Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Internal Medicine
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Patient's Query
Hello doctor,
My mother is 60 years old. She is being treated for osteoporosis currently for which we are already consulting a specialist. I am attaching a few other reports which would request you to evaluate the same and let me know your interpretation and concerns and treatments if any. For cholesterol and kidney levels findings what should she do? Regarding osteoporosis (revealed through DEXA scan), she has been advised Terifrac injection 20 mg (8 units) daily for a year plus a calcium supplement. What are the side effects of Terifrac at her age and with regards to her other reports, especially ones related to kidney, creatinine, etc.? Is it safe to use for her? Any suggestion for her rheumatoid results? My mother also is under medication for BP. Currently, her BP was 130/8. Should she continue with her dose of Losacar H one per day or modify the same?
Hello,
Welcome to icliniq.com.
I have checked the attached reports thoroughly (attachment removed to protect patient identity). Here is my comment:
Fortunately, there are no autoimmune rheumatoid arthritis or SLE (systemic lupus erythematosus) as both ANA and anti-CCP are negative. Unfortunately, the DEXA scan shows there are osteoporotic changes that increase the risk of fracture and require treatment. Calcium supplements and Terifrac (Teriparatide) are suitable medications for osteoporosis. Terifarc may cause some depression, gastric upset or muscle weakness, but generally, it is well tolerated by postmenopausal women. There is no rheumatoid arthritis. Her blood pressure is well controlled and there is no need to change the medication.
Regarding the kidney function, it is a high normal level with evidence of hydration (could be the effect of Losacar H). So, I recommend good hydration and follow-up of renal functions after two weeks. I have noticed that she has anemia as well as high cholesterol levels which require medication to be controlled. Her blood sugar level is normal. Best wishes.
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Internal Medicine
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