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Alendronic acid

Bisphosphonate

Table of contents

What is alendronic acid used for?

Alendronic acid is a bisphosphonate drug that stops bone loss and helps make bones strong again.

It treats osteoporosis in women after menopause, making bones less likely to break.

What is the mechanism of action of alendronic acid?

Alendronic acid stops cells called osteoclasts from breaking down bone.

The drug goes to places where bones are breaking down (bone resorption) and stops it.

New bone still grows normally, without getting affected by the drug.

What are the contraindications of alendronic acid?

It should be avoided in people who have problems with the oesophagus, that leads to slow down of food moving to the stomach.

Not being able to stand or sit up for 30 minutes, which is needed to make sure medicine works its way down into the stomach without getting stuck along the way.

Low blood calcium levels, which must be fixed before starting alendronic acid. 

Additional calcium loss from this drug can cause dangerously low calcium levels.

Important alendronic acid prescribing safety information.

Alendronic acid can irritate the stomach and oesophagus, which can increase the risk of ulcers.

It can cause osteonecrosis of the jaw bone, especially in people with poor dental health.

Long-term use may cause unusual leg bone breaks, so reviewing treatment periodically and considering a pause from taking the drug is advised.

Alendronic acid patient counselling advice.

Alendronic acid is not absorbed well. Taking it with food or other medicine makes it worse. So advise to take it 30 minutes before eating food or other medicine in the morning.

It can irritate the oesophagus if it dissolves in the throat while lying down. So advise patients to sit or stand for 30 minutes after taking it to avoid this.

Alendronic acid  can cause unusual leg bone breaks. Encourage patients to 

speak with their doctor if they have pain in the thigh, hip, or groin.

References

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