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    Suggest treatment for rheumatoid arthritis

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Posted on Sat, 26 Jul 2014 in Bones, Muscles and Joints
Question: Sister 78 with severe RA. Now with osteoporpsis. Takes vitamin D and calcium. Tried bisphosphonates but broke femur--2 months in hospital. Bedbound. Can walk with crutches, but cracked foot bone. Any new meds, alternative drugs, overseas drugs not available here?
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Answered by Dr. Shruti Rijhwani 37 minutes later
Brief Answer:
Follows.

Detailed Answer:
Dear Madam,

Thank you for posting your query on HCM.

Considering her age and that she suffers from Rheumatoid arthritis there is a high probability of osteoporosis in her . Bisphosphonates are first line treatment for this . She can also try raloxifene if her treating doctor feels so . But Inj. zoledronic acid once a year has the best effects as seen by my personal experience . Rest she is already on calcium and vitamin D .

She is going to take time to recover from these fractures . Just keep her XXXXXXX and avoid injuries and falls . Rest I think she has been treated adequately.

Take care.

Dr. Shruti
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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