A 66-year-old woman has osteoporosis and eGFR 22 ml/min/1.73 m2. She has reflux disease and cannot tolerate oral bisphosphonates. Calcium and vitamin

Question

A 66-year-old woman has osteoporosis and eGFR 22 ml/min/1.73 m2. She has reflux disease and cannot tolerate oral bisphosphonates. Calcium and vitamin D are normal. What is the most appropriate management consideration?

Accepted Answer

Specialist bone review before antiresorptive selection

Answer

Treat with loop diuretic alone

Answer

Start carbimazole

Answer

Ignore fracture risk because eGFR is low

Answer

Start high-dose oral alendronate despite intolerance

Osteoporosis in CKD — SCE Endocrinology MCQ

A 66-year-old woman has osteoporosis and eGFR 22 ml/min/1.73 m2. She has reflux disease and cannot tolerate oral bisphosphonates. Calcium and vitamin D are normal. What is the most appropriate management consideration?