Wada Seiki, Fukawa Takeshi, Kamiya Sadahiro
Josai International Univesity, Faculty of Pharmacetical Sciences, Department of Clinical Science.
Clin Calcium. 2008 Oct;18(10):1483-92.
Bisphosphonates are widely used, though gastrointestinal tolerance is a problem on daily administration. Intermittent regimen, from once weekly to once yearly, is now available in overseas and can overcome GI adverse events. New generation of anti-resorptive agents (anti-RANKL antibody and a new SERM, bazedoxifene) are promising and will be soon available for the treatment of osteoporosis. Anabolic agents such as teriparatide and strontium ranelate have marked effects on BMD and reduction on fracture risk. While none of these options is suitable for everyone, the range of future available therapies does mean that most patients can find an intervention that is effective and acceptable.
双膦酸盐类药物应用广泛,不过每日服用时胃肠道耐受性是个问题。从每周一次到每年一次的间歇给药方案目前在国外已可采用,且能克服胃肠道不良事件。新一代抗骨吸收药物(抗RANKL抗体和新型选择性雌激素受体调节剂巴多昔芬)前景看好,不久将可用于治疗骨质疏松症。诸如特立帕肽和雷奈酸锶等促合成代谢药物对骨密度有显著影响,并可降低骨折风险。虽然这些选择并非对每个人都适用,但未来可用治疗方法的范围确实意味着大多数患者能够找到一种有效且可接受的干预措施。