[Post-steroidal osteoporosis]

Abstract

Pathogenesis of corticosteroid-induced osteoporosis and an influence of several forms of these drugs on bone mineral density were presented. Principles of prevention and treatment of this type of osteoporosis were described. Among the drugs studied, calcitonin, bisphosphonates, calcium, vitamin D and hormonal replacement therapy in women appear to be most consistently effective in increasing bone density. It is also important to modify risk factors of osteoporosis (increased physical activity, diet rich in calcium, discontinuation of smoking, avoidance of excess alcohol intake).