Drug-Related Adverse Events of Osteoporosis Therapy

Endocrinol Metab Clin North Am. 2017 Mar;46(1):181-192. doi: 10.1016/j.ecl.2016.09.009. Epub 2016 Nov 25.

Abstract

Postmenopausal osteoporosis is associated with microarchitectural deterioration and increased risk of fracture. Osteoporosis therapy effectively reduces the risk of vertebral, nonvertebral, and hip fracture and has been associated with increased survival. Currently approved treatments for osteoporosis include bisphosphonates, denosumab, selective estrogen receptor modulators, and teriparatide. This article reviews the adverse events of therapy associated with these medical interventions. Hormone replacement therapy is not included, because it is no longer indicated for the treatment of osteoporosis in all countries. Calcitonin and strontium ranelate are also not included, because their indication for osteoporosis has recently been limited or withdrawn.

Keywords: Atypical femoral fractures; Bisphosphonates; Denosumab; Osteonecrosis of the jaw; Raloxifene; Teriparatide.

Publication types

  • Review

MeSH terms

  • Bone Density Conservation Agents / adverse effects*
  • Denosumab / adverse effects*
  • Diphosphonates / adverse effects*
  • Female
  • Fractures, Bone / prevention & control
  • Humans
  • Osteoporosis, Postmenopausal / drug therapy*
  • Teriparatide / adverse effects*

Substances

  • Bone Density Conservation Agents
  • Diphosphonates
  • Teriparatide
  • Denosumab