Antiresorptive drugs, alendronate and raloxifene, are effective in lowering bone mineral density (BMD) loss in postmenopausal\r\nwomen. However, long-termtreatment may be associated with serious side effects. Our research group has recently discovered that\r\na Chinese herbal formula, ELP, could significantly reduce BMD loss in animal and human studies. Therefore, the present study\r\naimed to investigate the potential synergistic bone-protective effects of different herb-drug combinations using ovariectomized\r\nrats. To assess the efficacy of different combinations, the total BMD was monitored biweekly in the 8-week course of daily oral\r\ntreatment. Bone microarchitecture, bone strength, and deoxypyridinoline level were also determined after 8 weeks. From our\r\nresults, coadministration of ELP and raloxifene increased the total tibial BMD by 5.26% (2.5 mg/kg/day of raloxifene; P = 0.014)\r\nand 5.94% (0.25 mg/kg/day of raloxifene; P = 0.026) when compared with the respective dosage groups with raloxifene alone.\r\nSimilar synergistic effects were also observed in BMD increase at distal femur (0.25 mg/kg/day; P = 0.001) and reduction in\r\nurinary deoxypyridinoline crosslink excretion (2.5 and 0.25 mg/kg/day; both P = 0.02). However, such interactions could not be\r\nobserved in all alendronate-treated groups. Our data provide first evidence that ELP could synergistically enhance the therapeutic\r\neffects of raloxifene, so that the clinical dosage of raloxifene could be reduced.
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