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.

Health & Medicine

• Calcium
• Vit D3
• Bisphosphonates
• Teriparatide
• Denosumab
• Exercise – weight bearing , low
impact
• Exposure to sunlight
• Tobacco cessation
• Alcohol minimalization

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

Problems and challenges
• Bone loss – asymptomatic - Awareness
• Pts may not appreciate # prevention
• Compliance
• Affordability

$Elderly person with fragility fracture – Spine , Radius , NOF$

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

$Any other orthopedic fracture • Intraoperative finding of brittle bone or thin cortex$

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