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Glucocorticoid-Induced Osteoporosis: What You Need to Know
Published: Feb 24, 2024
Glucocorticoid medications like prednisone can be lifesaving, but they come with a serious risk: bone loss. Even low doses can weaken your bones over time, leading to osteoporosis and fractures.
Who's at Risk?
Anyone taking glucocorticoids for more than 3 months is at risk, but some people are more vulnerable. Postmenopausal women, men over 50, and those with a history of fractures are at highest risk. The danger increases with higher doses and longer use. Even inhaled steroids for asthma can pose a risk if used long-term.
Prevention is Key
Protecting your bones starts with lifestyle changes. Regular weight-bearing exercise, avoiding smoking and excess alcohol, and preventing falls are crucial. Calcium and vitamin D supplements are also recommended for most people on glucocorticoids. Your doctor may prescribe bone-strengthening medications called bisphosphonates, especially if you're at high risk for fractures.
Monitoring Your Bone Health
Regular bone density scans are important to track your bone health while on glucocorticoids. These painless tests can detect bone loss before a fracture occurs. Your doctor will typically order a scan at the start of treatment and after one year. If your bones are stable, you may need less frequent scans after that.
Frequently Asked Questions
It depends on your individual risk factors and how long you need glucocorticoids.
Sometimes, but it depends on your specific medical condition.
Bone density can improve with treatment, but complete reversal is rare.
Take Action
Don't let glucocorticoid-induced osteoporosis sneak up on you – talk to your doctor about protecting your bones today.
References
- Adami G, Saag KG. Glucocorticoid-induced osteoporosis: 2019 concise clinical review. Osteoporos Int 2019; 30:1145.
- Humphrey MB, et al. 2022 American College of Rheumatology Guideline for the Prevention and Treatment of Glucocorticoid-Induced Osteoporosis. Arthritis Care Res (Hoboken) 2023; 75:2405.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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