Can I take bisphosphonates long-term for osteoporosis at 55?

Question

Hello doctor,

I am a 55-year-old woman, recently diagnosed with osteoporosis after a dual-energy x-ray absorptiometry (DEXA) scan showed low bone density. I am worried because my mother had a hip fracture at my age. I want to know what lifestyle changes I can make beyond calcium and vitamin D. I also want to understand whether menopause and hormone therapy play a role in protecting bone health. Please tell me,

Are medications like bisphosphonates safe long-term?
Do they affect dental health?
Should I avoid certain exercises?
Is strength training actually recommended?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Osteoporosis after menopause occurs due to your estrogen decline, which increases fracture risk. Lifestyle changes are vital for you, and you can follow the nutrition tips mentioned below,

You have to ensure 1,000 to 1,200 milligrams (mg) of calcium and 800–1,000 internation unit (IU) of vitamin D daily intake through diet and supplements.
Weight-bearing and resistance training improve your bone strength.
You must avoid high-impact or twisting movements if your bones are fragile.

Fall prevention techniques for you are;

Remove hazards.
Use proper footwear.
Maintain good vision.

Medications that you can take are;

Bisphosphonates (a drug that prevents bone loss) are the first line of medicines, which reduce spine and hip fractures. Long-term use of this medicine is generally safe. Rare risks associated with it include jaw osteonecrosis and atypical femur fractures. This can be minimized by dental care and treatment breaks.
Hormone therapy, such as estrogen, can help your early postmenopause but is considered based on cardiovascular risk. Alternatives include Selective estrogen receptor modulators (SERMs), such as Denosumab or Teriparatide, for severe cases.

I hope this information helps you.

Feel free to ask further queries.

Thank you.