Osteoporosis

  • Bisphosphonates
  • Oral: Must be taken first thing in the morning and on an empty stomach with ≥ 8oz of plain water. Must remain upright for 30mins (alendronate, risedronate) or 60mins (ibandronate)
    • 5 year therapy, may extend to 10 if T \<-2.5 on next DEXA
  • CI: GFR \<30-35%, achalasia, Schatzki ring
  • SE: GI, hypocalcemia, osteonecrosis of the jaw
  • Alendronate (Fosamax)
    • 5mg daily or 35mg weekly PO (prevention)
    • 10mg daily or 70mg weekly PO (treatment)
    • Efficacious in preventing vertebral and non-vertebral fractures as well as hip fractures
    • Approved for treatment of osteoporosis in men, glucocorticoid-induced
  • Risedronate (Atelvia, Actonel)
    • 35mg weekly or 150mg monthly
    • Efficacious in preventing vertebral and non-vertebral fractures as well as hip fractures
    • Approved for treatment of osteoporosis in men, glucocorticoid-induced
  • Zoledronic Acid (Reclast, Zometa)
    • 5mg yearly, IV only for treatment, 5mg IV every other year for prevention
    • Approved for treatment of osteoporosis in men, glucocorticoid-induced
    • Once a year, improved survival if given within 90 days of hip fracture
    • May extend to 6 years if very high risk
    • Efficacious in preventing vertebral and non-vertebral fractures as well as hip fractures
    • SE: 30% have low-grade fever, myalgia, and arthralgia occurring 1-3 days after 1st administration, usually absent with subsequent infusions.
  • Ibandronate (Boniva)
    • 150mg once a month
    • Only efficacious in preventing vertebral fracture
    • Approved only for treatment of postmenopausal osteoporosis
  • PTH Analogs
  • Anabolic: stimulates osteoblasts, only ones available
    • Reserved for T \<-2.5 and a fracture (severe disease)
    • Efficacious in preventing vertebral and non-vertebral fractures
    • Can only be used for 2 years due to cumulative risk of osteosarcoma, use 1 on one off
    • Must transition to either bisphosphonate or denosumab when discontinued (antiresorptive) within 1 month
    • No holiday
    • CI: CDK
    • SE: Theoretical Increased risk of bone osteosarcoma
  • Teriparatide (Forteo)
    • MOA: Recombinant human PTH
    • 210mg subq monthly
  • Abaloparatide (Tymlos)
    • MOA: Human PTH Analog
    • 80mcg subcutaneous daily
  • Monoclonal Antibodies
  • Denosumab (Prolia, Xgeva)
    • MOA: Osteoclast Inhibitor
    • Monoclonal antibody inhibits RANK ligand receptors
    • Antiresorptives, No need for holiday
    • 60mg SQ Q6 months
    • Efficacious in preventing vertebral and non-vertebral fractures as well as hip fractures
    • Used if unable to take bisphosphonates
    • No defined treatment length
  • Romosozumab (Evenity)
    • Osteoblast activator
    • 20mcg subcutaneous daily
    • Anabolic
    • Associated with transient increased bone resorption (rebound) that teriparatide exacerbates (don't use)
    • Efficacious in preventing vertebral and non-vertebral fractures as well as hip fractures
    • 1 year duration of therapy only
    • Must transitioned to either bisphosphonate or denosumab when discontinued (antiresorptive) within 1 month
    • No holiday
  • Calcium Regulator
  • Calcitonin (Miacalcin)
    • 200IU intranasal daily for treatment
    • Calcitonin Salmon
    • 200-unit nasal spray
    • To prevent compression fractures
    • Antiresorptive, only efficacious in preventing vertebral fracture
  • Other
  • Raloxifene (Evista)
    • CI: DVT/PE, pregnant, lactating
    • Antiresorptive
    • Increased risk of VTE, decreased risk of uterine/breast cancer
    • Only efficacious in preventing vertebral fracture