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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1994-11-17
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pubmed:abstractText |
Twenty patients with mild Paget's disease of bone were given either 20 (10 patients) or 40 mg alendronate daily for 6 months. The 20-mg dose was well tolerated, but in 3 patients on 40 mg/d alendronate, the treatment was withdrawn after 3-5 months because of gastric and oesophageal disturbances. Urinary hydroxyproline excretion fell within the first month to 77 +/- 5% (SD) and to 47 +/- 5% of pretreatment values in the 20- and 40-mg dosing group, respectively (p < 0.001 between group comparison). The serum alkaline phosphatase fell more slowly with the maximum suppression of disease activity reached at 4 months, when it attained a plateau in both groups of patients. However, the decrease in serum alkaline phosphatase was significantly more pronounced in the patients treated with 40 mg/d tablets (50 +/- 10% of pretreatment values) than in those given 20 mg alendronate per day (76 +/- 9% of initial value), in none of whom a disease remission was observed. It appears, therefore, that while 20 mg/d oral doses of alendronate are insufficient, 40 mg/d are associated with a high incidence of side effects. Furthermore, the suppression of disease activity depends on the dose of bisphosphonate given daily or over a short period of time and lower doses cannot be compensated by a longer duration of the treatment course.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
8756-3282
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
415-7
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7917580-Administration, Oral,
pubmed-meshheading:7917580-Aged,
pubmed-meshheading:7917580-Aged, 80 and over,
pubmed-meshheading:7917580-Alendronate,
pubmed-meshheading:7917580-Alkaline Phosphatase,
pubmed-meshheading:7917580-Analysis of Variance,
pubmed-meshheading:7917580-Diphosphonates,
pubmed-meshheading:7917580-Dose-Response Relationship, Drug,
pubmed-meshheading:7917580-Female,
pubmed-meshheading:7917580-Humans,
pubmed-meshheading:7917580-Hydroxyproline,
pubmed-meshheading:7917580-Male,
pubmed-meshheading:7917580-Middle Aged,
pubmed-meshheading:7917580-Osteitis Deformans
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pubmed:articleTitle |
Effects of two oral doses of alendronate in the treatment of Paget's disease of bone.
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pubmed:affiliation |
Istituto di Semeiotica e Nefrologia Medica, University of Verona, Italy.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Controlled Clinical Trial
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