Aust Prescr
2016[Apr]; 39
(2
): 40-6
PMID27340321
show ga
Osteoporotic fractures are common resulting in increased morbidity and mortality.
Exercise can help prevent osteoporosis. It can also benefit patients with
osteoporosis, but the exercises must be tailored to the patient. Most Australians
should be able to obtain adequate calcium in their diet and vitamin D from the
sun. Supplements may be needed in some patients and they are recommended for use
with other drugs for osteoporosis. Bisphosphonates, and in some patients
denosumab, are first-line drugs for osteoporosis. Raloxifene and strontium
ranelate can be considered in patients who cannot take bisphosphonates or
denosumab. Teriparatide is reserved for patients with severe osteoporosis and the
use of strontium ranelate is declining because of cardiovascular safety concerns.