• Clinical calcium · Apr 2005

    Review

    [Management of glucocorticoid-induced osteoporosis].

    • Satoshi Soen.
    • Department of Orthopaedic Surgery and Rheumatology, Nara Hospital, Kinki University School of Medicine, USA.
    • Clin Calcium. 2005 Apr 1; 15 (4): 616-24.

    AbstractOsteoporosis is the most frequent adverse effect observed during glucocorticoids therapy. The 2004 edition of the guideline on the management and treatment of glucocorticoid-induced osteoporosis has been proposed by The Japanese Society for Bone and Mineral Research. The subjects were patients with using or planning to use oral glucocorticoids for 3 months or longer. The criterion for starting treatment consisted patients with prior fragility fracture and with new fractures during treatment, patients with less BMD than %YAM80, and patients with using as a dose of 5 mg/day or higher (mean daily dose) as prednisolone equivalent. The Bisphosphonates have been recommended as first-line drugs. Active vitamin D3 and vitamin K2 have been recommended as second-line drugs.

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