TY - JOUR
T1 - Controversies in osteoporosis management
T2 - Antiresorptive therapy for preventing bone loss: When to use one or two antiresorptive agents?
AU - Gallagher, J. Christopher
AU - Tella, Sri Harsha
PY - 2013/12
Y1 - 2013/12
N2 - Women who have significant bone loss or a new fracture on monotherapy are considered for combination therapy. Combination therapies increase bone density more than monotherapy by targeting different parts of the osteoclast pathway.In early postmenopausal women who are symptomatic, the use of combination antiresorptives should include hormone therapy with a bisphosphonate or with bazodoxifene. In women who initially receive a weaker antiresorptive such as the SERM raloxifene, a combination with bisphosphonates and calcium supplementation is necessary to prevent bone loss. In older women over 65 years of age who often have impaired calcium absorption, the combination of calcitriol with bisphosphonates has been shown to increase bone density more than monotherapy.
AB - Women who have significant bone loss or a new fracture on monotherapy are considered for combination therapy. Combination therapies increase bone density more than monotherapy by targeting different parts of the osteoclast pathway.In early postmenopausal women who are symptomatic, the use of combination antiresorptives should include hormone therapy with a bisphosphonate or with bazodoxifene. In women who initially receive a weaker antiresorptive such as the SERM raloxifene, a combination with bisphosphonates and calcium supplementation is necessary to prevent bone loss. In older women over 65 years of age who often have impaired calcium absorption, the combination of calcitriol with bisphosphonates has been shown to increase bone density more than monotherapy.
UR - http://www.scopus.com/inward/record.url?scp=84887823989&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84887823989&partnerID=8YFLogxK
U2 - 10.1097/GRF.0b013e3182a982c2
DO - 10.1097/GRF.0b013e3182a982c2
M3 - Article
C2 - 24036481
AN - SCOPUS:84887823989
VL - 56
SP - 749
EP - 756
JO - Clinical Obstetrics and Gynecology
JF - Clinical Obstetrics and Gynecology
SN - 0009-9201
IS - 4
ER -