Managing Bone Health in Kidney Disease

1. Pharmacological Treatment
for Renal Osteodystrophy
Managing Bone Health in Kidney Disease

2. Key Pharmacological Interventions
• Calcium Supplements: Used to address hypocalcemia and
prevent bone loss. Common medications include calcium
carbonate.
• Vitamin D Analogues: Regulate calcium absorption and
parathyroid hormone (PTH) levels. Examples include calcitriol
and paricalcitol.
• Phosphate Binders: Control hyperphosphatemia by binding to

3. Additional Pharmacological
Interventions
• Calcimimetics: Manage secondary hyperparathyroidism by
reducing PTH secretion. Cinacalcet is a common calcimimetic
medication.
• Bisphosphonates: Prevent bone loss and fractures in renal
osteodystrophy. Medications like alendronate and zoledronic
acid are used.
• Monitoring and Adjustments: Stress the importance of