Bisphosphonate counselling Flashcards
1
Q
Check for contraindications
A
- Pregnancy
- Dysphagia/ abnormalities of oesophagus
- Recent peptic ulcer
- Significant renal impairment
- Unable to sit upright for 30 minutes
2
Q
How the treatment works
A
- Prevents bone from being broken down and helps to rebuild new bone
- Remember lifestyle factors can also help with this, such as exercise, not smoking (we can help) and eating a well-balanced diet
3
Q
Treatment course and how it’s taken
A
- Once daily or once weekly tablet
- Swallow tablet with full glass of water
- Take at least 30 minutes before food or anything other than water
- Be upright for 30 minutes after swallowing
- Taken long term
- Monitoring required
- Regular dental check-ups (risk of osteonecrosis of jaw)
4
Q
Side effects
A
- Headache
- Heartburn, bloating, indigestion
- GI (diarrhoea/ constipation, abdominal pain)
- Seek urgent medical advice if symptoms of = Osteonecrosis of the jaw, dysphagia/odynophagia, upper GI bleeding/ black stools