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Gynaecology & Obstetrics General f4f43518

Non hormonal drug to prevent post menopausal osteoporosis is:

A
Alendronate
B
Estrogen
C
Raloxifene
D
Parathyroid
High-Yield Explanation
Alenderonate, etidronate, pamidronate, and Ibandronate are bisphosphonates which inhibit bone resorption, and are very effective for both osteoporosis prevention and treatment. Uses: • First line drugs for treating postmenopausal osteoporosis • Paget’s disease • Osteolytic bone metastasis. Caution: Patient should be instructed to take these drugs on an empty stomach with a large glass of water and then to remain upright for atleast 30 minutes as its major side effect is GI upset. Route of administration: Oral or IV infusion Now lets have a look at other options: • Raloxifene: It is a selective estrogen receptor modulator which is also useful in management of osteoporosis but it is a hormonal preparation. • Parathyroid hormone: It is a novel therapy for osteoporosis. Unlike most of the treatments for osteoporosis that inhibit bone resorption, parathyroid hormone stimulates new bone formation. It is given by daily subcutaneous injection. Also Know: Other non-hormonal drugs used for treatment of osteoporosis: a. Calcium b. Vitamin D c. Calcitonin d. Slow releasing sodium fluoride.

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