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. 2021 Dec 18;107(5):1441–1460. doi: 10.1210/clinem/dgab888

Table 1.

Regimen of antiresorptive agents according to underlying bone disease

Osteoporosis CTIBL Bone metastases
Dose Frequency Dose Frequency Dose Frequency
Bisphosphonates
 Alendronate 70 mg by mouth Weekly 70 mg by mouth Weekly
 Risedronate 35 mg (75 mg) by mouth Weekly (2 consecutive d/mo) 35 mg by mouth Weekly
 Ibandronate 150 mg by mouth Monthly 150 mg by mouth Monthly 50 mg Daily
3 mg IV Every 3 mo 6 mg IV Every 3-4 wk
 Pamidronate 60 mg IV Every 3 mo 90 mg IV Every 3-4 wk
 Zoledronate 5 mg IV Yearly 4 mg IV Every 3-6 mo 4 mg iv Every 3-4 wka
Denosumab 60 mg SC Every 6 mo 60 mg SC Every 6 mo 120 mg SC Every 4 wk

Abbreviations: CTIBL, cancer treatment–induced bone loss; IV, intravenously; SC, subcutaneously.

a At least for the first 3 to 6 months; de-escalation to doses every 12 weeks could be considered thereafter.