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Wednesday, July 22, 2009 Eddie asks

Q: My name is Edward Shelton, I am a 45 year old male and I have osteoporosis,

I have osteoporosis and am 45 year old male. I have had 4 heart attacks and 3 open heart surgeries, is there any treatment that I can take to slow or stop this. any and all assistance would be appreciated.

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Pam Flores, Health Guide
7/22/09 8:30pm

Hi Eddie, welcome and thanks for your question.  Most of the bisphosphonates come with *some* warnings for heart disease problems, but in particular with atrial fib (abnormal heart beat), so you'd need to speak with your cardio to see if any of these meds could be taken with your paricular problems with your heart.

 

Depending on how low your t-scores are, Forteo may be an option, but it's only used for those with previous fractures and scores below -2.5.  Some Drs will go ahead an rx it if there is no other option for you and Forteo is approved for both men and women.  All of the other meds are FDA approved for postmeno women, except for the bisphosphonates that can come with some heart warings.  Bisphosphonates are: Fosamax, Actonel, Boniva and Reclast.  Evista, Miacalcin spray, and HRT are non bisposphonates but are approved for women only.

 

Normally I would mention Fosteum, as a non bisphosphonate option, but it's not approved for men, unless a Dr is willing to rx it off-label, but since it has a form of soy (isoflavone isolated from soy) it may not work for men, but I'm not sure. 

 

There is an over-the-counter supplement that some are doing well on, but most Drs aren't that familiar with and since it's not FDA approved there aren't many who will suggest it.  However, this decision is yours, and if you are interested let the Dr. know and see what he or she says.

 

You are in a unique situation, medically, so in your case a Drs evaluation for treatment options is imperative.

 

Good luck with this and read some of the links above to see if any of these options are feasible.

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Pam Flores, Health Guide
7/22/09 8:38pm

I forgot to mention, that since you are young for this dx, you should be checked for secondary causes of osteoporosis to rule out another causes which would be treated differently.  Here's a link of secondary causes you might like to read from the National Osteoporosis Foundation.  Check out these page and see if you have either a secondary cause or are taking a medication that can cause or make osteoporosis worse.  See also men with osteoporosis from the NOF.

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By Eddie— Last Modified: 12/25/10, First Published: 07/22/09