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The long-term, continuous use of bisphosphonates (beyond 5 years) is not wholly without risk. Atypical femoral fracture is an uncommon but potentially very serious adverse event associated with the long-term use of bisphosphonates. Here we consider the complexities of long-term bisphosphonate prescribing, particularly in those that are low risk of osteoporotic fracture, wherein the duration of therapy should be reviewed regularly with individualised risk assessment to ensure the duration of treatment is appropriate.

Original publication

DOI

10.1111/bcp.15110

Type

Journal article

Journal

Br j clin pharmacol

Publication Date

22/10/2021

Keywords

bisphosphonate, deprescribing, medicines optimisation, osteoporosis