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.