A rheumatologist who helped draft the French recommendations for the treatment of osteoporosis compares them to the updated American guidelines. RheumTwitter
written under the aegis of the French Society for Rheumatology and GRIO. Cortet participated in drafting the French recommendations.The ACP"strongly" recommends initial pharmacologic treatment with bisphosphonate antiresorptive drugs in postmenopausal females diagnosed with primary osteoporosis.
Our guidance strongly recommends opting for an injection in other contexts, such as significant decrease in bone density, presence of comorbidities, poor treatment compliance, brain function disorders, and polymedication.
But the review by the Economic Committee for Health Products failed to reach a consensus regarding the price. Today, in theory, romosozumab can be dispensed in France by hospital pharmacies, because it is approved for use in public hospitals. Romosozumab is a very interesting drug for relatively young women, especially those with multiple vertebral fractures.
In patients with two prevalent vertebral fractures, the US guidelines state that teriparatide can be prescribed as first-line treatment at diagnosis in the absence of any contraindications. We agree on this point as well.
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