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Osteoporosis calcium intolerance — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsOsteoporosis calcium intoleranceGPhC CRA

A patient on alendronic acid cannot tolerate calcium carbonate due to constipation. What is the most appropriate alternative?

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

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Correct answer: AAlternative calcium salt

Calcium and vitamin D supplementation should be tailored to intake and tolerability. In this vignette, "Alternative calcium salt with vitamin D if needed" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

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