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Original Post: Osteoporosis Treatment Plan

Renee Pang	Posted: Fri Feb 05/10 11:18am
Please comment on: 1) Medical treatment: 2) P/T 3) O/T 4) Medical Education/ Nursing/Preventative Medicine

In terms of medical treatment,  I'm inclined to suggest a 5mg/day dose of alendronate as a preventive measure.  We aren't absolutely certain that she has osteoporosis or just osteopenia.  In the mean time,  I would suggest she under go DXA evaluation for a definitive diagnosis of her status.  I would also combine the alendronate with 1500mg of calcium and 800 IU of vitamin D.<br /><br />I would also suggest that she undergo an exercise program: this will help increase her bone mass as well as improving flexibility and strength to prevent falls.<br /><br />Should the test be positive for osteoporosis.  I would recommend either remaining on alendronate to maintain BMD and decrease the risk of fracture since the bisphosphonates are shown to be the most effective treatment.

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