Bisphosphonates interactions tulasi
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Inhibition of bone resorption by bisphosphonates: interactions between bisphosphonates, osteoclasts, and bone. Bisphosphonates are a class of drug aimed at preventing bone fractures and offsetting bone loss associated with menopause.
Bone Miner. Bone Miner. Physicians and other health care professionals are encouraged to consult other sources and confirm the information contained within this site. Nitrogen-containing Treatment of Male Osteoporosis with BisphosphonatesScienceDirect ® is a registered trademark of Elsevier B.V. Absorption is paracellular – no active (or passive) transcellular processes have been identified – and generally rather poor, typically around 0.7% for the most commonly used nitrogen-containing compounds, and slightly higher (2–4%) for some of the non-nitrogen compounds.Once absorbed, the distribution of drug is primarily into bone, but there is some soft tissue uptake into liver, kidney and spleen.The proportion of retained compound varies widely between patients even after intravenous administration, reflecting affinity for bone, differences in renal function, and the rate of bone turnover prior to treatment. Nonamino bisphosphonates disrupt the ATP metabolic pathway in osteoclasts that leads to programmed osteoclast death (apoptosis), while aminobisphosphonates inhibit the enzyme FPPS. When the bone surface is resorbed through osteoclastic activity, the bisphosphonate molecules are endocytosed along with other resorption products into the osteoclast.Bisphosphonate that is removed from bone by osteoclastic activity can be excreted or taken up again by bone. Patients taking bisphosphonates should discuss with their doctor how long to continue the medication. Bisphosphonates inhibit osteoclasts which are responsible for breaking down and reabsorbing minerals such as calcium from bone (the process is known as bone resorption). A rare side-effect is osteonecrosis of the jaw. In people with osteoporosis, the bones lose minerals faster than they can be regenerated. The P C P structure allows a great number of possible variations, especially by changing the two lateral chains on the carbon atom. Studies have shown that people who live more sedentary lifestyles are at an increased risk of developing osteoporosis. Renal excretion depends on renal function; patients with renal insufficiency or failure need to have their dose adjusted downwards to reflect this.The general class effect of bisphosphonates is to inhibit osteoclastic bone resorption either by reducing osteoclastic activity or by causing osteoclast apoptosis, although additional effects have been demonstrated on osteoclast recruitment and differentiation.For many years the mechanism of action of bisphosphonates were poorly understood at a biochemical level (The structural changes in bone engendered by bisphosphonate action in children with OI are (1) increased bone width in tubular bones (Stopping bisphosphonates before growth ceases results in degradation of the newly formed bone at the metaphyses and can create a “stress riser” at the interface between treated and untreated areas.
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