Treatment FAQ

what is the best and safest treatment for osteoporosis?

by Prof. Earline Rippin I Published 2 years ago Updated 2 years ago
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Bisphosphonates are usually the first choice for osteoporosis treatment. These include: Alendronate (Fosamax), a weekly pill. Risedronate (Actonel), a weekly or monthly pill.

What is the best natural medicine for osteoporosis?

Nov 04, 2019 · Increasing your bone density is one of the best and safest treatments for osteoporosis. Weight-bearing exercises, getting plenty of calcium in your diet, and keeping your weight within a healthy range can all help you develop greater peak bone mass when you’re young.

What medications increase osteoporosis?

Aug 13, 2020 · These include: Alendronate (Fosamax), a weekly pill Risedronate (Actonel), a weekly or monthly pill Ibandronate (Boniva), a monthly pill or quarterly intravenous (IV) infusion Zoledronic acid (Reclast), an annual IV infusion

What are the Best Foods for osteoporosis?

Medication is standard for treating osteoporosis, although there are lifestyle changes you should make, too. For example, eating healthy, walking, resistance training, and supplementing with vitamins can all help improve bone density and reduce your risk of fractures due to osteoporosis.

What exercises are recommended for osteoporosis?

Osteoporosis treatment depends on severity of the disease, your age, sex, and medical history. Bisphosphonates are the most frequently prescribed osteoporosis treatment, but aren’t safe for people with kidney problems. People who can’t tolerate side effects of an oral medication may need a drug delivered by IV. More About Preventing Osteoporosis

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What is the safest medication to take for osteoporosis?

The bottom line Fosamax, Prolia, and Boniva are all effective osteoporosis treatments since each one can help lower your risk of fractures. Each also comes with its own risk of side effects.Jan 29, 2021

What is the fastest way to increase bone density?

10 Natural Ways to Build Healthy BonesEat Lots of Vegetables. ... Perform Strength Training and Weight-Bearing Exercises. ... Consume Enough Protein. ... Eat High-Calcium Foods Throughout the Day. ... Get Plenty of Vitamin D and Vitamin K. ... Avoid Very Low-Calorie Diets. ... Consider Taking a Collagen Supplement. ... Maintain a Stable, Healthy Weight.More items...•Jan 18, 2017

What is the newest treatment for osteoporosis?

Romosozumab (Evenity). This is the newest bone-building medication to treat osteoporosis. It is given as an injection every month at your doctor's office and is limited to one year of treatment.Aug 21, 2021

What is a good non pharmaceutical treatment for osteoporosis?

Nonpharmacologic interventions include calcium and vitamin D supplementation, weight-bearing exercise, muscle strengthening, and fall prevention. Pharmacologic options include: the bisphosphonates, estrogen therapy, raloxifene, salmon calcitonin, and the anabolic agent teriparatide.

Is prolia better than Fosamax?

Fosamax (alendronate) is a first-choice treatment for osteoporosis, but taking it can be a hassle. Prevents bone loss. Prolia (Denosumab) is an effective and convenient treatment for osteoporosis if other options haven't worked or aren't appropriate for you.

What is the alternative to taking Prolia?

alendronate (Fosamax) risedronate (Actonel) ibandronate (Boniva) zoledronic acid (Reclast, Zometa)

What is the best kind of doctor to treat osteoporosis?

Rheumatologists treat patients with age-related bone diseases. They can diagnose and treat osteoporosis. Endocrinologists, who see patients with hormone-related issues, also manage the treatment of metabolic disorders such as osteoporosis. Orthopedic surgeons may fix fractures.

Is Prolia worth the risk?

Are there any dangers of using this drug? Studies have found that Prolia is generally safe and effective to treat osteoporosis and certain types of bone loss. For example, in the studies, people taking Prolia for up to 8 years didn't have significant side effects compared with people taking a placebo.

What are the dangers of taking Fosamax?

Doctors prescribe Fosamax to prevent age-related bone damage. The drug can cause minor side effects including abdominal pain, acid regurgitation and constipation. In rare cases, people who take the drug may suffer from serious side effects such as femur fractures, jaw problems and esophageal ulcers.

What exercises are good for osteoporosis?

Examples include walking, dancing, low-impact aerobics, elliptical training machines, stair climbing and gardening. These types of exercise work directly on the bones in your legs, hips and lower spine to slow mineral loss.

What treatments are available for osteoporosis?

Which osteoporosis medications are usually tried first?Alendronate (Fosamax), a weekly pill.Risedronate (Actonel), a weekly or monthly pill.Ibandronate (Boniva), a monthly pill or quarterly intravenous (IV) infusion.Zoledronic acid (Reclast), an annual IV infusion.

What increases your risk of osteoporosis?

Factors that will increase the risk of developing osteoporosis are:Female gender, Caucasian or Asian race, thin and small body frames, and a family history of osteoporosis. ... Cigarette smoking, excessive alcohol and caffeine consumption, lack of exercise, and a diet low in calcium.Poor nutrition and poor general health.More items...

Which Medications Are Commonly Used For Osteoporosis Treatment?

Bisphosphonates are the most common medications prescribed for osteoporosis treatment. These include: 1. Alendronate (Fosamax) 2. Risedronate (Acto...

How Do Most Osteoporosis Medications Work?

With the exception of teriparatide, osteoporosis medications slow bone breakdown. Healthy bones continuously break down and rebuild.As you age — es...

How Do You Know If You're Taking The Right bisphosphonate?

Drugs in the bisphosphonate class are more alike than they are different. They all help maintain bone density. And, all bisphosphonates have been s...

When Might Other Osteoporosis Medications Be used?

Drugs such as denosumab, teriparatide and abaloparatide can be used by anyone with osteoporosis, but are more likely to be recommended for people w...

What Are Common Side Effects of Bisphosphonate pills?

Bisphosphonate pills aren't absorbed well in the stomach. The main side effects of bisphosphonate pills are stomach upset and heartburn. Generic fo...

Do Intravenous Bisphosphonates Have Advantages Over The Pill form?

Infused forms of bisphosphonates don't cause stomach upset. And it may be easier for some women to schedule a quarterly or yearly infusion than to...

Can Bisphosphonates Hurt Your Bones?

Long-term bisphosphonate therapy has been linked to a rare problem in which the upper thighbone cracks and may break. This injury, known as atypica...

How Long Should You Take A Bisphosphonate For Osteoporosis Treatment?

There's some uncertainty about how long to take bisphosphonates because of a lack of long-term studies. Bisphosphonates have been shown to be safe...

What Happens If You Break A Bone While Taking An Osteoporosis medication?

Osteoporosis medications lower the chance of fracture, but they don't eliminate all risk of breaking a bone. If you have a fracture while on treatm...

Can Medication Alone Successfully Treat Osteoporosis?

Don't rely entirely on medication as the only treatment for your osteoporosis. These practices also are important: 1. Exercise. Weight-bearing phys...

What is the best treatment for osteoporosis?

Bisphosphonates are usually the first choice for osteoporosis treatment. These include: 1 Alendronate (Fosamax), a weekly pill 2 Risedronate (Actonel), a weekly or monthly pill 3 Ibandronate (Boniva), a monthly pill or quarterly intravenous (IV) infusion 4 Zoledronic acid (Reclast), an annual IV infusion

How does osteoporosis medication work?

Because bone rebuilding cannot keep pace, bones deteriorate and become weaker. Most osteoporosis medications work by reducing the rate at which your bones break down. Some work by speeding up the bone-building process. Either mechanism strengthens bone and reduces your risk of fractures.

What are the side effects of bisphosphonate?

The main side effects of bisphosphonate pills are stomach upset and heartburn. Don't lie down or bend over for 30 to 60 minutes to avoid the medicine washing back up into the esophagus. Most people who follow these tips don't have these side effects. Bisphosphonate pills aren't absorbed well by the stomach.

How often is romosozumab given?

Romosozumab is given as a monthly injection at your doctor's office. It is a new drug and less is known about long-term side effects, but it is not given to people who have recently had a stroke or heart attack. Treatment stops after 12 monthly doses.

Can you take bisphosphonate with water?

Bisphosphonate pills aren't absorbed well by the stomach. It may help to take the medication with a tall glass of water on an empty stomach. Don't put anything else into your stomach for 30 to 60 minutes, after which you can eat, drink other liquids and take other medications.

How long can you take bisphosphonate?

These bone-building drugs can be taken for only one or two years and the benefits begin disappearing quickly after you stop. To protect the bone that's been built up, you'll need to start taking a bone-stabilizing medication such as a bisphosphonate.

Can denosumab cause osteonecrosis?

Bisphosphonates and denosumab can also cause osteonecrosis of the jaw, a rare condition in which a section of jawbone is slow to heal or fails to heal, typically after a tooth is pulled or other invasive dental work.

What is the new drug for osteoporosis?

A number of other osteoporosis drugs are in development, including a new monoclonal antibody (romosozumab) and drugs that block sclerostin, a protein that inhibits bone formation. However, Dr. Slovik doesn't think we're going to see any of these new drugs approved within the next year.

How to determine if you have osteoporosis?

Your doctor will determine whether you have osteoporosis by measuring your bone density —usually at the hip and spine—using dual energy x-ray absorptiometry (DEXA).

What is the process of breaking down old bone?

There's no one-size-fits-all answer. Understanding your options begins with knowing what's available. Throughout our lives, our bones undergo constant renovation. In a process called bone turnover, cells called osteoclasts break down and remove old bone, and then cells called osteoblasts lay down new bone.

Which is better, alendronate or risedronate?

Alendronate, risedronate, and ibandronate have all been shown effective for reducing spine fractures. For women with a history of hip or nonspinal fractures, alendronate and risedronate are better options than ibandronate.

What is a T score?

The doctor will likely recommend medicine if you have. a T-score of –2.5 or lower —the definition of osteoporosis.

How long do women take bisphosphonates?

Doctors acknowledge that the risk of these side effects also increases with long-term use of bisphosphonates, so most women take these drugs for about five years. The good news is that the bone-protective benefits continue even after you stop taking bisphosphonates.

Does teriparatide cause pain?

The main side effects are hot flashes, muscle pain, and an increased risk of blood clots in the leg (deep-vein thrombosis). Teriparatide (Forteo) is a synthetic version of parathyroid hormone that increases bone density and strength. It can reduce the risk of fractures significantly in the spine and other bones.

Who is Ashley Festa?

Ashley Festa is a Greenville, S.C.-based freelance writer and editor who has been writing professionally for nearly two decades. In addition to Healthgrades, she also has written for Johns Hopkins School of Nursing, the University of Texas at Arlington School of Nursing and Health Innovation, and Fit Pregnancy magazine.

Is bisphosphonate safe for kidneys?

Bisphosphonates are the most frequently prescribed osteoporosis treatment, but aren’t safe for people with kidney problems. People who can’t tolerate side effects of an oral medication may need a drug delivered by IV.

What is the best treatment for osteoporosis?

If you can't tolerate the more common treatments for osteoporosis — or if they don't work well enough — your doctor might suggest trying: Teriparatide (Forteo). This powerful drug is similar to parathyroid hormone and stimulates new bone growth. It's given by daily injection under the skin.

How to reduce the risk of osteoporosis?

Smoking increases rates of bone loss and the chance of fracture. Avoid excessive alcohol. Consuming more than two alcoholic drinks a day might decrease bone formation.

What are the side effects of bisphosphonates?

Examples include: Side effects include nausea, abdominal pain and heartburn-like symptoms. These are less likely to occur if the medicine is taken properly.

Can testosterone be used for osteoporosis?

Testosterone replacement therapy can help improve symptoms of low testosterone, but osteoporosis medications have been better studied in men to treat osteoporosis and thus are recommended alone or in addition to testosterone.

What is the drug used for osteoporosis?

It's given by daily injection under the skin. After two years of treatment with teriparatide, another osteoporosis drug is taken to maintain the new bone growth. Abaloparatide (Tymlos) is another drug similar to parathyroid hormone.

What supplements can help with osteoporosis?

Alternative medicine. There is limited evidence that certain supplements, such as vitamin K-2 and soy, can help lower fracture risk in osteoporosis, but more studies are needed to prove benefits and determine risks.

How to measure bone density?

Your bone density can be measured by a machine that uses low levels of X-rays to determine the proportion of mineral in your bones. During this painless test, you lie on a padded table as a scanner passes over your body. In most cases, only a few bones are checked — usually in the hip and spine.

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Prognosis

Diagnosis

  • Your doctor will determine whether you have osteoporosis by measuring your bone densityusually at the hip and spineusing dual energy x-ray absorptiometry (DEXA). The result, expressed as a number called a T-score, compares your bone density with that of a healthy 30-year-old woman.
See more on health.harvard.edu

Treatment

  • The doctor will likely recommend medicine if you have To slow bone breakdown, many doctors first turn to one particular class of drugs. \"If someone has a very low T-score, we'll typically start with the bisphosphonates,\" says Dr. David Slovik, associate professor of medicine at Harvard Medical School and endocrinologist at Massachusetts General Hospital. There are several bisph…
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Quotes

  • \"I like starting with alendronate because it's been around the longest, it has shown a good therapeutic response, and it comes in a generic version, which can save patients money,\" Dr. Slovik says.
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Risks

  • You might have read about risks associated with bisphosphonate drugsparticularly fractures of the thighbone (femur) and osteonecrosis (bone death) in the jaw. Though these concerns are real, they are more common in people taking intravenous bisphosphonates to treat cancer that has spread to the bones, or in women who are on long-term, high-dose bisphosphonates.
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Results

  • Doctors acknowledge that the risk of these side effects also increases with long-term use of bisphosphonates, so most women take these drugs for about five years. The good news is that the bone-protective benefits continue even after you stop taking bisphosphonates.
See more on health.harvard.edu

Medical uses

  • Raloxifene (Evista), a selective estrogen receptor modulator (SERM), is perhaps best known for its role in breast cancer prevention and treatment, but it serves double duty in treating osteoporosis, too. It works by binding with estrogen receptors around the body to produce estrogen-like effects, one of which is to decrease bone turnover. \"For peo...
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Research

  • A number of other osteoporosis drugs are in development, including a new monoclonal antibody (romosozumab) and drugs that block sclerostin, a protein that inhibits bone formation. However, Dr. Slovik doesn't think we're going to see any of these new drugs approved within the next year. For now, the best ways to strengthen bone are with the existing osteoporosis drugs.
See more on health.harvard.edu

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