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Canadian Pharmacist Qualifying Exam Practice · Question

When counseling a patient on a new prescription for bisphosphonates (e.g., alendronate) for osteoporosis, what is the most important administration instruction?

Proper administration of bisphosphonates is critical to minimize esophageal irritation and ensure adequate absorption.

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Question: When counseling a patient on a new prescription for bisphosphonates (e.g., alendronate) for osteoporosis, what is the most important administration instruction?

Answer options:

  • Take with food to minimize GI upset
  • Take at bedtime to improve absorption ✅ Take with a full glass of plain water, at least 30 minutes before food or other medication, and remain upright
  • Chew the tablet thoroughly before swallowing

Correct answer: Take with a full glass of plain water, at least 30 minutes before food or other medication, and remain upright

Explanation: Proper administration of bisphosphonates is critical to minimize esophageal irritation and ensure adequate absorption.

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