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Title 骨粗鬆症治療薬の有効性と位置づけ
Subtitle 特集 健康寿命延伸のための最新知識 サルコペニア×フレイル×骨粗鬆症の予防と治療 骨粗鬆症の治療と二次性骨折予防
Authors 岩本潤
Authors (kana)
Organization 慶友整形外科病院骨関節疾患センター
Journal 月刊薬事
Volume 65
Number 2
Page 288-293
Year/Month 2023 / 2
Article 報告
Publisher じほう
Abstract 「Key Point」●閉経後骨粗鬆症に対しては, 基本的には, 骨吸収抑制薬(経口製剤)が第一選択薬であり, 点滴・静注ビスホスホネートや皮下注デノスマブなどの注射製剤は代替薬である. ●70歳未満では椎体骨折の抑制効果のある薬剤が, 70歳以上では椎体骨折および大腿骨近位部骨折の抑制効果のある薬剤がよい適応となる. ●骨折の危険性の高い骨粗鬆症に対しては, 骨形成促進薬の適応があり, 骨形成促進薬で治療後は, 骨吸収抑制薬への逐次療法を行う. ●各薬剤の安全性や骨折抑制効果に加えて, 患者の年齢, 骨折リスク, アドヒアランス(治療継続の可能性)などを考慮し, 薬剤選択を考えることが重要である.
Practice 薬学
Keywords
  • 全文ダウンロード: 従量制、基本料金制の方共に803円(税込) です。

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