Prescribing for Osteoporosis
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The Bisphosphonates is the most common drug class used for osteoporosis treatment; there are four drugs in this class. Review the following scenario to answer the questions provided:
Scenario:
You have a 58-year-old Asian patient that had a Dual-Energy X-Ray Absorptiometry (DEXA):
T score of -3.5 (hip), T score of -2.8 (spine). She also drinks 3 cups of tea daily, smokes ½ pack cigarettes x 25 years, BMI 20, + FH osteoporosis (mother), low calcium in diet, does walk a lot in daily life, no fragility fractures, no history steroids, no other meds.
Answer the following questions in a minimum of 175-300 words:
Which one of the bisphosphonate drugs would you recommend for her?
When should she have her next follow-up DEXA?
Would you offer any other specific medication(s)? Why or why not?
What do you believe are two priorities for patient education?
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