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Drugs that may harm bone: Mitigating the risk.

Cleveland Clinic journal of medicine
April 1, 2016
Faye N Hant et al. (2 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to highlight the adverse effects of certain medications on bone health and the role of calcium supplementation in mitigating these effects.

Results Summary

The study found that several medications negatively impact bone health, suggesting calcium and vitamin D supplementation, weight-bearing exercise, and osteoporosis-prevention treatment as countermeasures.

Population

Patients on glucocorticoids, proton pump inhibitors, SSRIs, certain antiepileptic drugs, or aromatase inhibitors.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Glucocorticoids
decrease
bone
patients
-
have significant adverse effects
#1
proton pump inhibitors
decrease
bone
patients
-
have significant adverse effects
#2
selective serotonin reuptake inhibitors (SSRIs)
decrease
bone
patients
-
have significant adverse effects
#3
certain antiepileptic drugs
decrease
bone
patients
-
have significant adverse effects
#4
aromatase inhibitors
decrease
bone
patients
-
have significant adverse effects
#5
calcium and vitamin D
increase
bone health
patients on these agents
-
supplement their intake
#6
weight-bearing exercise
increase
bone health
patients on these agents
-
encourage
#7
osteoporosis-prevention treatment
increase
bone health
patients on these agents
-
initiate
#8
Abstract

Glucocorticoids, proton pump inhibitors, selective serotonin reuptake inhibitors (SSRIs), certain antiepileptic drugs, and aromatase inhibitors have significant adverse effects on bone. Healthcare providers should monitor the bone health of patients on these agents, supplement their intake of calcium and vitamin D, encourage weight-bearing exercise, and initiate osteoporosis-prevention treatment as indicated.

Medical Subject Headings (MeSH)
AnticonvulsantsAromatase InhibitorsBone DensityCalciumDietary SupplementsGlucocorticoidsHumansOsteoporosisProton Pump InhibitorsRisk FactorsSelective Serotonin Reuptake InhibitorsVitamin DVitamins
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality60/10
Citation Metrics
Total Citations14
Citations/Year1.6
Relative Citation Ratio0.74
NIH Percentile39.4%
Research Impact Scores
APT Score0.50
Weight Score1.53
Normalized Score0.60
Related Supplements
Drugs that may harm bone: Mitigating the risk. | Panacea Index