WebMar 16, 2024 · Bisphosphonates work by slowing down the cells which break down bone (osteoclasts). Therefore they slow down bone loss, allowing the bone cells (osteoblasts) … WebMar 9, 2024 · Bisphosphonates are first-line therapy for osteoporosis, with alendronate, risedronate, and zoledronate as the main treatments used globally. After one year of therapy, bisphosphonates are retained in bone for extended periods with extended anti-fracture effects after discontinuation.
Bisphosphonates for treatment of osteoporosis
WebNov 2, 2024 · The long half-life and persistence of bisphosphonate treatment effect have enabled a “drug holiday,” where treatment is electively stopped, during which anti-fracture benefit might persist and potential adverse effects are minimized. WebMar 4, 2015 · Treatment was indicated, but after 8 years of treatment, a drug holiday might be considered. Treat with bisphosphonate for 5–10 years, offer a ‘drug holiday’ of 3–5 … imagine recovery counseling columbus
How to start and stop bisphosphonates ACP Internist
WebBisphosphonates (BPs) are the most commonly used medications for osteoporosis. This ASBMR report provides guidance on BP therapy duration with a risk-benefit perspective. Two trials provided evidence for long-term BP use. In the Fracture Intervention Trial Long-term Extension (FLEX), postmenopausal women receiving alendronate for 10 years had ... WebJul 1, 2012 · On the other hand, in individuals who after 5 yr of continuous bisphosphonate therapy are still regarded to be at high risk for fracture (BMD still very low and/or an intervening fragility fracture has occurred), the drug holiday would not be an attractive option (13, 39, 48). In this situation, the risks of stopping therapy may exceed the ... WebImportance Discontinuation of bisphosphonate therapy after 3 to 5 years is increasingly considered, but methods to monitor fracture risk after discontinuation have not been established.. Objective To test methods of predicting fracture risk among women who have discontinued alendronate therapy after 4 to 5 years.. Design, Setting, and Participants … list of first nations tribes