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Alendronic acid administration — GPhC CRA MCQ

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EasyMusculoskeletal TherapeuticsAlendronic acid administrationGPhC CRA

A 72-year-old woman starts alendronic acid 70 mg once weekly and has a history of reflux. What would you advise the patient?

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

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Correct answer: C — Take with water on rising and remain upright before food

Alendronic acid can irritate the oesophagus and must be taken with water while upright before food or other medicines. This makes take with water on rising and remain upright before food the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: BNF; NICE CKS