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Denosumab discontinuation risk — SCE Rheumatology MCQ

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HardMetabolic Bone DiseaseDenosumab discontinuation riskSCE Rheumatology

A postmenopausal patient at very high fracture risk is being considered for romosozumab. Which history is a major reason to select another treatment?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BMyocardial infarction within the previous year

Romosozumab has an important cardiovascular warning and should not be used in patients with myocardial infarction or stroke in the preceding year. Overall cardiovascular risk, calcium status and the planned subsequent antiresorptive therapy should be considered before treatment.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/musculoskeletal-conditions