Posts Tagged ‘Fosamax’

AAOS Asks: Which Medication is “Best” After a Fracture?

February 8, 2012 @ 12:00 pm
posted by Dr. Ginther

Here at the American Academy of Orthopedic Surgeons Annual Meeting, the most common question is: “Which Osteoporosis Medication should I use after a fracture?”  We need to know how each type of medication works to answer that.

Immediately after a fracture, or a surgery on bone, or a tooth extraction, you want a medicine which will not slow down bone healing.  Better yet, you would like to stimulate bone formation and remodeling.  Anabolic Medications do that.  Teriparatide (Forteo) is the Anabolic available in the USA.

That is what a reader asked.

We can determine which Antiresorptive medicine is “best” for an individual based on avoiding likely problems unique to that individual.  We cannot yet determine which medicine is “best” for preventing that first Osteoporotic Fragility Fracture in everyone.

At first glance, it appears that the FDA has determined that each medication works in the specific areas of Vertebral (Spine), Non-Vertebral, or Hip.  But if you look at the data, it is more complicated.

“Drug Holiday”

October 28, 2011 @ 9:00 am
posted by Dr. Ginther

“Drug Holiday”.  How does that work?  After 5 or more years on Bisphosphonate medication, there is often enough accumulated medication to maintain Bone Mineral Density for 2 or 3 or more years without adding more medication.  That is a great way to Take Control Naturally – with only occasional help from pharmaceuticals.

Of course you still must consume enough Calcium, Vitamin D, and Multiple Vitamins & Minerals in food or in supplements.

How long does that work?  We don’t know unless we monitor BMD with DXA, and also monitor VFA.