What are bisphosphonates used for
prevent osteoporosis, treat hypercalcaemia, reduce pain from cancer that has spread to bone, tx for cancers that cause bone damage
Why are bisphosphonates used for cancer tx
cancer cells release cytokines and growth factors which stimulate osteoclasts, this increases
pain
blood Ca levels
fracture risk
How do bisphosphonates work
target areas of high bone turnover
absorbed by osteoclasts and inhibit therefore preventing breakdown
What guidance for MRONJ
SDCEP
High risk for MRONJ if
Prev MRONJ
anti resorptive or anti-angiogenic tx for cancer