Prolonged use of cortisone increases the risk of osteoporosis: which vitamin you should also take

They are used, for example, in the treatment of rheumatic diseases.

However, if taken for a long time, cortisone supplements can decrease bone density.

Long-term treatment with cortisone preparations can cause osteoporosis *.

As a preventive measure, such a therapy should therefore be accompanied by a calcium-rich diet and vitamin D right from the start.

This is the advice of the German Society for Rheumatology (DGRh).

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In addition, the treating physicians could consider prescribing medication that inhibits bone loss or promotes bone formation.

Cortisone: Short-term use mostly harmless

Glucocorticoids, colloquially called cortisone, are used, for example, in rheumatic diseases.

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This also applies if they are dosed higher.

With long-term treatment, i.e. when used for at least three months or longer, side effects were often not absent.

So the decrease in bone density is a possible consequence.

This can lead to osteoporosis.

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In 30 to 40 percent of the patients who were treated with cortisone for a period of around four and a half years, for example, current or old fractures could be detected, the association estimates.

The problem:

explains medical professional and DGRh expert Jan Leipe.

That is why they are often overlooked and not treated.

The consequence of this is a fragile skeleton that encourages renewed fractures.

Prevent osteoporosis

"In the first three to six months of glucocorticoid therapy, bone density drops by up to 12 percent," says Leipe.

This underlines why it is so urgent to prevent possible osteoporosis.

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Therefore, according to the DGRh: As much as necessary, as little as possible.

Combined with preventive measures against possible bone loss.