Understanding Your Osteoporosis Medications: A Complete Guide

A comprehensive overview of treatment options and medication management

Orthopedics

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Last updated: Mar 24, 2025

Introduction

Managing osteoporosis effectively requires understanding your medication options and how to use them properly. This guide covers the main types of osteoporosis medications and essential information for optimal treatment.

Common Medication Classes

1. Bisphosphonates

  • Oral medications:
    • Alendronate (Fosamax®)
    • Risedronate (Actonel®)
    • Ibandronate (Boniva®)
  • Injectable medications:
    • Zoledronic acid (Reclast®)

2. Biological Agents

  • Denosumab (Prolia®)
  • Administration: Subcutaneous injection every 6 months

3. Anabolic Agents

  • Teriparatide (Forteo®)
  • Abaloparatide (Tymlos®)
  • Administration: Daily self-injection

Proper Medication Use

Taking Oral Bisphosphonates

  1. Take first thing in morning
  2. Take with full glass of water
  3. Remain upright for 30-60 minutes
  4. Avoid food/beverages for specified time

Monitoring Treatment

  • Regular bone density scans
  • Blood calcium levels
  • Vitamin D testing
  • Dental health checks

Side Effects Management

Common Side Effects

  • Heartburn
  • Nausea
  • Joint pain
  • Headache

When to Contact Your Doctor

  • Severe bone/joint pain
  • Difficulty swallowing
  • Chest pain
  • Jaw problems

Supplementation

  • Daily calcium: 1000-1200mg
  • Vitamin D: 800-1000 IU
  • Take as directed by physician

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