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Alendronate counselling — GPhC CRA MCQ

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EasyPatient Counselling and Pharmaceutical CareAlendronate counsellingGPhC CRA

A woman prescribed alendronic acid weekly says she usually takes morning tablets with tea in bed. She has reflux symptoms but no swallowing difficulty. 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 alendronic acid with plain water after getting up and remain upright before food or drink

Alendronate absorption is reduced by food, tea and mineral supplements. It can irritate the oesophagus, so the patient should take it with water after rising and remain upright for the specified interval. New dysphagia or severe chest pain after dosing needs medical advice.

Reference: BNF; NICE CKS