title: Maximizing effectiveness of bisphosphonate therapy for osteoporosis.
abstract: While highly prevalent, osteoporosis is greatly underdiagnosed and undertreated in clinical practice. Even when appropriate treatments are prescribed, patient adherence to bisphosphonate therapy is low. As osteoporosis is a silent disease, and therapy is required for many months before benefit is realized, strategies to increase bone mineral density (BMD) and improve medication adherence are important aspects of every patient's care plan. Osteoporotic bone loss occurs without symptoms, and there are often no warning signs before a fracture occurs. Osteoporotic fractures are the most severe consequence of osteoporosis. Bisphosphonates are the most frequently prescribed treatment option for postmenopausal osteoporosis, as they effectively increase BMD, slow bone turnover, and reduce fracture rates. Strategies to improve adherence to osteoporosis therapy include reducing dosing frequency, changing the route of administration, educating the patient about optimum bisphosphonate administration, and sending patient reminders.
authors.affiliation: Planned Parenthood of Arkansas and Eastern Oklahoma Research Center, Tulsa, OK74105-7857, USA. mark.martens@ppaeo.org
authors.forename: Mark G
authors.initials: MG
authors.lastname: Martens
authors.forename: Howard
authors.initials: H
authors.lastname: Shaw
mesh_terms: D000284:Administration, Oral; D019386:Alendronate / Q000627:therapeutic use; D050071:Bone Density Conservation Agents / Q000627:therapeutic use; D004164:Diphosphonates / Q000627:therapeutic use*; D012968:Etidronic Acid / Q000031:analogs & derivatives / Q000627:therapeutic use; D005260:Female; D005598:Fractures, Spontaneous / Q000209:etiology; D006801:Humans; D007093:Imidazoles / Q000627:therapeutic use; D055118:Medication Adherence; D010024:Osteoporosis / Q000188:drug therapy*; D010817:Physician-Patient Relations; D000068296:Risedronic Acid; D012307:Risk Factors; D000077211:Zoledronic Acid
chemical_list: D050071:Bone Density Conservation Agents; D004164:Diphosphonates; D007093:Imidazoles; D000077211:Zoledronic Acid; D000068296:Risedronic Acid; D012968:Etidronic Acid; D019386:Alendronate