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Types of Osteoporosis Medications

Different medications for postmenopausal osteoporosis work in different ways to promote stronger bones. Antiresorptive medications slow the rate of bone loss. Medications in this category include:

• Bisphosphonates
• Calcitonin
• Estrogen therapies
• Estrogen agonists/antagonists.

Anabolic medications form new bone. A type of parathyroid hormone (PTH) is currently the only medication in this category.

Bisphosphonates are the most widely prescribed osteoporosis medications. If you don’t take your bisphosphonates as prescribed, you may not get the bone-protecting benefits you need. That's why it’s so important to follow your doctor’s directions precisely.

Directions for using bisphosphonates vary by brand. Many are taken as a pill daily, weekly or monthly, first thing in the morning, on an empty stomach. The patient usually has to remain upright for 30 to 60 minutes, and may not eat or drink beverages for up to an hour. Other forms of bisphosphonates must be given intravenously.

Research now shows that missing osteoporosis medication doses can affect bone health. In order to help reduce the risk of fracture and get the full benefit of treatment, it's important to take medication as prescribed by your doctor.

Maximize Your Osteoporosis Treatment

Here are several things you can do to get the most from your medication:

• Take it as directed. As much as possible, take your osteoporosis medication according to the directions.
• Speak up if you’re not sticking with it. If you’re finding it difficult to take your medication as prescribed, don’t feel guilty—feel motivated. Reach out to your doctor and explain the trouble you’re having. He or she may have some advice that can help.
• Follow diet and exercise guidelines. Nutrition and exercise have an impact on your bone health. In addition to taking your medication, make sure you’re also getting enough calcium, vitamin D, and exercise.
• Monitor your progress. Get routine bone density tests. They can help you and your doctor see how well your osteoporosis management plan is working.