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Osteoporosis calcium and vitamin D — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsOsteoporosis calcium and vitamin DGPhC CRA

A patient taking alendronic acid has very low dietary calcium intake and vitamin D deficiency documented in clinic letters. They ask whether the bisphosphonate alone is enough. What is the most appropriate action?

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Correct answer: E — Assess calcium and vitamin-D supplementation

Adequate calcium and vitamin D are important for osteoporosis treatment, and supplementation may be needed if intake or levels are inadequate. Calcium should not be taken at the same time as alendronic acid because it reduces absorption. Calcium alone is not equivalent to bisphosphonate therapy in high-risk patients. Milk with alendronic acid also reduces absorption.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment