International Journal of Medical Sociology and Anthropology

ISSN 2756-3820

International Journal of Medical Sociology and Anthropology ISSN 2756-3820 Vol. 10 (1), pp. 001-008, January, 2021. © International Scholars Journals

Full Length Research Paper

Efficacy of different medicines used for the treatment of osteoporosis by using dual energy x-ray absorptiometry

Perveen Zaidi, Muhammad Hanif*, Shahid Kamal, Salman Habib and Akhtar Ahmed

Karachi Institute of Radiotherapy and Nuclear Medicine, Pakistan. *Corresponding author. E-mail: [email protected].

Accepted 17 May, 2019

Abstract

Osteoporosis, a skeletal disease and common condition affecting one in three women and one in twelve men is a major health burden worldwide and in our population as well. A total of 180 patients including 30 in control group, 126 osteoporotics and 54 osteopenics, were diagnosed and analyzed with the help of bone mineral density (BMD) by dual energy x-ray absorptiometry (DEXA) and treated in different groups with different brands of medicines; bisphophonates (alendronates and risederonates). Overall results in the therapy group BMD (g/cm²) spine improved from 0.748 ± 0.0088 to 0.777 ± 0.0091 after one year of treatment while BMD hip rose from 0.713 ± 0.0087 to 0.730 ± 0.009 in a similar period. In the osteoporotic group (n = 106), BMD spine increased from 0.699 ± 0.0077 to 0.727 ± 0.007 and BMD hip from 0.679 ± 0.009 to 0.693 ± 0.009. In the osteopenic goup (n = 44), BMD spine increased from 0.863 ± 0.011 to 0.898 ± 0.011 and BMD hip from 0.793 ± 0.007 to 0.817 ± 0.012. Patients on Osto, Drate and Fosamax (alendronates) did better than those on Dronate and Actonel (risedronates). Of alendronates, Fosamax and Osto treated patients did better than those on Drate. Of risedronates, Actonel treated patients faired better than those on Dronate which showed the least improvement.

Key words: Osteoporosis, osteopenia, bone mineral density, DEXA, alendronate, risedronate.