A nurse is reinforcing teaching with a client who has osteoporosis and is prescribed (Fosamax) alendronate 70 mg PO weekly. Which of the following statements by the client indicates a need for further instruction?
A.
“I take my other pills at least 30 minutes after my alendronate.”
B.
“I take my alendronate on the same day every week with an 8-ounce glass of milk.”
C.
“I sit up and read the morning paper after taking my alendronate.”
D.
“I will need to have a bone density test occasionally while taking this medication.”
The correct answer and Explanation is :
The statement that indicates a need for further instruction is:
B. “I take my alendronate on the same day every week with an 8-ounce glass of milk.”
Explanation:
Alendronate (Fosamax) is a bisphosphonate used to treat osteoporosis by helping to prevent bone loss. For alendronate to be effective and to minimize potential side effects, it is essential to follow specific administration guidelines.
- Administration with Fluids: Alendronate should be taken with a full 8-ounce glass of plain water, not milk or any other beverage. Milk and other beverages can interfere with the absorption of alendronate, reducing its effectiveness in treating osteoporosis.
- Positioning After Intake: After taking alendronate, clients should remain upright (sitting or standing) for at least 30 minutes. This helps prevent irritation or ulceration of the esophagus. Lying down immediately after taking alendronate increases the risk of esophageal problems.
- Timing with Other Medications: Clients should take alendronate on an empty stomach, at least 30 minutes before consuming any other foods, beverages (except water), or medications. Taking it with other medications or soon after eating can reduce its absorption.
- Regular Monitoring: Clients are correct to expect periodic bone density tests to monitor the effectiveness of the treatment and to adjust the therapy if necessary. This statement is accurate and reflects good management of osteoporosis treatment.
In summary, alendronate should be taken with plain water, and clients should remain upright for at least 30 minutes after ingestion. Combining alendronate with milk (or other beverages) compromises its absorption and overall efficacy, which is why statement B indicates a need for further instruction.