P N Sambrook
The first choice for prevention of corticosteroid osteoporosis is a potent oral bisphosphonatefor example, alendronate or risedronate. Intravenous bisphosphonates should be considered for patients intolerant of the oral route. For patients receiving chronic low dose corticosteroids treatment with calcium and vitamin D may prevent further bone loss. Use of parathyroid hormone is promising.
Annals of the Rheumatic Diseases 2005;64:176-178