Bone loss can be divided into primary bone loss and secondary bone loss, and should be treated with appropriate drugs or non-drugs according to the cause.
1. Primary bone loss: mostly seen in the elderly and menopausal women, it can be treated by reasonable diet, regular exercise, avoiding smoking and drinking, supplementing calcium and vitamin D, preventing falls, and giving drugs to promote bone formation or anti-bone resorption drugs if necessary, so as to prevent further development of osteoporosis or even bone fracture.
Drugs to promote bone formation include parathyroid hormone and active vitamin D. Anti-bone resorption drugs include calcitonin, bisphosphonates such as alendronate, and selective estrogen receptor modulators such as tamoxifen. Note that the specific use of drugs should be carried out under the guidance of a physician, and if there is any discomfort, go to the hospital in a timely manner.
2. Secondary bone loss: It refers to the loss of bone mass caused by diseases and drugs affecting bone metabolism, such as hyperparathyroidism, hyperthyroidism, renal insufficiency, long-term use of glucocorticoids, etc. Therefore, we should carry out the treatment of the primary disease first, and then carry out the treatment of the same primary loss of bone mass on the basis of this.
It is recommended that the patient consult the doctor in time, and follow the doctor’s instructions after a clear diagnosis, do not blindly use drugs.