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Oral bisphosphonate counselling — GPhC CRA MCQ

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EasyPatient Counselling and Pharmaceutical CareOral bisphosphonate counsellingGPhC CRA

A patient starts risedronate once weekly and asks whether taking it with breakfast will reduce stomach upset. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Take it with plain water before food and remain upright as instructed

Risedronate absorption is reduced by food, drinks other than plain water and calcium-containing products. Remaining upright reduces oesophageal irritation risk. The instructions are important for efficacy and safety. If the patient cannot follow them, the prescriber should consider alternatives.

Reference: BNF; NICE CKS