A 78-year-old woman with known osteoporosis (T-score -3.0 at the hip) is taking alendronic acid 70mg once weekly. She complains of new-onset heartburn...

Question

A 78-year-old woman with known osteoporosis (T-score -3.0 at the hip) is taking alendronic acid 70mg once weekly. She complains of new-onset heartburn and difficulty swallowing pills. Which of the following is the most appropriate next step in her osteoporosis management?

Accepted Answer

Switch to intravenous zoledronic acid annually

Answer

Switch to risedronate sodium weekly

Answer

Switch to denosumab injection every 6 months

Answer

Advise taking alendronic acid with more water and remaining upright for 60 minutes

Answer

Add a proton pump inhibitor

ukmla MCQ (SBA): Osteoporosis Management (Bisphosphonate Intolerance)

A 78-year-old woman with known osteoporosis (T-score -3.0 at the hip) is taking alendronic acid 70mg once weekly. She complains of new-onset heartburn and difficulty swallowing pills. Which of the following is the most appropriate next step in her osteoporosis management?