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Bisphosphonate counselling — GPhC CRA MCQ

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EasyMusculoskeletal TherapeuticsBisphosphonate counsellingGPhC CRA

A 70-year-old woman is prescribed alendronic acid after a fragility wrist fracture. She also takes calcium and colecalciferol. She asks why the weekly tablet has strict instructions. What would you advise the patient?

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

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Correct answer: D — Correct administration reduces oesophageal irritation and improves absorption

Bisphosphonates can irritate the oesophagus and have poor oral absorption. Taking with plain water while upright and delaying food, drinks and other medicines improves safety and absorption. Calcium should be taken at a separate time.

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