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Bone HealthBone Health

Bone-health treatments include osteoporosis medicines, active forms of vitamin D and calcium products. They have different purposes and should be selected using fracture risk, test results, kidney function and the underlying diagnosis.

Fosamax

Alendronic Acid

35 · 70mg

Alendronic acid 35mg and 70mg tablets, the weekly strengths, used in the management of osteoporosis. A bisphosphonate that slows bone resorption.

From$2.55/ tabletView

Raloxifene Tablets

Raloxifene

60mg

Raloxifene 60mg film-coated tablets, used in the management of osteoporosis. A SERM that acts like oestrogen on bone but not on breast tissue.

From$1.02/ tabletView

Alfacip

Alfacalcidol

0.25 · 0.5mcg

Alfacip is alfacalcidol in 0.25mcg and 0.5mcg soft capsules, used for rickets, osteomalacia and hypoparathyroidism. A vitamin D analogue activated in the liver.

From$0.62/ capsuleView

Rocaltrol

Calcitriol

0.25mg

Calcitriol 0.25mg capsules, used in the management of renal osteodystrophy and hypocalcaemia. The active form of vitamin D3, needing no conversion.

From$2.00/ capsuleView

Phoslo

Calcium Acetate

667mg

Calcium acetate 667mg tablets, used in the management of hyperphosphataemia. A phosphate binder that ties up dietary phosphate in the gut.

From$0.51/ tabletView

One-alpha

Alfacalcidol

0.25mcg

Alfacalcidol 0.25mcg soft capsules and oral drops, used in the management of osteomalacia, hyperparathyroidism and hypocalcaemia. A vitamin D analogue.

From$0.62/ capsuleView

Key points

  • Bisphosphonates such as alendronic acid reduce bone breakdown and require specific administration and suitability checks.
  • Alfacalcidol and calcitriol are active vitamin D medicines for selected conditions, not routine substitutes for standard vitamin D.
  • Calcium products can interact with medicines and are not automatically beneficial when dietary intake and blood calcium are adequate.

Listings are for comparison and general information, not a personal recommendation; suitability and supply depend on clinician and pharmacy checks, test results and prescription requirements.

How the medicine groups differ

Bisphosphonates target bone loss in suitable people at increased fracture risk. Active vitamin D medicines affect calcium balance and may require close blood monitoring. Supplements such as calcium carbonate provide calcium but do not replace investigation of recurrent fractures or an underlying bone disorder.

What these medicines are used for

This category includes treatments used for osteoporosis, osteomalacia and hypocalcaemia. The cause matters: osteoporosis, vitamin D deficiency, kidney-related mineral disorders and low blood calcium are not managed in the same way.

Important safety checks

Assessment may include fracture history, calcium and vitamin D status, kidney function, swallowing or digestive problems and dental plans. Calcium and some bone medicines must be separated from certain other medicines. New thigh, groin or jaw symptoms during long-term antiresorptive treatment need review.

When to seek urgent care

Get urgent help for severe muscle spasms, seizures, confusion, an irregular heartbeat or breathing difficulty, which can occur with a serious calcium disturbance. Sudden severe back or hip pain after a minor fall needs prompt fracture assessment.

Further reading

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