Medical management of osteoporosis.pptx
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This document discusses the medical management of osteoporosis including 5 common drugs used (calcium, vitamin D3, bisphosphonates, teriparatide, denosumab), exercise recommendations, and smoking cessation. It also compares calcium carbonate and calcium citrate supplements, noting their differences in absorption, side effects, and dosing. Finally, it outlines risk factors for osteoporosis and characteristics of patients who may present with fragility fractures due to osteoporosis.
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- 3. • Calcium • Vit D3 • Bisphosphonates • Teriparatide • Denosumab • Exercise – weight bearing , low impact • Exposure to sunlight • Tobacco cessation • Alcohol minimalization
- 4. CARBONATE CITRATE Inexpensive Expensive Taken with meals Fasting state also Not with antacid drugs Can be given 40% elemental calcium 600mg per tablet 21% elemental calcium 250 mg per tablet Small size Large size Cause Constipation/ bloating Does not block iron absorption No risk of renal stones CALCIUM
- 5. Calcium
- 6. Problems and challenges • Bone loss – asymptomatic - Awareness • Pts may not appreciate # prevention • Compliance • Affordability
- 7. Elderly person with fragility fracture – Spine , Radius , NOF
- 8. Women above 65 or post menopausal & Men above 70 • Came for some other orthopedic ailments • Progressive kyphosis or decrease in height • Generalised weakness with bone pain ( osteoporosis + osteomalacia ) • Significant risk factors
- 9. Any other orthopedic fracture • Intraoperative finding of brittle bone or thin cortex