Treatment оf Osteoporosis in the Context of Fractures Prevention: the Implementation of Data of Evidence-Based Medicine into Clinical Practice. In Focus — Ibandronic Aci

I.Yu. Golovach


The article presents the aggregate data about the effectiveness of bisphosphonates in the treatment of osteoporosis. At present, bisphosphonates are most potent modulators of bone metabolism and is the gold standard in treating and preventing osteoporosis. Evidence-based medicine puts a lot of requirements for drugs to treat osteoporosis. First of all, they must reliably prevent the occurrence of vertebral and non-vertebral fractures. These drugs also have a positive influence on bone metabolism and increase the growth of bone mineral density. Duration of the study on bisphosphonates intake is important. Studies duration of which exceeds 3–5 years have probative value. The article analyzed the results of randomized clinical studies of ibandronic acid from the standpoint of vertebral and non-vertebral fractures prevention. So, in BONE randomized clinical trial demonstrated ability of ibandronate in reducing the risk of vertebral fractures by 62 %. Ibandronate in numerous clinical studies have shown high efficacy in preventing bone fractures, increasing bone mineral density of lumbar spine and femur. The drug has a good safety profile, patients has high compliance to long-term treatment due to tablet form of 150 mg to be taken 1 time per month.


osteoporosis; bone fractures; bone mineral density; evidence-based medicine; ibandronate


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