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Patients who have commitment or exposure to oral glucocorticoids for greater than three months (or treated for combined total of three months a year e.g. COPD patients) at any dose.
If a patient has an eGFR less than 30mL/min, do not treat without appropriate specialist advice, refer to renal team if patient not already known to them
Aged 65 years or older or
Aged less than 65 years and has a definite history of previous fragility fracture:
Aged less than 65 years, no history of previous fragility fracture:
Lifestyle advice