Osteoporosis Treatment Drugs

Dr. Shiv Kumar SumanMD - General MedicineRheumatologist

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In older females osteoporosis is common cause of chronic back pain which can be treated with drug treatment. There is long list of causes of back pain, among which very few are dangerous but curable if appropriately treated early. So an objective evaluation should be done at least once for warning sign. 

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Dr. Meha SharmaMD - General Medicine, DM - RheumatologyRheumatologist

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Your mother has multiple problems. 1. Pulmonary embolism, for which she needs to take anticoagulants. There are substitute drugs available (if she is having problems with warfarin). These drugs are either in injectable form (low molecular weight heparin injections) or tablets (newer anticoagulants). The safety profile of these drugs is better than warfarin and the do not need strict monitering like warfarin does. 2. Backbone compression and pelvic bone cracks could be due to osteoporosis (weak bones, sply in females after menopause). Osteoporosis in itself needs treatment (calcium, vit D and specific drugs). So discuss with your doctor in detail about osteoporosis, and secondary prevention of thrombosis (blood clotting and embolism). 

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Dr. Bhargav TrivediUICC International Fellow in Oncollogy , ESTRO certification in Head and neck oncology, MD - RadiothrapyOncologist

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Above the age of 65 ,role of chemotherapy is very limited. Hormone receptor positive disease respond well to hormonal treatment, including shrinkage of tumour. In advanced age, and advanced tumour, first goal is surgery, if at all it's possible, followed by Radiotherapy (if required) and hormonal treatment. I need to see PET CT report Histopatho and ER PR Her 2 report. Please send me for further review. 

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Dr. Sajeev KumarC.S.C, D.C.H, M.B.B.SGeneral Physician

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Idiopathic thrombocytopenic purpura (ITP) is a disorder that can lead to easy or excessive bruising and bleeding. The bleeding results from unusually low levels of platelets — the cells that help blood clot. Idiopathic thrombocytopenic purpura, which is also called immune thrombocytopenia, affects children and adults. Children often develop ITP after a viral infection and usually recover fully without treatment. In adults, the disorder is often long term.People with mild idiopathic thrombocytopenic purpura may need nothing more than regular monitoring and platelet checks. Children usually improve without treatment. Most adults with ITP will eventually need treatment, as the condition often becomes severe or long-term (chronic) ITP. Treatment may include a number of approaches, such as medications to boost your platelet count or surgery to remove your spleen (splenectomy). Talk with your doctor about the risks and benefits of your treatment options. Some people find that the side effects of treatment are more burdensome than the effects of the disease itself.Drugs that suppress your immune system. Your doctor will likely start you on an oral corticosteroid, such as prednisone. This drug may help raise your platelet count by decreasing the activity of your immune system. Once your platelet count is back to a safe level, you can gradually discontinue taking the drug under the direction of your doctor. In general, this takes about two to six weeks. The problem is that many adults experience a relapse after discontinuing corticosteroids. A new course of corticosteroids may be pursued, but long-term use of these medications isn't recommended because of the risk of serious side effects. These include cataracts, high blood sugar, increased risk of infections and thinning of bones (osteoporosis). If you try to attach reports it is not visible and you have to personally attach to me by going to private consult. 

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Dr. Karun GuptaBDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile DesignerDentist

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Ulcers occurred due to sharp edged tooth or some overhanging margin of a filling or crown. Mouth ulcer has so many causes. The most common associated cause is vit b12 deficiency, local trauma or apthous stomatitis. Local trauma includes rubbing on sharp edges, fillings, false teeth, dentures, orthodontic treatment eating rough foods like potato chips can cause ulcers thermal burns can happen after eating very hot foods or beverages in the mouth. Holding an strong concentrated medicine next to mucosa can cause ulcer a person undergoing radiotherapy develops ulcer recurrent apthous stomatitis is also associated with ulcers. Underlying cause is hematinic deficiency (folate, vitaminb, iron), stopping smoking, stress, mensturation, trauma, food allergies or hpersenstivity to sodiul lauryl sulphate found in toothpaste. Many infections are also associated with ulcers like chicken pox, herpetic stomatitis, anug, syphilis, tb many drugs can cause ulcers like alendronate (a bisphosphonate drug for osteoporosis, cytotoxic drugs, nsaids (pain killers), nicorandil for angina and propylthiouracil for hyperthyroidism. I have tried to elaborate as many causes as possible. The purpose is that" ulcer is not a disease but a symptom of may other disease, please try to find your problem, then the treatment can be started after that. We need to find the right cause before we can start over the treatment. For pain relief, you can apply a topical oral ulcer gel containing choline salicylate and lignocaine hcl. Aslo start warm saline rinses if the problem persist, you need to consult a dentist for more specific diagnosis and treatment would be tailored accordingly. 

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Dr. Rohini BvBAMS, YIC, DECAyurveda

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Hi, you can take calcium with vit d, and under go treatment, in ayurveda v have treatment called matra basti for more details you can consult me. 

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Dr. Sharath KumarDNB Rheumatology, Grad. Cert. Paed. Rheumat, MD - Paediatrics, MBBSRheumatologist

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Osteoporosis is very common in patients with rheumatoid arthritis. It also increases the risk of fall and thus the risk of fracture due to imbalance. It needs to be assessed by a rheumatologist and appropriate treatment needs to be provided. Please let me know where you are and I can provide the reference of a local rheumatolgist 

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