Learning scenario
Learning scenario
Margaret Smith presents a prescription for alendronic acid 70mg once weekly.
She says that she is relieved it is a weekly medicine as her memory is sometimes not as good as it was and this way she can take it when she remembers.
What do you advise?
INCORRECT. Dosing for bisphosphonates is very specific and they should not be taken randomly.
CORRECT. Alendronate should be taken on the same day of each week that suits an individual’s routine.
INCORRECT. Bedtime dosing is not advised as the individual needs to sit or stand for half an hour after taking the drug.
CORRECT. Alendronate should be taken on the same day of the week and on a day that suits the individual. Taking it half an hour before breakfast ensures she will have an empty stomach and is likely to be upright for a while afterwards. This reduces the risk of oesophageal irritation and maximises absorption of the medicine.