The main side effect is an increase in hot flashes, and the drug is similar to estrogen in the risk of thrombophlebitis. Use caution when prescribing the drug to a woman who smokes. Injectable and nasal calcitonin are available for treatment of osteoporosis. 30 Calcitonin is best prescribed for women who cannot or will not take estrogen, alendronate, or raloxifene. Instruct patients to spray the nasal preparation once daily in alternating nostrils.
Some users complain of rhinitis.
Click here to view full-size graphic Conclusion Consider osteoporosis in a woman who has started menopause or is postmenopausal and has experienced a fracture. New imaging techniques can detect decreased BMD and osteoporosis before fracture occurs. Eliminating risks, improving and supplementing the diet with calcium and vitamin D, and using prophylactic and therapeutic agents can protect postmenopausal women from the discomfort and pain of osteoporosis, and possibly from premature death from its consequences. Ray NF, Chan JK, Thamer M, et al. The bottom line.