Adverse Gastrointestinal Effects of Alendronate Versus Risedronate in Osteoporosis: A Systematic Review and Meta-analysis.

Ann Afr MedMay 14, 2026 (epub)

Mahmoud Ismail Nouh, Hala Albuti, Mohammed Hasosah et al.

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In 30 seconds

This systematic review and meta-analysis compared gastrointestinal (GI) adverse effects of alendronate and risedronate in osteoporosis treatment, analyzing data from six randomized controlled trials involving 4,151 participants. The incidence of GI adverse effects was 20.19% for alendronate and 18.30% for risedronate, with no significant difference (RR: 1.11; 95% CI: 0.86-1.42; P < 0.44).

Key findings

  • The incidence of GI adverse effects was 20.19% for alendronate and 18.30% for risedronate.
  • No significant difference in GI adverse effects between alendronate and risedronate (RR: 1.11; 95% CI: 0.86-1.42; P < 0.44).
  • Switching from alendronate to risedronate may lower GI side effects, despite the lack of statistical significance.

Why it matters

Understanding the gastrointestinal safety profiles of bisphosphonates is crucial for optimizing osteoporosis management. Clinicians can consider these findings when prescribing treatment to minimize adverse effects.

Source

Published in Ann Afr Med. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

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