Calcium and vitamin D for corticosteroid-induced osteoporosis

Abstract

Calcium and vitamin D for corticosteroid-induced osteoporosis.

Case–Control Study on Prednisolone Combined With Ursodeoxycholic Acid and Azathioprine in Pure Primary Biliary Cirrhosis With High Levels of Immunoglobulin G and Transaminases

“…Providing prophylaxis, such as H 2 receptor antagonists, calcium tablets, and vitamin D and performing regular monitoring could prevent patients from developing side effects because of glucocorticoid use. 24 , 25 This suggestion is in accordance with the results of our study. Moreover, relevant studies 4 , 23 have indicated that the use of prednisolone alone without prophylaxis caused patients to suffer from hypertension, osteoporosis, and other adverse reactions, emphasizing the importance of preventive medications.…”

Case–Control Study on Prednisolone Combined With Ursodeoxycholic Acid and Azathioprine in Pure Primary Biliary Cirrhosis With High Levels of Immunoglobulin G and Transaminases

“…Providing prophylaxis, such as H 2 receptor antagonists, calcium tablets, and vitamin D and performing regular monitoring could prevent patients from developing side effects because of glucocorticoid use. 24 , 25 This suggestion is in accordance with the results of our study. Moreover, relevant studies 4 , 23 have indicated that the use of prednisolone alone without prophylaxis caused patients to suffer from hypertension, osteoporosis, and other adverse reactions, emphasizing the importance of preventive medications.…”

Review article: appropriate use of corticosteroids in Crohn’s disease

“…The judicious use of DEXA scanning helps identify patients at risk of fractures, albeit imperfectly 103 . Rapid bone loss occurs on commencing CS and co‐prescription of calcium and vitamin D has been shown to decrease this, at least for trabecular bone 104 . As this is a cheap and well‐tolerated treatment, we concur with the suggestion that it should be given to all patients with IBD while receiving CS 105 .…”

Use of bisphosphonates for the treatment of osteonecrosis as a complication of therapy for childhood acute lymphoblastic leukaemia (ALL)

“…Calcium and vitamin D supplementation is instinctively felt to be an appropriate response to a child with low bone density. However, there is no good evidence in clinical practice to support such an approach 23. Our experience did not demonstrate any clear clinical benefit of calcium and vitamin D supplementation, in the treatment of osteonecrosis.…”

Case–Control Study on Prednisolone Combined With Ursodeoxycholic Acid and Azathioprine in Pure Primary Biliary Cirrhosis With High Levels of Immunoglobulin G and Transaminases

“…Providing prophylaxis, such as H 2 receptor antagonists, calcium tablets, and vitamin D and performing regular monitoring could prevent patients from developing side effects because of glucocorticoid use. 24 , 25 This suggestion is in accordance with the results of our study. Moreover, relevant studies 4 , 23 have indicated that the use of prednisolone alone without prophylaxis caused patients to suffer from hypertension, osteoporosis, and other adverse reactions, emphasizing the importance of preventive medications.…”

Review article: appropriate use of corticosteroids in Crohn’s disease

“…The judicious use of DEXA scanning helps identify patients at risk of fractures, albeit imperfectly 103 . Rapid bone loss occurs on commencing CS and co‐prescription of calcium and vitamin D has been shown to decrease this, at least for trabecular bone 104 . As this is a cheap and well‐tolerated treatment, we concur with the suggestion that it should be given to all patients with IBD while receiving CS 105 .…”

Use of bisphosphonates for the treatment of osteonecrosis as a complication of therapy for childhood acute lymphoblastic leukaemia (ALL)

“…Calcium and vitamin D supplementation is instinctively felt to be an appropriate response to a child with low bone density. However, there is no good evidence in clinical practice to support such an approach 23. Our experience did not demonstrate any clear clinical benefit of calcium and vitamin D supplementation, in the treatment of osteonecrosis.…”

Case–Control Study on Prednisolone Combined With Ursodeoxycholic Acid and Azathioprine in Pure Primary Biliary Cirrhosis With High Levels of Immunoglobulin G and Transaminases

“…Providing prophylaxis, such as H 2 receptor antagonists, calcium tablets, and vitamin D and performing regular monitoring could prevent patients from developing side effects because of glucocorticoid use. 24 , 25 This suggestion is in accordance with the results of our study. Moreover, relevant studies 4 , 23 have indicated that the use of prednisolone alone without prophylaxis caused patients to suffer from hypertension, osteoporosis, and other adverse reactions, emphasizing the importance of preventive medications.…”

Review article: appropriate use of corticosteroids in Crohn’s disease

“…The judicious use of DEXA scanning helps identify patients at risk of fractures, albeit imperfectly 103 . Rapid bone loss occurs on commencing CS and co‐prescription of calcium and vitamin D has been shown to decrease this, at least for trabecular bone 104 . As this is a cheap and well‐tolerated treatment, we concur with the suggestion that it should be given to all patients with IBD while receiving CS 105 .…”

Use of bisphosphonates for the treatment of osteonecrosis as a complication of therapy for childhood acute lymphoblastic leukaemia (ALL)

“…Calcium and vitamin D supplementation is instinctively felt to be an appropriate response to a child with low bone density. However, there is no good evidence in clinical practice to support such an approach 23. Our experience did not demonstrate any clear clinical benefit of calcium and vitamin D supplementation, in the treatment of osteonecrosis.…”