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Bisphosphonate counselling — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareBisphosphonate counsellingGPhC CRA

A patient starting weekly alendronic acid asks why it cannot be taken with breakfast and other morning medicines. What would you advise the patient?

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

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Correct answer: C — Food and other medicines reduce absorption and oesophageal irritation risk must be managed

Alendronic acid has poor absorption and can irritate the oesophagus if instructions are not followed. This makes food and other medicines reduce absorption and oesophageal irritation risk must be managed 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