Bone Flashcards
What is first line for osteoporosis
Alendronic acid
Risedronate sodium
Risk factors for osteoporosis
Low body weight Excess alcohol 65+ Lack of exercise Smoking Vit D deficiency Family history
What is the most potent treatment
Zolendronic acid
What drug is contraindicated in glucocorticoid osteoporosis?
Ibardronate
MHRA warnings for bisphosphonates
Osteonecrosis of jaw
Osteonecrosis of ear canal
Atypical femoral fractures
Counselling points for alendronic acid
Swallow whole with water
Sit or stand while taking and for 30 mins after
30 mins before breakfast or other meds
Counselling for risedronate
2 hours between food, drink, antacids, calcium containing products or minerals
Because it conguates with the calcium
What symptoms should patients report if on bisphosphonates
Ear, jaw and hip or groin pain