, anticoagulant) Certain antiepileptic drugs (eg, phenytoin, carbamazepine, primidone, and phenobarbital) The non-drug measures discussed above can help to reduce bone loss. People with the highest risk of fracture are the ones most likely to benefit from drug therapy. Osteoporosis is not just an "old woman's disease.

Calcium supplements (calcium carbonate or calcium citrate) may be suggested for women who cannot get enough calcium in their diet ( Experts recommend that men over 70 years and postmenopausal women consume 800 international units of vitamin D each day. Most people who take bisphosphonates do not have any serious side effects related to the medication. Experts do not think that it is necessary for most people to stop bisphosphonates (when they are taking them for the treatment of osteoporosis) before invasive dental work (eg, tooth extraction or implant). A medication or hormonal therapy may also be recommended for certain men and women who have or who are at risk for osteoporosis. Restricting caffeine or salt has not been proven to prevent bone loss in people who consume an adequate amount of calcium. At least one hour (with ibandronate [brand name: Boniva]) before eating or taking any other medications. Tamoxifen is usually given to women with breast cancer to reduce the risk of recurrence, or to women who have never had breast cancer but are at high risk of developing it. Drinking alcohol excessively (more than two drinks a day) can increase the risk of fracture due to an increased risk of falling, poor nutrition, etc, so it should be avoided. PTH is unique in that it is the only medication that works by stimulating bone formation. The details of the WHI are discussed elsewhere.

Osteoporosis-Prevention - WebMD

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