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About This Section
Ask the Expert, one of the interactive osteoporosis education features offered on OsteoporosisTX.com, provides you the opportunity to direct questions to our expert panel of clinicians about osteoporosis treatment and prevention. Our panel will address questions across a range of clinical topics relating to bone loss and osteoporosis, including risk assessment, diagnosis, bone density monitoring, fracture prevention, osteoporosis therapy, safety issues, and the role of bisphosphonates, calcitonin, estrogen/hormone therapy, estrogen receptor agonists/antagonists, parathyroid hormone analogs, and other agents in osteoporosis treatment.
Questions submitted to Ask the Expert and the answers provided by the members of our panel will be posted on OsteoporosisTX.com along with supporting literature where appropriate.
Do you have a question relating to the management of patients who have, or who are at risk for, osteoporosis?
Current Ask the Expert Question
Long-term bisphosphonate therapy in patients with stable bone mineral density: maintain or discontinue?
Following the recent news on the relationship between long-term bisphosphonate use and atypical fractures, I have had several of my patients who are taking bisphosphonates for osteoporosis ask me about the suitability of continued treatment. What has me a bit perplexed are the patients who have been receiving bisphosphonate therapy for 5 or so years and have had stable bone mineral density (BMD) scores for the last 2+ years. How would you recommend proceeding with these patients? Should they continue with their bisphosphonates or be switched to another agent, or should therapy be discontinued altogether? What is the best way to communicate this decision to the patient?
Submit a Question
*Please note: the Ask the Expert section of OsteoporosisTX.com is designed for clinicians to ask challenging questions to our expert panel. If you are not a clinician and have a question for a health care professional, please contact the National Osteoporosis Foundation (NOF) at http://www.nof.org/response_form/contacts.asp.
