Traitements médicamenteux séquentiels de l’ostéoporose [Sequential drug treatments for osteoporosis]

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Název: Traitements médicamenteux séquentiels de l’ostéoporose [Sequential drug treatments for osteoporosis]
Autoři: Lamy, O., Meier, C., Everts-Graber, J., Ferrari, S.
Zdroj: Revue medicale suisse, vol. 21, no. 914, pp. 783-787
Informace o vydavateli: 2025.
Rok vydání: 2025
Témata: Humans, Osteoporosis/drug therapy, Osteoporosis/complications, Bone Density Conservation Agents/administration & dosage, Bone Density Conservation Agents/therapeutic use, Denosumab/administration & dosage, Denosumab/therapeutic use, Diphosphonates/administration & dosage, Diphosphonates/therapeutic use, Osteoporotic Fractures/prevention & control, Teriparatide/administration & dosage, Drug Administration Schedule, Antibodies, Monoclonal
Popis: Osteoporosis is a chronic disease requiring lifelong treatment, both non-pharmacological and pharmacological. If life expectancy is long enough, drug treatment must be sequential and adapted to the risk of fracture and to comorbidities. With other treatments than bisphosphonates, sequences are mandatory. When denosumab is stopped, bisphosphonates reduce the rebound effect and limit the risk of vertebral fractures. Osteoanabolic treatments are used for 12 (romosozumab) to 24 months (teriparatide). Their anti-fracture benefits can be maintained with subsequent antiresorptive treatment (bisphosphonates, denosumab), which is an integral part of the management of patients pre-treated with an osteoanabolic agent. Regular monitoring is necessary to assess whether drug treatment should be interrupted, continued, or extended. The aim is to preserve bone health into old age and prevent fractures.
Druh dokumentu: Review
Popis souboru: application/pdf
Jazyk: French
Přístupová URL adresa: https://serval.unil.ch/resource/serval:BIB_4E78F1166BD1.P001/REF.pdf
https://serval.unil.ch/notice/serval:BIB_4E78F1166BD1
http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_4E78F1166BD12
Rights: CC BY NC ND
Přístupové číslo: edsair.od......1900..133fa55ea41e1e999842855fab58732c
Databáze: OpenAIRE
Popis
Abstrakt:Osteoporosis is a chronic disease requiring lifelong treatment, both non-pharmacological and pharmacological. If life expectancy is long enough, drug treatment must be sequential and adapted to the risk of fracture and to comorbidities. With other treatments than bisphosphonates, sequences are mandatory. When denosumab is stopped, bisphosphonates reduce the rebound effect and limit the risk of vertebral fractures. Osteoanabolic treatments are used for 12 (romosozumab) to 24 months (teriparatide). Their anti-fracture benefits can be maintained with subsequent antiresorptive treatment (bisphosphonates, denosumab), which is an integral part of the management of patients pre-treated with an osteoanabolic agent. Regular monitoring is necessary to assess whether drug treatment should be interrupted, continued, or extended. The aim is to preserve bone health into old age and prevent fractures.