Bps types
1st generation etidronate
2nd generation alindronate & pamidronate
3rd generation risedronate & zoledronate
Bps mode of action
Increase affinity for hydroxyapitite , increase osteoclast apoptosis and decrease interleukins
Sevelamer
Phospate binder ( ⬇️phospate ) treat Hyperparathyroidism
Cinacalcet
It targets the calcium sensing receptor, treat Hyperparathyroidism
Teriparatide (1-34 PTH )
Bone anabolic ( ⬇️ cross links ) (⬆️osteocalcin)