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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Suitable Treatment For Osteoporosis

i am a 37 years old female and have ra. am on methotreaxate and medrol fro the apst year. bone density test has shown osteoprosis. i have to carry medicine with me for the same, have been suggested to take gemcal ds. the pharmacist says its okay to take a double dose of shelcal as it is a chepaer option. iwould like to knwo if gemcal is a better option in my condition before makje the purchase.reagrds

Wed, 30 Jul 2014
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi
Thanks for posting your query
After going through your suffering ,severe weakness of bone (osteoporosis) for which calcium tablet alone may not work. The osteoporosis may be confirmed by Bone mineral density (BMD) by dexa scan along with X ray of spine.
For now my advice would be-
1. For Osteoporosis there is few options like- calcitonin nasal spray (Rock bone C nasal spray).
- Once a year injection of zoldronic acid, once a month tablet of alendronate, once a week tablet of osteophos.
- Injection Teriparatide.
You may discuss with your treating doctor and decide what is best for you. Once the pain is reduced you may start exercises to strengthen the back that is back strengthening exercises.
Take balanced diet rich in calcium (1000mg/day) and vitamin D (1000 i.u. /day) along with vitaminB12, B6.Vitamin D is available in weekly dose pattern as well as injection, just talk to your local doctor as the above written medicine are prescription only .
Hope this information suffices.
Take care and I shall be glad to answer any further query.
Regards
Dr. Chugh (http://bit.ly/drmchugh)
Orthopaedic surgeon
I find this answer helpful

1 Doctor agrees with this answer

Orthopaedic Surgeon, Joint Replacement,  Dr. Mukesh Chugh's  Response

Thanks for posting your query
After going through your suffering ,severe weakness of bone (osteoporosis) for which calcium tablet alone may not work. The osteoporosis may be confirmed by Bone mineral density (BMD) by dexa scan along with X ray of spine.
For now my advice would be-
1. For Osteoporosis there is few options like- calcitonin nasal spray (Rock bone C nasal spray).
- Once a year injection of zoldronic acid, once a month tablet of alendronate, once a week tablet of osteophos.
- Injection Teriparatide.
You may discuss with your treating doctor and decide what is best for you. Once the pain is reduced you may start exercises to strengthen the back that is back strengthening exercises.
Take balanced diet rich in calcium (1000mg/day) and vitamin D (1000 i.u. /day) along with vitaminB12, B6.Vitamin D is available in weekly dose pattern as well as injection, just talk to your local doctor as the above written medicine are prescription only .
Hope this information suffices.
Take care and I shall be glad to answer any further query.
Regards
Dr. Chugh (http://bit.ly/drmchugh)
Orthopaedic surgeon

I find this answer helpful
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Suggest Suitable Treatment For Osteoporosis

Hi Thanks for posting your query After going through your suffering ,severe weakness of bone (osteoporosis) for which calcium tablet alone may not work. The osteoporosis may be confirmed by Bone mineral density (BMD) by dexa scan along with X ray of spine. For now my advice would be- 1. For Osteoporosis there is few options like- calcitonin nasal spray (Rock bone C nasal spray). - Once a year injection of zoldronic acid, once a month tablet of alendronate, once a week tablet of osteophos. - Injection Teriparatide. You may discuss with your treating doctor and decide what is best for you. Once the pain is reduced you may start exercises to strengthen the back that is back strengthening exercises. Take balanced diet rich in calcium (1000mg/day) and vitamin D (1000 i.u. /day) along with vitaminB12, B6.Vitamin D is available in weekly dose pattern as well as injection, just talk to your local doctor as the above written medicine are prescription only . Hope this information suffices. Take care and I shall be glad to answer any further query. Regards Dr. Chugh (http://bit.ly/drmchugh) Orthopaedic surgeon