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Journal of Pharmacy Practice
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New Therapies for Osteoporosis

Karly A. Hegge, PharmD, BCPS

Penn Avenue Internal Medicine, Drake University College of Pharmacy and Health Sciences, Des Moines, Iowa, South Dakota State University College of Pharmacy, 2205 Career Avenue, Sioux Falls, SD 57106, karly.hegge{at}sdstate.edu

Anisa S. Fornoff, PharmD

Community Support Advocates and Progress Industries, Drake University College of Pharmacy and Health Sciences, Des Moines, Iowa

Sheryl L. Gutierres, PharmD

La Clinica de la Esperanza, Drake University College of Pharmacy and Health Sciences, Des Moines, Iowa

Sally L. Haack, PharmD

Community Access Pharmacy, Drake University College of Pharmacy and Health Sciences, Des Moines, Iowa

Osteoporosis is a growing health concern in the United States, with an enormous impact on morbidity and mortality. Despite published guidelines to aid clinicians in its management, several controversies remain. Many trials evaluate surrogate measures of bone strength rather than more clinically relevant outcomes, including fracture. Furthermore, the role of combination and sequential therapy remains unclear. Limited data are available regarding appropriate duration of therapy, management of osteoporosis in men, and treatment of glucocorticoid-induced osteoporosis. The development of unique therapeutic agents could potentially revolutionize the treatment of osteoporosis. Once yearly zoledronic acid may provide advantages over existing therapies. Because of limitations with existing selective estrogen receptor modulators, the search for agents with better efficacy and safety profiles has led to the development of several new medications within this class. Finally, denosumab, a monoclonal antibody to receptor activator for nuclear factor-kappa B ligand, also represents a novel therapeutic option for osteoporosis.

Key Words: osteoporosis • bisphosphonates • zoledronic acid • selective estrogen receptor modulators • denosumab

This version was published on February 1, 2009

Journal of Pharmacy Practice, Vol. 22, No. 1, 53-64 (2009)
DOI: 10.1177/0897190008322247


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