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- W1970176711 abstract "Glucocorticoid-induced osteoporosis (GIOP) is one of the most devastating side-effects of glucocorticoid (GC) use, as it is associated with an increased fracture risk. The importance of GIOP as a health problem is underlined by the frequent use of GC treatment in patients with various chronic diseases and by the high rates of osteoporosis found in these patient groups.Recent studies on bone metabolism and the influence of GCs have contributed to a better understanding of the pathogenesis of GIOP. Furthermore, new intervention trials have reported beneficial effects of antiresorptive and anabolic agents on GIOP. This article reviews the epidemiology and pathophysiology of osteoporosis and fractures in GC-treated patients and discusses current pharmacotherapy and possible future treatment options.Several guidelines for the management of GIOP have been published, using different criteria for bone mineral density (BMD) thresholds and for GC dosages above which anti-osteoporotic therapy should be started. Although alendronate and risedronate are currently first choice, the anabolic agent teriparatide seems to be superior and might be considered as a potential first-line therapy for patients with low BMD on long-term GC treatment. Adherence to anti-osteoporotic drugs is limited, particularly in GIOP patients, due to several factors." @default.
- W1970176711 created "2016-06-24" @default.
- W1970176711 creator A5022309914 @default.
- W1970176711 creator A5052367684 @default.
- W1970176711 creator A5075695885 @default.
- W1970176711 date "2013-01-14" @default.
- W1970176711 modified "2023-10-16" @default.
- W1970176711 title "Glucocorticoid-induced osteoporosis: an update on current pharmacotherapy and future directions" @default.
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- W1970176711 doi "https://doi.org/10.1517/14656566.2013.761975" @default.
- W1970176711 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23317448" @default.
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