Osteoporosis: Treatment and Management

by Carlo Raj, MD

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    Osteoporosis, well, the dosage, you want to give Vitamin D daily for most of your patients. There is an absolute emphasis on lifestyle modification. So, if the patient is at risk for osteoporosis for reasons we?ve talked about with the indications, exercise usually with weight bearing is important, stop to smoking. Be careful, educate your patient so that he or she is not going to fall, if at all possible and avoid heavy alcohol use. Lifestyle modification is where your emphasis should be. If you wish to know dosage, the first bullet point with making sure that you?re replenishing some of this calcium and Vitamin D. Management of osteoporosis: you would think about perhaps administering pharmacology to your patient with osteoporosis in a phase post-menopausal woman with established osteoporosis; also for patients with selected high-risk issues. For example, a 10 year probability of hip fracture or a combined major osteoporotic fracture such as maybe a fracture in the leg, hip combined of greater than 3 or 20 percent respectively in post-menopausal women with osteopenia. You?re paying attention to your T score that we talked about earlier. Management, bisphosphonates: first line of therapy; anti-resorptive, what does that mean? It means that this hopefully will prevent the resorption of calcium and such from the bone. Increases bone mineralization density more than raloxifene and has proven to perhaps prevent fractures within the spine and the hip, the two major places that you?re worried, alendronate and risedronate only. Upper GI irritation is what you?re worried about as a side effect of bisphosphonate. Small risk of osteonecrosis, especially affecting the jaw is with IV bisphosphonate therapy. Look for osteonecrosis or AV or, excuse me, avascular necrosis and especially in the jaw area and GI irritation as being major side effects of bisphosphonates. Other alternatives for...

    About the Lecture

    The lecture Osteoporosis: Treatment and Management by Carlo Raj, MD is from the course Bone Disease.

    Included Quiz Questions

    1. Weight bearing exercise and smoking cessation
    2. Daily elemental calcium
    3. Daily vitamine D
    4. Daily phosphorous
    5. Avoidance of physical activity
    1. Skin rash is most common side effect
    2. First line pharmacologic therapy
    3. Inhibits bone resorption
    4. Reduces spine and hip fractures
    5. Increases bone mineral density
    1. IV alendronate
    2. Raloxifene
    3. Oral HRT
    4. IV teriparatide
    5. Oral risedronate
    1. Osteosarcoma
    2. Thromboembolism
    3. CVD
    4. Breast cancer
    5. Endometrial cancer

    Author of lecture Osteoporosis: Treatment and Management

     Carlo Raj, MD

    Carlo Raj, MD

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