2004
DOI: 10.1007/s11914-004-0011-5
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Intravenous bisphosphonate therapy for osteoporosis: Where do we stand?

Abstract: The use of oral bisphosphonates, particularly members of the aminobisphosphonate subclass, is well established for the treatment of osteoporosis. In a number of clinical settings, intravenous administration appears to be advantageous. However, current dosing and efficacy data are limited while definitive, long-term trials with some of these agents are ongoing. In this article, we review the available information and discuss the use of these drugs on that basis.

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Cited by 8 publications
(5 citation statements)
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References 60 publications
(56 reference statements)
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“…The reduction in activation frequency of bone remodeling units along bone surfaces and the coupling between bone resorption and formation result in a decrease in bone formation following treatment (1). Further more, it has been argued that such profound inhibition of bone turnover could be contributing to rare, but significant, clinical complications such as osteonecrosis of the jaw (ONJ) and atypical subtrochanteric femoral fractures (2)(3)(4)(5). The profound decrease in bone remodeling associated with these drugs has also been sug gested to decrease the responsiveness of the skeleton to parathy roid hormone (PTH), the only anabolic drug currently available in the clinic (6).…”
Section: Introductionmentioning
confidence: 99%
“…The reduction in activation frequency of bone remodeling units along bone surfaces and the coupling between bone resorption and formation result in a decrease in bone formation following treatment (1). Further more, it has been argued that such profound inhibition of bone turnover could be contributing to rare, but significant, clinical complications such as osteonecrosis of the jaw (ONJ) and atypical subtrochanteric femoral fractures (2)(3)(4)(5). The profound decrease in bone remodeling associated with these drugs has also been sug gested to decrease the responsiveness of the skeleton to parathy roid hormone (PTH), the only anabolic drug currently available in the clinic (6).…”
Section: Introductionmentioning
confidence: 99%
“…Thus, osteopenia is considered a major public health problem with high financial costs (Bravo et al, 1997), significant effects on quality of life (Dargent-Molina, 1998), and high mortality rates (Shin et al, 2010). Substantial efforts have been made to prevent or reduce bone loss, including the administration of calcitonin, calcium, and estrogen replacement (North American Menopause Society, 2002), as well as the use of anti-resorptive therapy, such as bisphosphonates (Bone & Schurr, 2004). However, the long-term administration of these drugs may result in gastrointestinal side effects, including gastric ulcers and reflux esophagitis (Abrahamsen, 2010).…”
mentioning
confidence: 99%
“…Available anti‐­resorptive drugs are efficient in inhibiting bone resorption but also have a profound inhibitory effect on bone formation [Nyman et al, ]. The decreased bone formation is thought to contribute to significant clinical complications (osteonecrosis of jaw and atypical sub‐­trochanteric fractures) [Bone and Schurr, ; Khan et al, ; Koh et al, ; Carvalho et al, ]. Current drugs also reduce the responsiveness of the skeleton to parathyroid hormone, the only anabolic drug currently available in the clinic [Black et al, ].…”
Section: The Dogmamentioning
confidence: 99%