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used in the treatment of osteoporosis
Medication Name
Prototye Med |
alendronate (Fosamax) |
Other Meds |
risedronate (Actonel) |
| |
Ibandronate (Boniva) |
Drug Class: Bone Resorption Inhibitor
Action: decrease bone resorption by inhibiting activity of osteoclasts
Therapeutic Use
Prevention and treatment of postmenopausal osteoporosis, glucocorticoid related osteoporosis, age-related osteoporosis in men |
Advese Effects
Esophagitis |
Gastrointestinal disturbances (nausea and vomiting, abdominal pain) |
Muscle and joint pain |
Eye pain and vision changes |
Nursing Interventions
Give drug with 6–8 oz. of water. |
For 30 minutes after taking drug, have clients: |
Remain in upright position. |
| |
Avoid eating or drinking anything other than water. |
| |
Avoid giving calcium supplement or antacid. |
Give analgesic for muscle and joint pain. |
Monitor clients for changes in vision. |
Administration
Give drug 30 minutes before breakfast with a full glass of water. |
Have client sit or stand for 30 minutes after administration |
Avoid giving calcium-containing drugs/supplements within 30 minutes of administration |
|
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Patient Education
Instruct clients to take drug with full glass of water. |
Instruct clients to do the following for 30 minutes after taking drug: |
Sit or stand up. |
| |
Avoid eating or drinking anything other than water. |
| |
Avoid taking calcium supplement or antacid. |
Advise clients to take analgesic for muscle and joint pain and report pain that persists. |
Instruct clients to report changes in swallowing or vision to provider |
Contraindications
Esophageal strictures/disorders or difficulty swallowing |
Clients unable to sit up for 30 minutes after administration |
Renal insufficiency |
Hypocalcemia |
Precautions
Upper gastrointestinal disorders |
Infection |
Liver disease |
Heart failure |
Interactions
Calcium supplements and dairy products decrease absorption when given within 30 minutes of each other |
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