What is safer Fosamax or Boniva?

Based on several studies, we know that Fosamax also reduces the risk of hip fractures and nonvertebral fractures. But we aren't quite sure whether Boniva reduces the risk of hip or nonvertebral fractures. Because of this, clinical guidelines generally recommend Fosamax over Boniva.
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What is the safest pill to take for osteoporosis?

Bisphosphonates are usually the first choice for osteoporosis treatment. These include: Alendronate (Fosamax), a weekly pill. Risedronate (Actonel), a weekly or monthly pill.
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What is the safest drug for osteopenia?

There are several medications which can be effective in reducing bone loss, but these all come with the risk of side effects as well. Currently, the only drugs approved for osteopenia (osteoporosis prevention) are Actonel and Evista.
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What is the best and safest treatment for osteoporosis 2022?

Risedronate – Risedronate (brand names: Actonel, Atelvia) reduces the risk of both vertebral and hip fractures. Risedronate is approved for both prevention and treatment of osteoporosis. It can be taken once per day, once per week, or once per month.
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Is alendronate better than ibandronate?

Conclusions: The increases in lumbar spine and total body BMD were greater with ibandronate and alendronate than with risedronate. Treatment effects on peripheral measurements did not differ between the three bisphosphonates.
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FDA Urges Caution Over Long-Term Use of Bone-Density-Building Drugs



Why was Boniva taken off the market?

There are concerns about the long-term safety of bisphosphonates (such as Boniva) as long-term use has been associated with atypical femur fractures, osteonecrosis of the jaw, and esophageal cancer. The risk of osteonecrosis of the jaw is greater in those who have received chemotherapy, radiation, or steroids.
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Is Fosamax worth the risk?

Fosamax may also be used to treat adverse skeletal effects caused by some cancers. Some studies have shown that Fosamax may be more effective than other bisphosphonates such as risedronate at increasing bone mineral density and reducing bone turnover without a higher risk of side effects.
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What is the newest treatment for osteoporosis?

Romosozumab (Evenity).

This is the newest bone-building medication to treat osteoporosis. It is given as an injection every month at your doctor's office and is limited to one year of treatment.
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Can osteoporosis be reversed without Fosamax?

Can osteoporosis be reversed without medications? Your doctor diagnoses osteoporosis based on bone density loss. You can have different degrees of the condition, and catching it early can help you prevent the condition from worsening. You cannot reverse bone loss on your own.
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What are the two medications that may cause osteoporosis after long term use?

High doses or long-term use of medicines called proton pump inhibitors (PPIs) can raise the risk of bone loss. PPIs, such as esomeprazole, lansoprazole, and omeprazole, are used for GERD (acid reflux), peptic ulcer, or heartburn. However, getting enough calcium and vitamin D may be enough to lower the risk.
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How can I increase my bone density after 60?

5 ways to build strong bones as you age
  1. Think calcium. Women up to age 50 and men up to age 70 need 1,000 milligrams daily; women over 50 and men over 70 should get 1,200 milligrams daily.
  2. And vitamin D. ...
  3. Exercise. ...
  4. Don't smoke. ...
  5. Drink alcohol moderately, if at all. ...
  6. Remember protein. ...
  7. Maintain an appropriate body weight.
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Which is worse osteopenia or osteoporosis?

Osteoporosis is the more serious progression of osteopenia. As bone density decreases, the honeycomb-like structure inside your bones becomes even more porous. The more open spaces there are inside your bones, the more density and strength they lose.
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What is the best and safest natural treatment for osteoporosis?

While more scientific research is needed on the subject, some herbs and supplements are believed to reduce or potentially stop the bone loss caused by osteoporosis.
  • Red clover. Red clover is thought to contain estrogen-like compounds. ...
  • Soy. ...
  • Black cohosh. ...
  • Horsetail. ...
  • Acupuncture. ...
  • Tai chi. ...
  • Melatonin.
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Is Boniva well tolerated?

In conclusion, 150-mg monthly oral ibandronate is an effective and well-tolerated long-term treatment for postmenopausal osteoporosis, with consistent improvement in BMD and bone turnover during 3 years' continuous treatment.
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Is brand Fosamax better than generic?

Investigations have reported a lower persistence to therapy with generic brands of alendronate as compared to brand bisphosphonates and patients switched from brand to generic alendronate have increased adverse event rates and losses in bone mineral density.
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Is Fosamax a recall?

Sun Pharma announced a recall of Alendronate Sodium Tablets 70mg, the generic version of Merck's Fosamax due to stability results. Alendronate Sodium is a bisphosphonate indicated for the treatment and prevention of osteoporosis in postmenopausal women.
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How long should you take Boniva for osteoporosis?

Boniva may be taken long term for osteoporosis. If your doctor determines that your risk of bone fracture is low, they may recommend that you stop taking Boniva after 3 to 5 years of treatment. This is because the safety and effectiveness of Boniva when taken for longer than 3 years isn't known.
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Can you gain bone density back?

While you can never regain the bone density you had in your youth, you can help prevent rapidly thinning bones, even after your diagnosis.
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Does walking increase bone density?

By simply taking regular brisk walks, you can improve your bone density and reduce your risk of hip fractures.
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Which is better Fosamax or Prolia?

Fosamax (alendronate) is a first-choice treatment for osteoporosis, but taking it can be a hassle. Prevents bone loss. Prolia (Denosumab) is an effective and convenient treatment for osteoporosis if other options haven't worked or aren't appropriate for you.
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What is the best doctor to see for osteoporosis?

Osteoporosis is caused by bone loss due to hormones, so you'd actually want to see an endocrinologist to manage your care. While orthopedists do deal with other issues of the bone like joint problems and bone injuries that are symptoms of osteoporosis, endocrinologists treat the root cause.
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Does Fosamax cause hair loss?

Dr. Roach: I found many case reports of hair loss after the use of alendronate (Fosamax) and similar drugs (a class called bisphosphonates).
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What are the negative effects of Fosamax?

Doctors prescribe Fosamax to prevent age-related bone damage. The drug can cause minor side effects including abdominal pain, acid regurgitation and constipation. In rare cases, people who take the drug may suffer from serious side effects such as femur fractures, jaw problems and esophageal ulcers.
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Is there a class action lawsuit against Fosamax?

2243 focuses on atypical femur fractures allegedly linked to Fosamax. As of April 2019, there were 256 cases pending in the MDL. Plaintiffs sued Merck after they took Fosamax and suffered femur fractures. According to legal documents, Fosamax contributes to fractures by increasing the mineral density of bone.
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