Treatment Options for Osteoporosis: Bone-building Medications (Nursing)

00:01 Bone-building medications, maybe a new category that you're not used to, but they are really cool.

00:07 Okay, take a look at our picture there.

00:09 Look, we have the blue wilted bone, right.

00:12 And then you have the really strong bone kind of flexing their guns.

00:16 That's what these medications are.

00:18 These are the big guns when it comes to treating osteoporosis.

00:23 Let me explain a little bit.

00:24 We use BBM's or Bone-building Medications for patients with severe osteoporosis.

00:32 That's why I said, this is the big guns of the medication.

00:37 We don't use these unless the osteoporosis is pretty severe.

00:41 Now, we can also use them for patients who just didn't really respond or respond enough to the other common treatments we've discussed in the rest of this series.

00:50 So you ready? these are Bone-building medications, think of them as super strong, or the big guns of the medication world that we have for treating osteoporosis.

01:01 Now, each of these BBM's has a maximum time limit that a patient can take them.

01:07 So because they're the big guns, a patient can't take these for the rest of their life, like some of the other medications that we've talked about.

01:15 Here's how we use them.

01:18 So you take the BBMs, right, you build up that bone density, and then you take other osteoporosis medication.

01:26 So take BBMs for a short period of time or a limited period of time.

01:31 When you stop that therapy, you're going to need to start the other osteoporosis medications to maintain what you've built.

01:38 So BBMs to build up that bone.

01:41 Then you take other medications to maintain the density that you've achieved.

01:46 That's why we call these guys the big guns.

01:49 So what are the key points we've just discussed? Well, they're big guns, they increase bone density, can only take them for a certain period of time.

01:59 And then you'll have to take other osteoporosis medications to maintain that growth.

02:05 Now see what we just did there? We stopped, we paused. And I thought in my own brain, I recalled, what the main points were? Now you can do that with us.

02:14 But it's even better if you do it on your own.

02:17 So anytime when we're going through the video, and you feel like, "Whoa, I need to stop for just a minute." Do it.

02:23 Press the pause button and see, "Can I recall what we just talked about?" Also, at the end of every video, go ahead and write some notes in there.

02:32 We give you a summary box where you can add your own notes and they're even searchable.

02:37 Okay, so I just talked to you. You try it.

02:40 Pause. See if you can remember four main points we just discussed about Bone-building Medications.

02:48 Then come on back, and we'll continue through.

02:52 All right, strong bones are our goal.

02:55 See our friend they're showing off his big guns.

02:58 Here are two drug names that are a significant tongue twister.

03:02 I've had to practice these before I shared them with you.

03:05 But first before I pronounced them, I want you to take a look at the letters and see what is the same between the first drug and the second drug? Yeah, just go ahead and underline it in your notes.

03:18 Cool. Alright.

03:20 Teriparatide, and Abaloparatide.

03:23 These are the two drugs we're going to talk about.

03:26 Now. paratide is what you see similar, because they have a connection to the parathyroid hormone.

03:33 So be sure to underline that in your notes or write yourself a quick note that will help you remember these significantly long drug names.

03:41 So let's take a look at the first one.

03:42 Teriparatide.

03:44 Okay, it's similar to parathyroid hormone, and it stimulates new bone growth.

03:49 Well, you can see how that would be helpful for osteoporosis.

03:52 Now, you take it daily by injection for up to two years.

03:57 Remember, bone-building medications, You take them for a limited period of time.

04:02 And then can you remember what you need to start taking to maintain the bone growth? Excellent. Another osteoporosis medication that is not a bone building medication.

04:15 So that's Teriparatide. Now, let's look at Abaloparatide.

04:19 It's also similar to parathyroid hormone because it stimulates growth, even better than teriparatide.

04:27 So if you had to think about this, if you had someone who has osteoporosis, and you're thinking about the types of medications that they could be on, what would be the difference for this client between teriparatide and abaloparatide? Which one would be more effective? Great. Did you remember, it was the abaloparatide.

04:50 Well, you can remember that because it's got an A in the beginning, right? That's the grade we all want.

04:55 It's also at the beginning of the alphabet.

04:57 Yeah. All good.

04:59 Now, this one also has to be taken daily for up to two years.

05:03 So when I'm reviewing and when I'm preparing for an exam, a great game to play is what is the same about these treatments and what is different about these treatments.

05:14 Putting information in your brain in an organized way will help you remember it when you really need it.

05:21 Romosozumab is another bone building medication.

05:25 Now this one is a monoclonal antibody.

05:29 You know, we use this in particular groups of clients.

05:32 So we use it primarily in postmenopausal women who are at high risk of fractures.

05:38 This is an example of a group that we would use this particular bone building medication.

05:44 Now, there's a couple other categories I also want you to keep in mind.

05:47 There are clients who just can't tolerate the other treatments.

05:51 So this is an example of a medication we would use for patients who couldn't tolerate the other treatments, or the third category.

05:58 Clients who failed at the other treatments.

06:01 They didn't respond to the treatment.

06:03 So you went for a big gun like this particular bone building medication.

06:08 Now, this one is also injection and it's given every month at a health care providers office.

06:13 And they'll monitor them after the administration.

06:16 This one you can only take for one year of treatment.