Osteoporosis Tips That Could Change Your Life
Osteoporosis Medication
Most osteoporosis medications are bisphosphonates. Four commonly prescribed bisphosphonate medications are risedronate, alendronate, ibandronate, and zoledronic acid. All bisphosphonates reduce the risk of fracture by supporting healthy bone density. In choosing a bisphosphonate, consideration may be given to which medication is on the formulary (preferred medication list) of the patient's insurance company, the best dosing schedule for the patient, convenience, and personal preference. Some patients like taking the medication once a month while others prefer a weekly dose.
Three medications are available for patients who have severe osteoporosis and extremely low bone density, especially younger patients who have chronic steroid use and multiple fractures. Denosumab is often prescribed for patients with contraindications to bisphosphonates, as in some patients who have compromised kidney function. Teriparatide and abaloparatide both have the potential to restore bone density.
Some bisphosphonates have side effects including heartburn and upset stomach. Intravenous medications are available for patients who cannot take bisphosphonates. Ibandronate is administered on an every-three-month schedule while zoledronic acid is given yearly by infusion.
Stop Smoking
Studies have shown smoking cigarettes has a direct impact on bone density. Essentially, nicotine causes bone loss. If an individual continues to smoke, there is not much doctors can do for their bones as they will be counteracting the medications. According to the National Institutes of Health, an individual's likelihood of suffering a fracture due to osteoporosis is influenced by how long they smoke and how many cigarettes they smoke. Studies have shown that post-menopausal women who smoke also produce less estrogen. The reduced production of that hormone is another factor in bone loss. The best thing smokers can do for their bone health is to quit smoking. Even in later life, quitting can help to reduce the loss of bone due to smoking.
