Treatment of Osteoporosis

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There are a number of different treatments available for osteoporosis:

Hormone replacement therapy (HRT) for women going through the menopause helps maintain bone density and reduce fracture rates while treatment lasts. However, HRT is not always recommended as the first treatment for osteoporosis specifically, because it can slightly increase the risk of stroke, heart disease and breast cancer. You should discuss the benefits and risks of HRT with your GP.
Testosterone treatment in men is useful in the relatively rare cases in which osteoporosis is due to insufficient production of male sex hormones.
Bisphosphonates are non-hormonal drugs. They maintain bone density and reduce fracture rates. The rate at which cells called osteoclasts break down bone is slowed, and the production of new bone increases.
Calcitonin is a hormone made by the thyroid gland. It inhibits the cells that break down bone.
Calcium and vitamin D supplements can be of benefit for older people of both sexes to reduce the risk of hip fracture. Having enough calcium in your diet when you are young is important in minimising the risk, especially for women. You should aim to eat 1000 mg of calcium each day, which is roughly equivalent to one pint of milk. If you are not getting enough calcium in your diet, ask your GP for advice about taking a calcium supplement. All people over the age of 65 should take a vitamin D supplement.
Selective Estrogen Receptor Modulators (SERMs) are drugs have a similar effect on bone as the hormone oestrogen. They help to maintain bone density and reduce the risk of fracture, especially at the spine.

In addition to this, the National Osteoporosis Society (NOS) runs a number of support groups across the country for people with osteoporosis. The NOS also have a range of detailed information booklets and a national telephone helpline (01761 471771) offering advice and support on all aspects of osteoporosis (see selected links).