Answer
Low blood calcium must be corrected before starting alendronic acid because its bone-mineral-increasing effects can further lower blood calcium, with rare reports of symptomatic hypocalcaemia that has occasionally been severe, particularly in patients with predisposing conditions.
Sources for this answer
- Alendronic Acid 70mg Oral SolutionRosemont Pharmaceuticals Limited · emc · SmPC §4.4 Special warnings and precautions for use · Version 3Document updated
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