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
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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
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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)
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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
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