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Bone: alendronate has been linked in long-term users to the development of low-impact femoral fractures. [15] Further, studies suggest that users of alendronate have an increase in the numbers of osteoclasts and develop giant, more multinucleated osteoclasts; the significance of this development is unclear. [16]
Long-term treatment with bisphosphonates produces anti-fracture and bone mineral density effects that persist for 3–5 years after an initial 3–5 years of treatment. [2] The bisphosphonate alendronate reduces the risk of hip, vertebral, and wrist fractures by 35-39%; zoledronate reduces the risk of hip fractures by 38% and of vertebral ...
Still, elderly people make up the fastest growing population in the world. As bone mass declines with age, the risk of fractures increases. Annual incidence of osteoporotic fractures is more than 1.5 million in the US and notably 20% of people die during the first year after a hip fracture. [5]
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A 24-week randomized trial was conducted in postmenopausal women with osteoporosis (n=222) assessing bone mass density (BMD) changes as the primary endpoint. [18] Significant BMD increase at doses of 40 and 80 mcg were found in the lumbar spine , femur and hips of abaloparatide-treated participants compared to placebo .
Medical research also supports the use of medications of the bisphosphonate class, such as pamidronate, to increase bone density. [21] Bisphosphonates are especially effective in children; [22] however, it is unclear if they either increase quality of life or decrease the rate of fracture incidence. [7]