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Picking the Right Osteoporosis Medicine for You

Here are 6 types of osteoporosis medicine to consider.
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No. 1: Bisphosphonates: Fosamax, Actonel, Boniva, Zoledronic Acid (Reclast or Zometa) continued...

"Boniva has not yet been shown to reduce hip fractures, and that's a concern," she adds.

Reclast or Zometa increase bone mineral density and have been shown to reduce spine fractures and hip fractures -- with the reduced spine fracture risk sustained over three years. According to the manufacturer, Reclast also reduces fractures of the wrist, arm, leg, and rib. Reclast has been shown to reduce mortality in people who have already had hip fractures, Thacker tells WebMD.

The Dosing Options: There's lots of flexibility in taking bisphosphonates -- depending on whether you want to take osteoporosis medicine daily, weekly, monthly -- or get a once-a-year intravenous (IV)treatment in your doctor's office.

The options:

  • Fosamax can be taken daily or weekly in pill form.
  • Liquid Fosamax can be taken weekly.
  • Actonel can be taken daily, weekly, or monthly.
  • Boniva can be taken once a day or monthly in pill form.
  • An intravenous (IV) form of Boniva can be given once yearly.
  • Reclast or Zometa is a once-yearly IV infusion treatment.

An IV infusion involves a needle in your arm and a drip bag -- just like you get in a hospital. While it may sound like a slightly extreme way to get a medication, it has its advantages. "The IV drug goes directly to the bone, bypassing the GI tract entirely," Scopelitis says.

The procedure itself takes about five minutes for Boniva and 15 minutes for Reclast -- and you're done for the year. "It can be a practical option for some patients," Tanner says.

The Pill Regimen: Taking osteoporosis medicine in pill form is serious business. You don't just pop the pill. You must follow specific guidelines.

  • The drugs must be taken first thing in the morning -- on an empty stomach.
  • You cannot sit or lie down after taking it.
  • You cannot eat or drink anything.
  • You must wait for 30 to 60 minutes for the body to absorb the medicine.
  • When that time period is over, you can take other medications.

The longer you wait before putting something in your stomach, the better chance the osteoporosis medicine will be absorbed. "Your stomach has to be empty," says Scopelitis. "You have to make sure there is no competition in the GI tract for the drug." You can take other medications later that morning -- but not before taking the osteoporosis medicine.

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Osteoporosis Glossary

  • Bone Mineral Density - A measurement of the amount of calcium and minerals in bone tissue.
  • Calcium - A mineral in (and vital to) your bones. If your body lacks calcium, it takes it from bones.
  • DEXA (dual energy X-ray absorptiometry) - a test used to measure bone mineral density.
  • Osteoporosis - A decrease in bone density, which increase the risk of fractures.
  • Vitamin D - A vitamin that helps your body absorb calcium.
  • View All Terms

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