Clinical role of bisphosphonate therapy

被引:23
作者
Hampson, Geeta [1 ,2 ]
Fogelman, Ignac [1 ,3 ]
机构
[1] Guys Hosp, Osteoporosis Screening Unit, London, England
[2] St Thomas Hosp, Dept Chem Pathol, 5th Floor,North Wing,Lambeth Palace Rd, London SE1 7EH, England
[3] Guys Hosp, Dept Nucl Med, London, England
关键词
pyrophosphate; bone resorption; postmenopausal osteoporosis; glucocorticoidinduced osteoporosis; Paget's disease of bone; malignancy-related bone loss;
D O I
10.2147/IJWH.S24783
中图分类号
R71 [妇产科学];
学科分类号
100211 [妇产科学];
摘要
Bisphosphonates (BPs) are synthetic analogues of pyrophosphate. They inhibit bone resorption and are therefore widely used in disorders where there are increases or disruptions in bone resorption. This includes postmenopausal osteoporosis, glucocorticoid-induced osteoporosis, Paget's disease of bone, and malignancy-related bone loss. To best understand the clinical application of BPs, an understanding of their pharmacokinetics and pharmacodynamics is important. This review describes the structure, pharmacology and mode of action of BPs, focusing on their role in clinical practice. Controversies and side effects surrounding their use will also be discussed.
引用
收藏
页码:455 / 469
页数:15
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