Reginster J Y
Service de Santé Publique, Epidémiologie, Economie de la Santé, CHU Sart Tilman, Liège, Belgique.
Rev Med Liege. 2006 Nov;61(11):783-6.
Ibandronate is a nitrogen-containing bisphosphonate which has been shown to reduce vertebral fracture rates, when given orally either daily or intermittently. Non-vertebral antifracture efficacy of ibandronate has been derived from a post-hoc analysis focusing on patients at high risk of developing non-vertebral fractures (low bone mineral density at the femoral neck). Once-monthly administration of oral ibandronate has been linked to significantly greater increases in bone mineral density, at the spine, hip and femoral neck, compared to daily formulation. This monthly formulation has a safety profile similar to the one observed with the daily administration of the compound. Adherence to monthly bisphosphonates appears to be significantly higher than for daily or weekly administration.
伊班膦酸钠是一种含氮双膦酸盐,已证实无论是每日口服还是间歇性口服,它均可降低椎体骨折发生率。伊班膦酸钠对非椎体骨折的抗骨折疗效来自一项事后分析,该分析聚焦于发生非椎体骨折风险较高(股骨颈骨矿物质密度低)的患者。与每日剂型相比,每月口服一次伊班膦酸钠可使脊柱、髋部和股骨颈的骨矿物质密度显著增加。这种每月剂型的安全性与每日服用该化合物时观察到的安全性相似。每月服用双膦酸盐的依从性似乎明显高于每日或每周服用。