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Letters |5 February 2002

Low-Dose Thiazide and Bone Density

Hosam K. Kamel, MD

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Author, Article, and Disclosure Information
  • Medical College of Wisconsin
    Milwaukee, WI 53295
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TO THE EDITOR:
LaCroix and colleagues (1), in a 3-year randomized, controlled trial, demonstrated that low-dose hydrochlorothiazide increased bone density in elderly normotensive men and women. They subsequently recommended considering hydrochlorothiazide in osteoporosis prevention programs. I believe this recommendation is too general and deserves further clarification.
The beneficial effect of hydrochlorothiazide on bone is probably related to its action on kidney tubules to promote calcium reabsorption. Urinary calcium excretion increases in postmenopausal women. This physiologic phenomenon, also known as postmenopausal renal calcium leak, has been attributed to reduced tubular reabsorption of calcium secondary to decreased estrogen effect on kidney...
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Kamel HK. Low-Dose Thiazide and Bone Density. Ann Intern Med. 2002;136:252. doi: 10.7326/0003-4819-136-3-200202050-00018

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Published: Ann Intern Med. 2002;136(3):252.

DOI: 10.7326/0003-4819-136-3-200202050-00018

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2002 American College of Physicians
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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