Journal of Clinical Rheumatology and Immunology (Jun 2022)

Treatment Consideration in Postmenopausal Osteoporosis Patients at Imminent Fracture Risk

  • Tai Pang Ip

DOI
https://doi.org/10.1142/S266134172230004X
Journal volume & issue
Vol. 22, no. Supp01
pp. 10 – 19

Abstract

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Osteoporosis is the most common metabolic bone disease and constitutes a major public health problem all over the world. Most international clinical practice guidelines have conventionally positioned the class of antiresorptive drugs, the bisphosphonates, as the first-line medical therapy for the management of postmenopausal osteoporosis. With the clinical development of more potent antiresorptive drugs as well as bone-forming drugs, more therapeutic options with different mechanisms of action, therapeutic efficacies, and adverse effect profiles are currently available. Bone-forming drugs have demonstrated a faster and better protection to patients with osteoporosis such that clinical management decisions should position their prioritized use in patients with a very high fracture risk. This article provides a review on the preferential selection of bone-forming drugs for management of postmenopausal osteoporosis in patients with imminent fracture risk.

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