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Health Q&A with Dr Rist: osteoporosis medicationCreated by Charlotte in Being You, Health and fitness, Q&A's
منتديات البورصة السعوديه خيار ثنائي تسعير التفوق Sometimes we like to help provide you with advice for other areas of your life – not just being a grandmother, physician so have invited Dr Susannah Rist, to do series of Q&A sessions with you on different health topics.
برنامج الرسم البياني خيار ثنائي Dr Susannah Rist MBChB, BSc(Hons), MRCGP, DRCOG qualified in 2003 from Bristol University Medical School. She initially trained to be a hospital doctor, working in various medical specialities including cardiology, respiratory medicine and care of the elderly. She also worked in A&E for a year dealing with emergency cases and then decided to switch to general practice and has enjoyed working as a GP for 5 years. She currently works in a busy practice in London.
Q. Please could you give some information on osteoporosis: possible medications and effectiveness and if they are rationed as a result of cost?
jobba hemma telefon A. Osteoporosis is a condition affecting the strength of bones. As it progresses, bones become more brittle and can be more prone to breaking. Approximately 3 million people in the UK suffer with osteoporosis and therefore, it is a condition that I see in my surgery frequently.
لعبة بيع وشراء الاسهم للايفون It can affect both sexes, but is much more common in women, and in particular, post-menopausal women. Before the menopause, female hormones protect the bones, but after the menopause, hormone levels drop and bones can become more fragile.
القاموس خيار ثنائي The most common bones that can become more likely to break are the wrist, the spine and the hips.
It is therefore important for us doctors to pick it up, and to have treatment if necessary.
There are a few things that make it more likely that someone will develop osteoporosis.
These are: if your mother had osteoporosis, if you had a premature menopause below the age of 45, if you are underweight, if you have taken long courses of steroids by mouth or strong steroid inhalers long-term and having certain other medical conditions (eg rheumatoid arthritis, hyperthyroidism and kidney disease.)
If you think you might be at risk of osteoporosis, it is worth seeing your doctor. Your doctor may suggest having a bone density scan (or DXA scan).
These are useful for telling us just how strong your bones are. You will be told afterwards either that your bones are normal, that they have early changes (osteopenia) or that you do have osteoporosis.
Your doctor is likely to offer treatment if you are in the osteoporosis category. If you have early changes, they may suggest calcium and vitamin D supplements. These are not suitable for everyone but we use them in many people. It is now thought that dietary calcium can be just as important if not more important than using supplements and so it is important to include dairy products and fish in your diet. Vitamin D is absorbed through sunlight (which we haven’t seen much of) but you can buy over the counter supplements. It is possible to have blood tests to check your calcium and vitamin D levels and your doctor may suggest this.
Drugs called bisphosphonates are the first drugs doctors will suggest (the most common one is Alendronate.). They work very effectively and are usually taken once a week by mouth although there are some that are given once a month by mouth and some given into a vein through a drip.
If bisphosphonates are not suitable for you or you have side effects from them then we use a drug called Strontium. We sometimes use Strontium initially if people have very severe osteoporosis on their bone density scans. Raloxifene is an alternative drug that we sometimes use. It is only suitable for women.
With regards to rationing, the oral drugs are used more frequently as the intravenous ones are not as suitable for most people but they are all available throughout the NHS. The drug that is most suitable for you would be chosen by your doctors.
اساسيات الفوركس By Dr Susannah Rist