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Author: Admin | 2025-04-28
(Actonel, Atelvia), taken daily, weekly, or monthly injections of ibandronate (Boniva), given once every three months intravenous infusion of zoledronic acid (Reclast), given once a year. Your doctor will also consider where your bone loss is centered. Alendronate, risedronate, and ibandronate have all been shown effective for reducing spine fractures. For women with a history of hip or non-spinal fractures, alendronate and risedronate may be better options than ibandronate. If you have gastrointestinal problems like reflux, or if you can't sit or stand upright for the full 30 to 60 minutes required after taking an oral bisphosphonate, then your doctor may put you on an injection or infusion of these drugs, which works about as well as the oral versions. You might have read about risks associated with bisphosphonate drugs—particularly fractures of the thighbone (femur) and osteonecrosis (bone death) in the jaw. Though these concerns are real, they are more common in people taking intravenous bisphosphonates to treat cancer that has spread to the bones, or in women who are on long-term, high-dose bisphosphonates. Doctors acknowledge that the risk of these side effects also increases with long-term use of bisphosphonates, so most women take these drugs for about five years. The good news is that the bone-protective benefits continue even after you stop taking bisphosphonates. Other drug options For postmenopausal women who aren't starting with a bisphosphonate, or those who've already been on one for five years, here are a few other options. Raloxifene (Evista), a selective estrogen receptor modulator
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