Bridging the Gap: Comprehensive Osteoporosis Care in Primary Practice-Section 3

Video Transcription

Video Summary

The video focuses on management strategies for osteoporosis, particularly selecting appropriate drugs and evaluating treatment efficacy. Key points include:<br /><br />1. <strong>Drug Selection</strong>: Options include oral and IV bisphosphonates, and denosumab, chosen based on risk and patient preference.<br /><br />2. <strong>Monitoring</strong>: Annual assessments evaluate adherence, side effects, and lifestyle factors. Bone density tests aren't necessarily yearly but should be regular.<br /><br />3. <strong>Fluctuating Bone Density</strong>: If stable or increasing, a bisphosphonate holiday may be considered. If decreasing, switch to more potent or alternative therapies.<br /><br />4. <strong>High-Risk Patients</strong>: Start with anabolic therapies like teriparatide for those with prior fractures, then follow with antiresorptives like denosumab.<br /><br />5. <strong>Lifestyle Modifications</strong>: Encourage smoking cessation, moderate alcohol intake, and fall prevention strategies. Supplement diet with calcium and vitamin D.<br /><br />The approach is individualized and algorithmic, focusing on optimizing bone health and preventing fractures.

Keywords

osteoporosis management

drug selection

bone density monitoring

anabolic therapies

lifestyle modifications