GLUCOCORTICOID INDUCED OSTEOPOROSIS: EXPLORING ALLOPATHIC THERAPIES AND TRADITIONAL MEDICINE SOLUTIONS

Osteoporosis is a Skeletal condition that generally develops with aging. The primary osteoporosis is more prevalent in women after menopause which is known as postmenopausal osteoporosis, and it also happens after the age of 75. Secondary osteoporosis is brought on by long-term usage of drugs like glucocorticoids or chronic underlying illnesses. Oral GC use ranges from 0.5 to 0.9% in the community, and it rises to 2.7% among women over 50 years. The key mechanisms by which glucocorticoids directly affect bone formation involve the Wnt/β-catenin signalling pathway and the activation of PPAR-γ. Moreover, glucocorticoids directly contribute to bone resorption by encouraging the production of RANKL, M-CSF and reducing the synthesis of osteoprotegerin ligand by osteocytes and osteoblastic cells. First-line treatments for osteoporosis include weight-bearing physical activity, exercise, and exercises that help with posture and balance, as well as a diet high in calcium and vitamin D, stopping smoking, and consuming alcohol in moderation. Certain medications are required in the second phase such as anabolic, anti-resorptive, and combination drugs. Medicinal plants are essential for preserving health and serve as the main source of ingredients for both conventional and traditional medicine formulations. Traditional therapies, including herbal remedies and natural compounds, may offer benefits such as reducing bone resorption, enhancing bone formation, and minimizing side effects associated with conventional drugs.