How to prevent steroid induced osteoporosis.

Sambrook, P N · Ann Rheum Dis · 2005

expert_opinion · Level V

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Abstract

The first choice for prevention of corticosteroid osteoporosis is a potent oral bisphosphonate-for example, alendronate or risedronate. Intravenous bisphosphonates should be considered for patients intolerant of the oral route. For patients receiving chronic low dose corticosteroids treatment with calcium and vitamin D may prevent further bone loss. Use of parathyroid hormone is promising.

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