Kidney and Metabolic Bone Diseases Vol.17 No.2(8)

Theme Menopausal derangement in bone metabolism
Title Bisphosphonates for treatment of postmenopausal osteoporosis
Publish Date 2004/04
Author Yasuhiro Takeuchi Division of Endocrinology and Nephrology, Department of Medicine, University of Tokyo School of Medicine
[ Summary ] According to the recommendations based on analyses from a WHI study, hormone replacement therapy (HRT) is now not a principal therapeutic strategy for postmenopausal osteoporosis. Bisphosphonate, as a bone specific drug, emerges as a more important therapeutic tool for postmenopausal osteoporosis. Bisphosphonates strongly inhibit bone resorption and increase bone mineral density, thus reduce osteoporotic fractures in postmenopausal women. Based on several clinical mass studies, bisphosphonates, such as alendronate and risedronate, have been established as standard therapies for postmenopausal osteoporosis. Furthermore, their clinical benefits for treatment of renal osteodystrophy, another important metabolic bone disease, are currently under investigation.
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