Osteoporosis is a disease that can be potentially treated. Unlike the treatment options for diabetes, the awareness of treatment options for osteoporosis is very low among general public. The options for treatment include

1.Hormone Replacement therapy: this includes estrogens for women and testosterone for men. Hormones are given to subjects who are deficient in them, men with testosterone deficiency due to disorders of the testes and women with ovarian failure.

2. Bisphosphonates: these are agents that prevent bone resorption. These are given orally in empty stomach as one weekly (Alendronate and Risedronate) or as once monthly (Ibandronate). They can be given once every 1 year as intravenous Zoledronate also. They can improve bone density and prevent fractures.

3. Teriparatide: this is recombinant PTH which can be given as daily injections. These can build bones and reduce fracture risk.

4. Denosunab: It is given as an injection every 6 months. It prevents destruction of bones.
Other less commonly used agents include Calcitonin and Raloxifene.These medications are extremely useful for patients with osteoporosis. But they have to be taken only under the guidance of a healthcare professional.

Author: Dr. Mathew John (Endocrinologist)
Last modified: February 20, 2017
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