How long does it take for fosamax to work
How long should you take a bisphosphonate for osteoporosis?
How long should you take a bisphosphonate for osteoporosis? Published: March, Millions of postmenopausal women are taking a bisphosphonate like oral alendronate (Fosamax) or intravenous (IV) zoledronic acid (Reclast) to increase bone density. But because long-term use of these drugs has been associated with an increased risk of bone death. Jun 20, · Because the medication lasts in the bones for some time after you stop taking it, your doctor might recommend stopping bisphosphonates after three to five years — especially if your overall risk of fracture is low. Your bone density, your age, your .
Bisphosphonates, the most common type of osteoporosis medications, are typically taken for three to five years. After that, your doctor will consider your risk factors in determining whether you should continue to take these or other osteoporosis medications. Bisphosphonates include alendronate Binosto, Fosamaxwhat is u- verse screen pack Bonivarisedronate Actonel, Atelvia and oong acid Reclast, Zometa.
These are effective at lowering the risk of broken bones, which can lead to pain and disability and increase the risk of death. Hiw doctor will help weigh the dows and benefits logn you, and decide how long to take the medication. Because the medication lasts in the bones for some time after you stop taking it, your doctor might recommend txke bisphosphonates after three to five years — especially if your overall risk of fracture is low.
Your bone density, your age, your history of fractures and other factors determine your risk. Foszmax time off from these wlrk might lower the risk of complications from them. If your fracture risk increases in the future, your doctor might recommend restarting bisphosphonates or trying a different type of osteoporosis medication.
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This content does not have an Arabic version. See more conditions. Request Appointment. Osteoporosis: How long must I take bisphosphonates? Products and services. Free E-newsletter Subscribe to Housecall Our general interest e-newsletter keeps you up to date on a wide variety of health topics. Jow up now. How long must I take bisphosphonates for osteoporosis? Are they a lifelong commitment? Answer From Ann Kearns, M. Show references Rosen ,ong.
Risks of bisphosphonate therapy in patients with osteoporosis. Accessed May 23, How long should you take certain osteoporosis drugs? Food and Drug Administration.
Access June 11, Goldman L, et al. In: Goldman-Cecil Medicine. Philadelphia, Pa. Merck Manual Professional Version. Rosen HN. The use of bisphosphonates in postmenopausal women with osteoporosis. Kearns AE expert opinion. Mayo Clinic, Rochester, Minn. June 12, See also Aging and unsteady gait Ankylosing spondylitis: Am I at risk of osteoporosis? Anorexia nervosa Back pain Bone density test Bone health tips Calcium Timing calcium supplements Celiac disease Celiac disease: Can gluten be absorbed through the skin?
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Nov 02, · Take Fosamax exactly as prescribed by your doctor. Fosamax is taken either once daily or once per week. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Take Fosamax first thing in the morning, at least 30 minutes before you eat or drink anything or take any. Mar 18, · What's New: In a trial involving postmenopausal women with osteoporosis, Fosamax taken daily for 10 years produced increases in bone mineral density at the spine and hip. Jan 02, · Dear E.M.: Thirteen years is a long time to continue taking a bisphosphonate drug, such as alendronate (Fosamax) or risedronate (Actonel). There are not good studies to .
Dear Dr. Roach: I have read in your previous columns that you have been cautionary about taking medications like Fosamax. I hope you can help me with my situation. I am 76 years old. I took Fosamax for 13 years, stopping in My last scan showed a T-score of You previously have recommended re-evaluation after five years; does that mean not to go on it again in the future?
What are some alternatives? Dear E. There are not good studies to show effectiveness beyond 10 years. There does seem to be some residual effect on bone density after stopping: Bone density remained higher and fracture risk lower, corresponding with data showing that the medication remains in the bone for years and possibly decades after stopping it.
If your bone density is getting worse, it is reasonable to consider restarting treatment. Some authorities recommend restarting bisphosphonates like Fosamax if the bone density goes down and fracture risk is high after stopping it; however, I certainly would consider other options, including the parathyroidlike hormone teriparatide, or raloxifene an estrogenlike drug.
Denosumab would not be my first choice, as it acts the same way as bisphosphonates, preventing reabsorption of bone, which potentially can lead to atypical femur fractures from frozen bone. Roach: Our son, who is in his 40s, had always been a happy person until he was diagnosed with clinical depression. He has been to psychiatrists and psychologists, and has been prescribed medications.
It has been a year since we have seen him, as it is too emotional for him to meet with us. We miss our son, and any help would be appreciated. Dear C. Effective treatment improves health and reduces mortality. It is certainly true that medication treatment for depression may have side effects, and it also is true that there are people for whom finding an effective medication treatment is difficult.
I would encourage your son to seek another opinion, one from a person willing to look beyond standard therapy. I have had some success with a folic acidlike supplement called S-adenosyl methionine SAMe , for example. This can be used in combination with standard treatments. Facebook Twitter Email. Doc: How long does Fosamax stay in system and work? Keith Roach To Your Health.
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