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Bone: alendronate has been linked in long-term users to the development of low-impact femoral fractures. [15] Further, studies suggest that users of alendronate have an increase in the numbers of osteoclasts and develop giant, more multinucleated osteoclasts; the significance of this development is unclear. [ 16 ]
This may become useful in therapies against malignancies like multiple myeloma. [5] In 2018, a dendritic bisphosphonate was introduced containing three bisphosphonate units. It has shown potential for bone specific delivery of large therapeutic molecules by taking advantage of the high affinity of bisphosphonates to the bone minerals [6]
Alendronic acid/colecalciferol, sold under the brand name Fosamax Plus D among others, is a medication for the treatment of osteoporosis in men or in postmenopausal women. [3] [2] [4] [6]
In osteoporosis and Paget's, the most popular first-line bisphosphonate drugs are alendronate and risedronate. If these are ineffective or if the person develops digestive tract problems, intravenous pamidronate may be used. Strontium ranelate or teriparatide are used for refractory disease.
For those with osteoporosis but who have not had a fracture, evidence does not support a reduction in fracture risk with risedronate [6] or etidronate. [11] Alendronate decreases fractures of the spine but does not have any effect on other types of fractures. [5] Half stop their medications within a year. [174]
With oral osteoporosis, the emphasis should be on good nutrient absorption and metabolic wastes elimination through a healthy gastro-intestinal function, effective hepatic metabolism of toxicants such as exogenous estrogens, endogenous acetaldehyde and heavy metals, a balanced diet, healthy lifestyle, assessment of factors related to potential ...
After all, taking an iron supplement may be an effective way to resolve some common symptoms of an iron deficiency—especially if changes to your diet haven’t been enough to improve symptoms ...
The median effective dose is the dose that produces a quantal effect (all or nothing) in 50% of the population that takes it (median referring to the 50% population base). [6] It is also sometimes abbreviated as the ED 50, meaning "effective dose for 50% of the population". The ED50 is commonly used as a measure of the reasonable expectancy of ...