Therefore, I recommend my patients double or even triple their dose of vitamin D while they take steroids, provided they don’t have any history’ of kidney stones. No drug available today effectively treats steroid-induced osteoporosis. Here is one situation where prevention is your best treatment. Your best defense is a good dose of vitamin D. Unfortunately, many physicians don’t check vitamin D level, but immediately prescribe an anti-osteoporosis drug, such as alendronate (Fosamax), Actonel or Boniva, which doesn’t work effectively in steroid-induced osteoporosis. Beware! Next time someone puts you on a steroid, you must increase your daily dose of vitamin D. You’ll save your bones and avoid a lot of misery’ in the years to come.