What are the NOF recommendations for pharmacologic therapy in the treatment of osteoporosis?

Updated: Sep 26, 2019
  • Author: Monique Bethel, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

The NOF recommends that pharmacologic therapy should be reserved for postmenopausal women and men aged 50 years or older who present with the following [2] :

  • A hip or vertebral fracture (vertebral fractures may be clinical or morphometric [eg, identified on a radiograph alone])

  • T-score of –2.5 or less at the femoral neck or spine after appropriate evaluation to exclude secondary causes

  • Low bone mass (T-score between –1.0 and –2.5 at the femoral neck or spine) and a 10-year probability of a hip fracture of 3% or greater or a 10-year probability of a major osteoporosis-related fracture of 20% or greater, based on the US-adapted WHO algorithm for calculating fracture risk (FRAX)


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