Osteoporosis is the loss of bony tissue, resulting in bones that become brittle and liable to fracture.  It affects primarily older women and men.  Infection, injury and synovitis (inflammation of the membrane surrounding a joint), and loss of estrogen, can cause osteoporosis.

You may have been given prescriptions for one or more of the following medicines.  This may help you understand how to use them.

Miacalcin is a nasal spray.   It is thought to stop or slow down bone loss.   It is also thought to help decrease the back pain associated with bone loss.  You should use it by placing one drop in one nostril each morning.  Start with the right nostril and alternate nostrils each day.  Use the medicine from Monday to Friday and no not use it on the weekend.

Fosamax is a pill.  It also helps reduce and may reverse osteoporosis.

It is very important that you take this medicine when you first get up each morning.  Take it with a glass of water.   Do not take any other medicine, food or beverages for one half hour after taking Fosamax.   Do not lie down after taking this medicine, you must sit or stand.  Fosamax is available in a once a week form.  Other medicines, like Actonel and Evista are similar to Fosamax in action.

Calcium is also important in your diet. There are several different non-prescription calcium preparations available at your drug store or supermarket (Oscal, Caltrate, and Citracal). You should choose one that you tolerate.  It should add about 1000 to 1500mg of calcium to your diet.

Any medicine may cause side effects and any patient may have a reaction to any medicine.  If you think you are having a problem with a medicine, stop it immediately and call your doctor.   If you have any questions about any of the prescriptions given to you by this office, please ask.