A 76-year-old man with a CFS of 5 is admitted following a fall at home. He has a background of well-controlled epilepsy on Carbamazepine 400 mg BD and...

Question

A 76-year-old man with a CFS of 5 is admitted following a fall at home. He has a background of well-controlled epilepsy on Carbamazepine 400 mg BD and osteoporosis. His DXA scan shows a T-score of -2.8. He is not on bone protection. What is an important drug-related consideration regarding his osteoporosis?

Accepted Answer

Carbamazepine is a hepatic enzyme inducer that accelerates vitamin D metabolism, contributing to osteoporosis - bone protection and enhanced vitamin D supplementation should be provided

Answer

Carbamazepine has no effect on bone metabolism

Answer

Carbamazepine increases bone density

Answer

His osteoporosis is unrelated to any medication

Answer

Carbamazepine should be stopped to improve bone density

uk-dgm MCQ (SBA): Enzyme-Inducing Anticonvulsants and Osteoporosis