Skip to main content
Log in

Combined treatment with calcitonin and 1,25-dihydroxyvitamin D3 for osteoporosis in women

  • Clinical Investigations
  • Published:
Calcified Tissue International Aims and scope Submit manuscript

Summary

Twenty-two middle-aged women with severe osteoporosis were treated for 2 years with either 0.5 mg of synthetic human calcitonin subcutaneously three times per week combined with 0.5 μg of calcitriol and 0.5 g of calcium per day orally or calcium only. The treatment with calcitonin plus calcitriol (12 patients) resulted in a significantly increased calcium absorption rate. The mean values for serum phosphate did not change during the treatment period and the mean values did not differ between the treatment groups, but the serum calcium and urinary Ca/Cr ratio increased somewhat in the group given the combined treatment. There was no evidence that the combined treatment improved the bone density in this study. It is possible that calcitriol, instead of increasing the effect of calcitonin by suppression of the parathyroid, might have counteracted its effect by increasing the bone resorption.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Citivelli R, Gonnelli S, Zacchei F, Bigazzi S, Vattimo A, Avioli LV, Gennari C (1988) Bone turnover in postmenopausal osteoporosis. Effect of calcitonin treatment. J Clin Invest 82:1268–1274

    Google Scholar 

  2. Reginster JY, Albert A, Lecart MP, Lambellin P, Denis D, Deroisy D, Fontaine MA, Franchimont P (1987) 1-year controlled randomized trial of prevention of early postmenopausal bone loss by intranasal calcitonin. Lancet:1481–1483

  3. Russell J, Lettiere D, Sherwood LM (1986) Suppression by 1,25(OH)2 D3 of transcription of the pre-proparathyroid gene. Endocrinology 119:2864–2866

    Google Scholar 

  4. Marshall DH (1976) Calcium and phosphate kinetics. In: Nordin BEC (ed) Calcium phosphate and magnesium metabolism. Churchill-Livingstone

  5. Bailey NTJ (1969) Statistical methods in biology. Unibooks, English University Press, London

    Google Scholar 

  6. Ott SM, Chestnut CH III (1989) Calcitriol treatment is not effective in postmenopausal osteoporosis. Ann Int Med 110:267–274

    Google Scholar 

  7. Jensen GF, Meinecke B, Boesen J, Transböl IB (1985) Does 1,25(OH)2-D3 accelerate bone loss? Clin Orthop Rel Res 192:215–221

    Google Scholar 

  8. Aloia JF, Vaswani A, Yeh JK, Ellis K, Yasumura S, Cohn SH (1988) Calcitriol in the treatment of postmenopausal osteoporosis. Am J Med 84:401–408

    Google Scholar 

  9. Gallagher JC, Jerpbak CM, Jee WSS, Johnson KA, DeLuca HF, Riggs BL (1982) 1,25-dihydroxyvitamin D3; short and long-term effects on bone and calcium metabolism in patients with postmenopausal osteoporosis. Proc Natl Acad Sci USA 79:3325–3329

    Google Scholar 

  10. Tilyard MW, Spears GFS, Thomson J, Dovey S (1992) Treatment of postmenopausal osteoporosis with calcitriol or calcium. N Engl J Med 326:357–362

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Eriksson, S.A.V., Lindgren, J.U. Combined treatment with calcitonin and 1,25-dihydroxyvitamin D3 for osteoporosis in women. Calcif Tissue Int 53, 26–28 (1993). https://doi.org/10.1007/BF01352011

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01352011

Key words

Navigation