Question

60 year old elderly female with previous h/o colles fracture is complaining of backache. Which of the given statement is wrong in relation to treatment of this patient

• A. Teriparatide should be started before supplementing bisphosphonates
• B. Bisphosphonates not given for more than a year
• C. Calcium requirement is 1200mg per day
• D. Oral vit D3 given along with orl calcium

Answer 1

The Correct Option is A

In the context of treating a 60-year-old female with a history of Colles' fracture and current backache, her treatment plan should be evaluated considering osteoporosis management. Below is the analysis of the given statements:

• Teriparatide should be started before supplementing bisphosphonates: This statement is incorrect. In treating osteoporosis, bisphosphonates are often first-line therapy before considering other treatments like teriparatide. Bisphosphonates help in preventing bone loss, while teriparatide, a form of parathyroid hormone, is typically reserved for more severe cases or when there is contraindication or intolerance to other treatments.
• Bisphosphonates not given for more than a year: This is not accurate. Generally, bisphosphonates can be administered for a longer period, often up to 3-5 years, with periodic reassessment for the fit of ongoing treatment.
• Calcium requirement is 1200mg per day: This statement is true. Adequate calcium intake is crucial for maintaining bone health, particularly in postmenopausal women.
• Oral vit D3 given along with oral calcium: This statement is correct. Vitamin D enhances calcium absorption and its supplementation alongside calcium is often recommended to optimize bone health.

Therefore, the incorrect statement regarding the treatment plan for this patient is that teriparatide should be started before supplementing bisphosphonates.