When should pharmacologic therapy be initiated for osteoporosis

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When should pharmacologic therapy be initiated for osteoporosis?

Pharmacologic therapy should be advised for patients who have any one of the following:

  • • History of a fragility fracture (vertebral, hip, wrist, humerus).
  • • T-score <–2.5 (at any site).
  • • FRAX 10-year risk score >3% for hip fracture or >20% for major osteoporotic fractures.

The FRAX tool (Search Engine: FRAX), developed by the World Health Organization, is recommended for making treatment decisions in drug-naïve patients with osteopenia on BMD testing.

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