Posts Tagged ‘Osteoporosis medication’
Fracture Prevention was the theme at NOF (National Osteoporosis Foundation) this year. This has always been their goal, but it has not been well communicated.
Fractures are bad. Fractures are painful. They keep you from doing things you want to do. For weeks. Or months. Or even forever.
Fractures ruin your finances. They cost a lot to treat. They cost even more if you cannot work.
Fractures can disable you temporarily, or even permanently. You can lose your Independence. You could spend the rest of your life in a Nursing Home.
Clinical Osteoporosis is an Increased Risk of Fracture.
One fracture doubles your risk of a second. Two fractures increases the risk 5 times. Fracture Risk is multiplied 9 times by 3 fractures.
You can decrease Fracture Risk. A Complete Bone Health Evaluation will identify nutrition and lifestyle details that you can improve for better Bone Health.
Many Fractures can be prevented by simple non-medication measures. You can start with proper Calcium, Vitamin D3, Protein, Balance and Strengthening Exercises, Multiple Vitamins & Minerals. These measures are necessary even if you also take osteoporosis medications. Often they are enough, at least for a few years.
Take Control of your Future. Prevent Fractures and all the misery they can bring.
Jay Ginther, MD
Recently a patient asked me to review all osteoporosis medications for her to consider and choose from. We had already optimized her Calcium intake, 25-hydroxy Vitamin D level, Protein intake, Multiple Vitamins & Minerals, and Exercise program. These had all helped substantially, but not enough for her peace of mind. She feels that she needs osteoporosis medication too. Here they are:
“Why did I Fracture?” and “Why do I have Osteoporosis?” are common questions I hear from older women and men. They are taking Calcium and Vitamin D3, eating a diet with Protein, Fruits and Vegetables, and Exercising regularly. They are “doing everything right”, and still they have deteriorating bones. What is wrong?
The simple answer is “Birthday Disease” – too many birthdays. Increased Fracture Risk (Clinical Osteoporosis) is totally natural as we age. Women after Menopause, and men after age 70, lose 1-2% of their Bone Mineral Density (BMD), and more of their Bone Strength, every year.
When I was in Medical School, 40 years ago, that was the end of the story. Many older women (and some older men) became kyphotic (stooped over), fractured and fell, and either died or went to a nursing home for the rest of their lives. Then, there was nothing we could do to stop it. Today we can often prevent osteoporosis, fractures and misery.
Our Amgen Medical Liaison met with us this week. Her job is to supply information which has been published or presented at major meetings. She meets only with practitioners (MD, NP in our case) and cannot market any medications.
This is good. For the first time in 5 years, I missed ASBMR (American Society for Bone & Mineral Research). She was able to show us several studies presented at that meeting that were most helpful.
NP Katie and I, like most practitioners, always approach scientific papers with a critical eye. The studies answered several questions. They also raised further questions. Perhaps those answers will come next year.
Legislators pass rules and regs to keep medical practitioners away from information supplied by persons employed by Pharma. They fail to understand the value of critcally evaluating new scientific data. Detailed information about each available medication is needed if we are to find the best osteoporosis medication for each patient each time.
No single osteoporosis medication is right for everyone all the time. Every osteoporosis medication is the best choice for someone at some time. There are times when no medication is the best choice.
The more information Katie and I have about medications, the smarter we are when helping to choose what is best for each individual. No one can go to all meetings or read all published studies. A Pharma Medical Liaison helps gather relevant information.
YOU too can gather information before and after you visit your doc. Use the left column to find blogs about topics that interest you. You can Take Control.
Jay Ginther, MD