CASE - OSTEOPOROSIS
Patient: Renata, aged 42, smokes 10 cigarettes a day, drinks 3 cups of coffee a day,
occasionally drinks alcohol
Laboratory values: height 161 cm, weight 54 kg, TK 125/70
Personal history: Depo-provera used as a contraceptive, currently diagnosed with
osteoporosis
Medical history: Depo-provera once a month
Tasks:
1. What are the general risk factors for osteoporosis? What risk factors can we find in this
patient?
2. Is Depo-Provera the ideal contraceptive for this patient? Would you suggest any change
and why?
3. Which drug classes can be used to treat osteoporosis? What are their main advantages /
disadvantages?
4. What treatment for osteoporosis would you recommend to this patient? Design specific
drugs, dose rate, dispensation minima.
5. What regimen and non-pharmacological measures would you recommend to this patient
for the optimal treatment of osteoporosis?