Do not repeat DEXA more than every 1-2 years.

 

Calcium

• Common supplementation dose: 1000-1200 mg/d
  • Calcium carbonate can be dispensed in 500 mg and 600 mg increments.
• If not taking a PPI:
  • Calcium carbonate
• If taking a PPI (for better absorption):
  • Calcium citrate (dispensed in 300 mg increments)

 

Vitamin D

• Common supplementation dose: 800-2000 IU/d

 

Bisphosphonate

• Take first thing in the morning, prior to breakfast.
• Do not take Calcium or Vitamin D for at least one hour after taking a bisphosphonate
• Generally avoided if CCr<35 mL/min
• Consider drug holiday every 3-5 years of treatment
• Alendronate (Fosamax)
  • Prophylaxis: 5 mg/d or 35 mg/week
  • Treatment: 10 mg/d or 70 mg/week

Content on this page has not been checked for accuracy. The author's credentials have not been confirmed. Always use multiple peer-reviewed scholarly sources and good clinical judgement in your decision making.

The Compendium platform was created by David Kwinter, MD, CCFP(EM).

Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.