An older adult with hypertension and osteoporosis needs medication. Which antihypertensive would also improve osteoporosis?

Thiazide diuretics are unique among antihypertensive medications because they have a beneficial effect on bone density. Studies have shown that thiazide diuretics can reduce calcium excretion through the urine, which leads to increased calcium retention in the body. This mechanism can help improve bone mineral density, which is particularly beneficial for older adults who may be at risk for osteoporosis.

In addition to managing hypertension, the use of thiazide diuretics provides a dual benefit by potentially safeguarding against the loss of bone density, making them a suitable choice for patients with both conditions. This specific profile distinguishes them from other antihypertensive medications, which do not have such a positive effect on bone health.