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Antihypertensive Drugs and Risk of Bone Fractures

Overview
Journal Drugs Aging
Specialties Geriatrics
Pharmacology
Date 2022 Jun 26
PMID 35754069
Authors
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Abstract

Antihypertensive drugs are among the most documented regimens worldwide with an overall survival and cardioprotective benefit. However, there is evidence that they cause symptoms of orthostatic hypotension (i.e., dizziness and syncope) placing patients at risk for falls and fall-related injuries such as bone fractures. Moreover, it seems that they might impact bone metabolism and architecture impairing bone health. The aim of this review was to summarize the accumulative literature exploring any potential association between several antihypertensive medications including diuretics, renin-angiotensin-aldosterone system inhibitors, beta-blockers and calcium channel blockers and the risk of fractures.

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References
1.
Thorne K, Johansen A, Akbari A, G Williams J, Roberts S . The impact of social deprivation on mortality following hip fracture in England and Wales: a record linkage study. Osteoporos Int. 2016; 27(9):2727-2737. PMC: 4981619. DOI: 10.1007/s00198-016-3608-5. View

2.
Cummings S, Melton L . Epidemiology and outcomes of osteoporotic fractures. Lancet. 2002; 359(9319):1761-7. DOI: 10.1016/S0140-6736(02)08657-9. View

3.
Court-Brown C, Clement N, Duckworth A, Biant L, McQueen M . The changing epidemiology of fall-related fractures in adults. Injury. 2017; 48(4):819-824. DOI: 10.1016/j.injury.2017.02.021. View

4.
Tinetti M, Kumar C . The patient who falls: "It's always a trade-off". JAMA. 2010; 303(3):258-66. PMC: 3740370. DOI: 10.1001/jama.2009.2024. View

5.
Ghosh M, Majumdar S . Antihypertensive medications, bone mineral density, and fractures: a review of old cardiac drugs that provides new insights into osteoporosis. Endocrine. 2014; 46(3):397-405. DOI: 10.1007/s12020-014-0167-4. View