Treatment

Which of the following should you be aware of before considering drug treatment? (select allt

Family history

DXA score/t-score

Date of last menstrual period

Feedback: The date of your last cycle would not mean that you needed to consider medication. There are many other risk factors that go into making that decision, and family history and DXA T-score are just two of those.

If you are at LOW risk for fracture, what should you concentrate on to prevent bone loss?

Getting a bone density scan annually

Start taking a bisphosphonate

Calcium intake, vitamin D, and weight-bearing exercise

Which one of the drugs below is an example of a bisphosphonate?

Raloxifene

Forteo

Ibandronate

Calcitonin

Feedback: Raloxifene and Calcitoning can work as an anti-resorptive , but they are not bisphosphonates. Forteo is an anabolic agent.

Which of the side effects below can occur with a bisphosphonate?

headache

Heartburn

Infection

Fever

Feedback: Heartburn can be a common side effect and it is important to follow the instructions on the medication insert. This can minimize the chance of having heartburn or other digestive problems.

Which of the following medications are approved anabolic agent treatments approved by the FDA in the U.S.?

Denosumab(Prolia)

Teriparatide(Forteo)

Strontium Ranelate

Abaloparatide (TYMLOS)

Feedback: Forteo and Abaloparatide (TYMLOS) are the only FDA approved medications that actually build new bone in the body by stimulating the osteoblasts, or bone builder cells.

Feedback: It has been shown through studies that this class of drugs slows down the rapid bone turnover/breakdown that can contribute to excessive bone loss and therefore brings the bone remodeling process back into balance.

When talking with your doctor you should:

Make sure they answer all your questions

Be prepared with the American Bone Health handout "Talking with your doctor"

Tell them everything that could be affecting your bone health

All of the above

Feedback: Information is power and you will feel more involved with the decision you make if you are prepared to have this important discussion with your doctor. ABH is dedicated to providing the consumer with as much knowledge as possible.

It is important that patients advocate for their own bone health and be informed about their options.

True

False

Feedback: It is always best to go to the doctor armed with good information and questions to ask. ABH has handouts to guide you in doing both.

Treatment

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