estrogen + progesterone
Watch for thrombus formation, avoid if px has estrogen-
dependent neoplasm risk factors
raloxifene
Selective estrogen receptor modulator (SERM)
zoledronate
Bisphophonategood treatement for malignant
hypercalcemia
pamidronate
Bisphophonategood treatement for malignant
hypercalcemia
ibandronate
bisphophonateToo weak to prevent non-
vertebral fractures
denosumab
RANKL antibodyFor osteoporosis
hPTH 1-84 (investigational)
Bone anabolic agentNot approved b/c of
hypercalcemia
fluoride (investigational)
Bone anabolic agent
aluminum hydroxide
oral phosphate binderAvoid b/c of aluminum toxicity
calcium carbonate/acetateoral phosphate binder
Watch for hypercalcemia
sevelamer
oral phosphate binderBest treatment
ergocalciferol
Vitamin D2: equivalent biological activity to D3
doxercalciferol
Synthetic vitamin D analogue, activated in liver
paricalcitol
Synthetic vitamin D analogue
cinacalcet
calcimimetic—decreases PTH secretion