Estes 5 Medicamentos Destroem Silenciosamente Seus OSSOS

There's a silent process happening inside your body right now. A process that doesn't hurt, that doesn't cause any symptoms, that doesn't appear in any warning signs. It's the wear and tear on your bones. After age 50, the human body progressively loses bone density. And in women after menopause, this loss can reach 2 or 3 percent per year. But there's something many people don't know: 5 extremely common medications may be silently accelerating this wear and tear, making your skeleton more fragile than it needs to be. And the result of this fragility, when it appears, is catastrophic: a simple fall that turns into a hip fracture that changes your whole life. In this video, Dr. Sofia Ferreira presents the 5 medications that need to be discussed with your doctor. In this video you will discover: Why bone loss after age 50 is silent and asymptomatic until a fracture occurs Why a hip fracture in an elderly person changes the entire life of the person and their family Medication 5: loop diuretics (furosemide/Lasix) and increased calcium excretion in urine The important difference: thiazide diuretics (hydrochlorothiazide) protect the bone; Loop diuretics are harmful Medication 4: Levothyroxine (Puran T4/Synthroid) in doses above what is necessary, and the silent excess of thyroid hormone Why the levothyroxine dose needs to be periodically reassessed Medication 3: Proton pump inhibitors (omeprazole) in very prolonged use and compromised calcium absorption Why the association with hip, wrist, and spine fractures in chronic use Medication 2: SSRI antidepressants (sertraline, fluoxetine, escitalopram, paroxetine) and the effect on bone density Why depression in the elderly needs to be treated, and how to balance treatment with bone protection Medication 1 (the MOST associated with rapid bone loss): Oral corticosteroids in prolonged use (prednisone, dexamethasone) How corticosteroids cause Drug-induced osteoporosis (loss of up to 20% in the first year) Essential tests for monitoring: bone densitometry, calcium, vitamin D Care you can discuss with your doctor: supplementation, dose adjustment, alternatives IMPORTANT WARNING: This content is for educational purposes only and does NOT replace medical consultation. NO information in this video is a reason to discontinue any medication on your own. Several of the listed medications can cause serious reactions if stopped abruptly: Corticosteroids (prednisone, dexamethasone): risk of acute adrenal insufficiency, which is a very serious medical emergency. SSRIs (sertraline, fluoxetine): discontinuation syndrome with serious physical and emotional symptoms. Levothyroxine: significant hormonal changes affecting various body functions. Furosemide: worsening of heart failure or edema. Many of these medications are absolutely necessary. The goal of this video is a qualified conversation with your doctor about bone monitoring and protection, not the interruption of treatments. If you have diagnosed osteoporosis or a history of fractures, maintain your regular medical follow-up. In case of a fall with persistent pain, deformity, or difficulty moving a joint, seek immediate medical attention. LIKE, SHARE with those who have been taking corticosteroids, omeprazole for many years, thyroid hormone, or those who have had a fracture, and SUBSCRIBE to the channel for more science-based health content, especially for adults over 50. Turn on notifications so you don't miss the next videos! REFERENCES: Brazilian Society of Rheumatology - Guidelines for the diagnosis and treatment of glucocorticoid-induced osteoporosis Weinstein, R.S. New England Journal of Medicine - Glucocorticoid-induced bone disease Buckley, L. et al. Arthritis & Rheumatology - ACR guideline for the prevention and treatment of glucocorticoid-induced osteoporosis Yang, Y.X. et al. JAMA - Long-term proton pump inhibitor therapy and risk of hip fracture Rejnmark, L. et al. - Loop diuretics increase bone loss and fracture risk Vestergaard, P. et al. - SSRI and bone loss: population studies Cummings, S.R. et al. Archives of Internal Medicine - Antidepressants and bone loss Uzzan, B. et al. Bone - Excess thyroid hormone and bone loss International Osteoporosis Foundation - Medications and bone health Brazilian Society of Endocrinology and Metabolism - Brazilian guidelines for osteoporosis Mayo Clinic and Cleveland Clinic - Medications that affect bone density #health #bones #osteoporosis #corticosteroids #omeprazole #antidepressants #thyroid #doctor #tips #brazil #prevention #medicine #qualityoflife #DrSofiaFerreira #elderlyhealth #elderly #naturalhealth #bonedensity #fractures #rheumatology #vitaminD #calcium #elderlycare #preventivemedicine #densitometry