McMaster University, 1200 Main Street West, Hamilton, ON L8N 3Z5, Canada.
University of Toronto, 200 Elizabeth Street, 7 Eaton North Room 221, Toronto, ON M5G 2C4, Canada.
Endocrinol Metab Clin North Am. 2017 Mar;46(1):181-192. doi: 10.1016/j.ecl.2016.09.009. Epub 2016 Nov 25.
Postmenopausal osteoporosis is associated with microarchitectural deterioration and increased risk of fracture. Osteoporosis therapy effectively reduces the risk of vertebral, nonvertebral, and hip fracture and has been associated with increased survival. Currently approved treatments for osteoporosis include bisphosphonates, denosumab, selective estrogen receptor modulators, and teriparatide. This article reviews the adverse events of therapy associated with these medical interventions. Hormone replacement therapy is not included, because it is no longer indicated for the treatment of osteoporosis in all countries. Calcitonin and strontium ranelate are also not included, because their indication for osteoporosis has recently been limited or withdrawn.
绝经后骨质疏松症与微结构恶化和骨折风险增加有关。骨质疏松症治疗可有效降低椎体、非椎体和髋部骨折的风险,并与生存率的提高相关。目前批准用于治疗骨质疏松症的药物包括双膦酸盐、地舒单抗、选择性雌激素受体调节剂和特立帕肽。本文综述了与这些医学干预措施相关的治疗不良反应。不包括激素替代疗法,因为在所有国家,它不再用于治疗骨质疏松症。降钙素和雷奈酸锶也不包括在内,因为它们治疗骨质疏松症的适应证最近已被限制或撤销。