2010, Number 1
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Ortho-tips 2010; 6 (1)
Anabólicos óseos
Cisneros DF
Language: Spanish
References: 11
Page: 73-81
PDF size: 168.87 Kb.
ABSTRACT
Sodium fluoride was one of the first anabolic bone drugs, its action on the osteoblasts was well demonstrated, but it just works on the cancellus bone. However, on the cortical bone it retards the mineralization process, so it is not indicated in patients with osteoporosis because it increases the fracture risk. Parathyroid hormone family peptides helps both, cancellous bone and cortical bone formation, but it should be managed very carefully in patients with urolithiasis, cancer in the bones, and Paget’s disease. No often that its main action is on cancellous bone, it also improves the cortical. Strontium ralenate is another anabolic bone that stimulates osteogenesis and also it has been reported that inhibits the action of osteoclasts, reason why it is inferred that decouples favorably the turnover in patients with osteoporosis. Side effects are mild, but one disadvantage is its high cost.
REFERENCES
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Reginster JY, Seeman E, De Vernejoul MC, Adami S, Compston J, Phenekos C, et al. Strontium Ranelate reduces the risk of nonvertebral fractures in postmenopausal women with osteoporosis: Treatment of peripheral osteoporosis (TROPOS) study. J Clin Endocrinol Metab 2005; 90(5): 2816-2822.