Medications that can cause osteoporosis

Certain medications are known to cause bone loss, leading to osteoporosis. These include:

  • Oral or high-dose inhaled corticosteroids—such as prednisone and beclomethasone (QVAR)—used for more than 6 months to treat conditions such as asthma, arthritis, and lupus.
  • Thyroid replacement medication, if the dose is more than the body needs. This should be monitored by checking the level of thyroid-stimulating hormone (TSH) every year.
  • Medications used to treat seizures, such as phenytoin.
  • Medications used to treat endometriosis, such as leuprolide (Lupron Depot) and nafarelin acetate (Synarel).
  • Certain cancer treatments, including aromatase inhibitors used to treat breast cancer, such as anastrozole (Arimidex), letrozole (Femara), and exemestane (Aromasin).
  • Heparin, a blood thinner, if used for a long time.
  • Depo-Provera, a birth control medication given by injection, if used for a long time.
  • Anticonvulsant medications such as carbamazepine.


Author: Robin Parks, MSLast Updated: December 1, 2006
Medical Review: Joy Melnikow, MD, MPH - Family Medicine
Carla J. Herman, MD, MPH - Internal Medicine

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