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.

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