All of the following drugs cause osteoporosis except: September 2011
## **Core Concept**
The question tests knowledge of drugs that can cause osteoporosis, a condition characterized by decreased bone mass and density, leading to an increased risk of fractures. Various medications can contribute to osteoporosis as a side effect.
## **Why the Correct Answer is Right**
Thiazide diuretics are known to have a protective effect on bone density. They decrease the urinary excretion of calcium, which can lead to an increase in bone density. This mechanism is beneficial in the context of osteoporosis management.
## **Why Each Wrong Option is Incorrect**
* **Option A:** Glucocorticoids (e.g., prednisone) are well-known to cause osteoporosis. Long-term use of glucocorticoids can lead to a decrease in bone formation and an increase in bone resorption.
* **Option B:** Heparin, especially with long-term use, can contribute to osteoporosis. The exact mechanism is not entirely clear, but it is thought to affect bone formation and resorption.
* **Option D:** Anticonvulsants (e.g., phenytoin, carbamazepine) can contribute to osteoporosis, possibly through effects on vitamin D metabolism.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that thiazide diuretics are unique among the options provided because they can actually help prevent osteoporosis, making them useful in certain patient populations.
## **Correct Answer:** . Thiazide diuretics.