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Alendronic acid counselling — GPhC CRA MCQ

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EasyMusculoskeletal TherapeuticsAlendronic acid counsellingGPhC CRA

A patient starts alendronic acid 70 mg once weekly. They ask whether they can take it with breakfast because they find morning medicines easier. What would you advise the patient?

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

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Correct answer: E — Take it with plain water on rising and remain upright before food

Alendronic acid must be taken with plain water on an empty stomach, with the patient remaining upright and avoiding food or other medicines for a specified period. This reduces oesophageal irritation and improves absorption. Milk and food markedly reduce absorption. Weekly dosing should be followed exactly.

Reference: BNF