【Bisphosphonates】Pharmacology : Mechanism of Action Simply Explained

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StudyMed

StudyMed

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(side note)
Non-nitrogen containing bisphosphonates:
‣medronate (used as a bone imaging agent "Technetium Tc 99m Medronate"),
‣clodronate (BONEFOS®),
‣etidronate (Didronel® (etidronate disodium) ),
‣tiludronate(Skelid®)
Nitrogen-containing bisphosphonates:
‣alendronate (Fosamax®),
‣pamidronate (Aredia®),
‣zoledronate (Zometa®, Reclast®),
‣olpadronate (OLPADRONATE DISODIUM®),
‣ibandronate (Boniva®),
‣risedronate (Actonel®),
‣incadronate (Bisphonal®)
Discover the groundbreaking world of bisphosphonates, the frontline defenders against osteoporosis! This video delves into the fascinating mechanisms behind how these drugs inhibit bone breakdown and promote bone formation, ensuring your bones stay healthy and strong. Uncover the differences between non-nitrogenous and nitrogenous bisphosphonates, and understand the critical role they play in bone health. Learn about the potential adverse effects and essential precautions to take for safe and effective treatment. Don't miss this essential guide to safeguarding your bones and improving your overall health!
#osteoporosis #pharmacology #bones
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【Notes】
▹This video was created based on data as of January 2024, with the purpose of supporting medical students in their exam preparations.
▹It is not a substitute for medical advice.
▹Please note that thanks to the tireless efforts of researchers worldwide, this data is updated daily. ▹Unauthorized reproduction is prohibited.
【Contents】
0:00 What are bisphosphonates?
0:05 How do bisphosphonates work?
0:33 What is the chemical structure of bisphosphonates?
0:51 Non-nitrogen containing bisphosphonates, Mechanism of action
1:16 Nitrogen-containing bisphosphonates, Mechanism of action
1:32 adverse effect 1: esophagitis/gastritis
1:57 adverse effect 2: hypocalcemia
2:15 adverse effect 3: atypical femoral fracture
2:31 adverse effect 4: BRONJ
【Reference and figure】 I express my gratitude and respect for your wonderful achievements.
1. Ganesan K, Goyal A, Roane D. Bisphosphonate. [Updated 2023 Jul 3]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NB...
2. Drake MT, Clarke BL, Khosla S. Bisphosphonates: mechanism of action and role in clinical practice. Mayo Clin Proc. 2008 Sep;83(9):1032-45. doi: 10.4065/83.9.1032. PMID: 18775204; PMCID: PMC2667901.
3. Graham, Roxanne, Graham Russell and Graham G Russell. “Bisphosphonates: Mode of Action and Pharmacology.” Pediatrics 119 (2007): S150 - S162.
4. Rogers MJ. From molds and macrophages to mevalonate: a decade of progress in understanding the molecular mode of action of bisphosphonates. Calcif Tissue Int. 2004 Dec;75(6):451-61. doi: 10.1007/s00223-004-0024-1. Epub 2004 Aug 31. PMID: 15332174.
5. Schmidt GA, Horner KE, McDanel DL, Ross MB, Moores KG. Risks and benefits of long-term bisphosphonate therapy. Am J Health Syst Pharm. 2010 Jun 15;67(12):994-1001. doi: 10.2146/ajhp090506. PMID: 20516469.
6. Michael J. Rogers, Jukka Mönkkönen, Marcia A. Munoz,
Molecular mechanisms of action of bisphosphonates and new insights into their effects outside the skeleton, Bone, Volume 139, 2020, 115493, ISSN 8756-3282,
doi.org/10.1016/j.bone.2020.1....
(www.sciencedirect.com/science...)
7. Anke J. Roelofs, Frank H. Ebetino, Alfred A. Reszka, R. Graham G. Russell, Michael J. Rogers,
Chapter 81 - Bisphosphonates: Mechanisms of Action,
Editor(s): John P. Bilezikian, Lawrence G. Raisz, T. John Martin,
Principles of Bone Biology (Third Edition), Academic Press, 2008, Pages 1737-1767, ISBN 9780123738844,
doi.org/10.1016/B978-0-12-373....
(www.sciencedirect.com/science...)
8. Gaillard F, Niknejad M, Knipe H, et al. Achalasia. Reference article, Radiopaedia.org (Accessed on 29 May 2024) doi.org/10.53347/rID-835
DOI:
doi.org/10.53347/rID-835
Permalink:
radiopaedia.org/articles/835
9. Neviaser, Andrew S., Joseph M. Lane, Brett A. Lenart, Folorunsho Edobor-Osula, and Dean G. Lorich. "Low-energy femoral shaft fractures associated with alendronate use." Journal of orthopaedic trauma 22, no. 5 (2008): 346-350.
10. Salvatore L Ruggiero, Bhoomi Mehrotra, Tracey J Rosenberg, Stephen L Engroff,
Osteonecrosis of the jaws associated with the use of bisphosphonates: a review of 63 cases,
Journal of Oral and Maxillofacial Surgery, Volume 62, Issue 5, 2004, Pages 527-534, ISSN 0278-2391,
doi.org/10.1016/j.joms.2004.0....
(www.sciencedirect.com/science...)

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