Abstract
In most patients, treatment of osteoporosis is a long-term challenge. Because alendronate and zoledronic acid accumulate in bone with some persistent antifracture efficacy after therapy, it is reasonable to consider a "drug holiday" for low-risk patients. It is recommended that the duration and length of drug holiday should be individualized for each patient. For all other bisphosphonates data are limited. For other antiresorptive and anabolic agents "drug holiday" is not recommended.
MeSH terms
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Aged
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Biomarkers / analysis
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Bone Density / drug effects
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Bone Density Conservation Agents / administration & dosage*
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Bone Density Conservation Agents / therapeutic use
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Bone Remodeling / drug effects
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Denosumab / administration & dosage
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Denosumab / therapeutic use
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Diphosphonates / administration & dosage
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Diphosphonates / therapeutic use
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Humans
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Middle Aged
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Osteoporosis / drug therapy*
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Precision Medicine
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Teriparatide / administration & dosage
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Teriparatide / therapeutic use
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Thiophenes / administration & dosage
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Thiophenes / therapeutic use
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Withholding Treatment
Substances
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Biomarkers
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Bone Density Conservation Agents
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Diphosphonates
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Thiophenes
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strontium ranelate
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Teriparatide
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Denosumab