srf
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70-year-old white female with osteoporosis sees you for follow-up a few days after an emergency department visit for an acute T12 vertebral compression fracture. The fracture was suspected clinically and on plain films; the diagnosis was confirmed with a bone scan. The emergency department physician prescribed oxycodone (OxyContin) and NSAIDs, but the patient is still experiencing considerable discomfort.In addition to increasing the dosage of oxycodone, which one of the following interventions would you suggest now to reduce the patient's pain?
Calcitonin (Miacalcin)
Raloxifene (Evista)
Alendronate (Fosamax)
Physical therapy, including dexamethasone iontophoresis
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| achilles
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raloxifene ?
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| msyamp
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calcitonin. helps to a the fracture faaaaaast. so that is the answer
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| babli
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Calcitonin is used in women with osteoporosis to reduce bone loss. It reduces spinal bone (vertebrae) fractures when taken by postmenopausal women for at least 1 year.1
It may be prescribed for women who are more than 5 years beyond menopause and who do not tolerate bisphosphonate medications.2
Calcitonin can be used in men with osteoporosis who have normal levels of the male sex hormone testosterone or whose osteoporosis does not get better with testosterone treatment.
Calcitonin relieves pain caused by spinal compression fractures.
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| achilles
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good info ! thanks babli.
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| yasmeen
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I THINK THE ANSWER IS ALENDRONATE.AGAIN READ Q CAREFULLY DRUG WHICH IS USEFUL FOR BOTH OSTEOPOROSIS AND BONE PAIN IS ALENDRONATE AND IT CAN BE GIVEN IV
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| msyamp
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Osteocalcin can also be given i.v. or even more coniniently as a nasal spray and it both heals fracture faaast and also helps in REVERSING OSTEOPOROSIS.
OSTEO CALCIN in the answer
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| srf
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BABLI IS RIGHT
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| msyamp
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you mean osteocalcin. right??
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