Ann Rheum Dis 64:176-178 doi:10.1136/ard.2003.018556
  • Review

How to prevent steroid induced osteoporosis

  1. P N Sambrook
  1. Correspondence to:
    Professor P N Sambrook
    Royal North Shore Hospital, St Leonards, Sydney, Australia 2065;
  • Accepted 23 June 2004


The first choice for prevention of corticosteroid osteoporosis is a potent oral bisphosphonate—for 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.