1) Should oral Bisphosphanates be preferred over intravenous ?
2) Will Bisphosphonates be sufficient in this case, or are Teriparatides needed ? Teriparatide injections in India are quite expensive and monthly treatments for a year will double her monthly spending.
3) A second opinion was taken from a family doctor and he suggested taking Teriparatide injections alone. Does that not seem wrong - since parathyriod hormone will also increase resorption if calcium is deficient in the body ?
Medications themselves can be classified as antiresorptive or bone anabolic agents. Teriparatide (Forteo) is also approved for the treatment of postmenopausal women who have severe osteoporosis and are considered at high risk for fractures. The medicine is given through daily shots underneath the skin and you can give these shots even at home. Another advantage is that it can be given in patients who cannot tolerate oral biphosphonate drugs.
if anyone has osteonecrosis in the future Teriparatide has shown case reports of disease reversal.
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