Question

A 72-year-old woman has been on alendronate for 5 years with improved bone density and no fractures. She is now low-to-moderate fracture risk. What is the appropriate next step?

Accepted Answer

Consider a bisphosphonate holiday with periodic reassessment

Answer

Switch to denosumab immediately

Answer

Stop all therapy permanently

Answer

Start teriparatide for 2 years

Answer

Continue alendronate indefinitely

Practice question

A 72-year-old woman has been on alendronate for 5 years with improved bone density and no fractures. She is now low-to-moderate fracture risk. What is the appropriate next step?