Paget's Disease Of Bone: Medications

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Medications

Doctors can use several types of medicine to treat Paget's disease. Although it is not possible to cure Paget's disease with them, they can make the disease inactive and may reduce complications. Medicines such as bisphosphonate and calcitonin slow the breakdown and rebuilding of bone tissue. You can use over-the-counter medicines such as acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), or other pain medicines to treat bone pain.

Medication Choices

Medications that slow the breakdown and rebuilding of bone tissue include:

• Bisphosphonates, which are usually the first medications used to treat Paget's disease.
• Calcitonin, which is usually given by injection. Your doctor probably will prescribe calcitonin if you cannot tolerate bisphosphonates or if they have not been effective in treating your symptoms.

What To Think About

You may need to take medicine for several weeks before symptoms of Paget's disease improve.

Some medicines control the disease and its symptoms only while the person is taking the medicine. Soon after the medicine is stopped, symptoms may come back.

Your doctor may recommend medicine for Paget's disease even though you have no symptoms. Medications prevent the rapid breakdown of bone tissue and may decrease the chance of complications of Paget's disease.

An oral bisphosphonate such as alendronate (Fosamax) or risedronate (Actonel) generally is used first. If the side effects are too much for you, you can try intravenous pamidronate (Aredia) or zoledronic acid (Reclast).

Last updated:	September 14, 2007
Author:	Shannon Erstad, MBA/MPH
Reviewed By:	Caroline S. Rhoads, MD - Internal Medicine, Matthew I. Kim, MD - Endocrinology & Metabolism
Editors:	Kathleen M. Ariss, MS, Pat Truman, MATC