Combination anabolic and antiresorptive therapy for osteoporosis

Endocrinol Metab Clin North Am. 2012 Sep;41(3):643-54. doi: 10.1016/j.ecl.2012.04.005. Epub 2012 May 19.

Abstract

Osteoanabolic agents directly stimulate bone formation to improve bone mass and skeletal microarchitecture. At present, parathyroid hormone (PTH), in the form of the full-length molecule (PTH(1-84)) and its fully active, but truncated amino-terminal fragment, PTH(1-34) (teriparatide), are the only medications that belong to the osteoanabolic class. It is appealing to consider simultaneous combination therapy with antiresorptive and osteoanabolic drugs as potentially more beneficial than monotherapy with either class, given that their mechanisms of action differ. This review focuses on the research that has been conducted on combination therapy with PTH and an antiresorptive drug.

Publication types

  • Review

MeSH terms

  • Anabolic Agents / adverse effects
  • Anabolic Agents / therapeutic use*
  • Animals
  • Bone Density / drug effects
  • Bone Density Conservation Agents / adverse effects
  • Bone Density Conservation Agents / therapeutic use*
  • Bone and Bones / drug effects*
  • Bone and Bones / metabolism
  • Drug Monitoring / methods
  • Drug Therapy, Combination / adverse effects
  • Drug Therapy, Combination / methods
  • Female
  • Humans
  • Male
  • Osteoporosis / drug therapy*
  • Osteoporosis / metabolism
  • Osteoporosis, Postmenopausal / drug therapy
  • Osteoporosis, Postmenopausal / metabolism

Substances

  • Anabolic Agents
  • Bone Density Conservation Agents