BONE COMPLICATIONS IN HIV: Edited by Patrick W.G. Mallon and Todd T. BrownPharmacologic approaches to the prevention and management of low bone mineral density in HIV-infected patientsNegredo, Eugeniaa; Warriner, Amy H.bAuthor Information aFundació Lluita contra la SIDA, Hospital Germans Trias i Pujol; Universitat Autònoma de Barcelona; Universitat de Vic-Universitat Central de Catalunya, Barcelona, Spain bUniversity of Alabama at Birmingham, Birmingham, Alabama, USA Correspondence to Eugènia Negredo, MD, PhD, Fundació Lluita contra la SIDA, Hospital Universitari Germans Trias i Pujol Ctra de Canyet, s/n, Badalona 08916, Barcelona, Spain. Tel: +00 34 93 497 88 87; fax: +00 34 93 465 76 02; e-mail: [email protected] Current Opinion in HIV and AIDS: May 2016 - Volume 11 - Issue 3 - p 351-357 doi: 10.1097/COH.0000000000000271 Buy Metrics Abstract Purpose of review Osteoporosis is a growing concern among people living with HIV (PLWH) because of the recognized risk of fractures, which bring with them morbidity and mortality. New evidence is helping clinicians understand how to prevent and manage osteoporosis in this subpopulation. Recent findings The benefit of calcium and vitamin D is variable in osteoporosis literature in general, but evidence supports the use of these supplements in PLWH to prevent the loss of bone mineral density when initiating antiretroviral therapy and in enhancing the effectiveness of antiosteoporosis treatments. Of the osteoporosis treatments, alendronate and zoledronate are the only two with substantial evidence of safety and effectiveness in PLWH, but the studies have been small and of limited duration. There are no randomized controlled studies of raloxifene, denosumab or teriparatide in PLWH. Of increasing interest is the possible benefit of statins on bone health through decreased inflammation. Summary Osteoporosis is recognized as an issue for PLWH. Although some of the available osteoporosis treatments have proven safe and effective, future studies of the novel treatments, such as statins, along with well-designed studies of established osteoporosis treatments for use in PLWH are needed to further guide the clinical management of osteoporosis in this population. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.